Your 60-Year-Old Male Patient Has Just Been Diagnosed by You

Your 60-year-old male patient has just been diagnosed by you with benign prostatic hyperplasia. He states he wants a transurethral resection of the prostate, because that's what his brother had "and it took care of the problem right away." You provide him with appropriate education regarding his treatment options, but he continues to insist on invasive treatment. It would be most appropriate to:

A) Insist that the patient take the medications you are prescribing regardless of the patient's insistence on invasive treatment
B) Refer the patient to urology services for a consult
C) Refer the patient to psychiatric services for a cognitive screen
D) Refuse to discuss the patient's desire to have his benign prostatic hyperplasia symptoms addressed with invasive methods