Option a

Mr Andersson was happy that you understood his problem and started him up on low dose continuous Sildenafil (Viagra®) therapy. His voiding symptoms did not disappear but improved slightly during the first 6 months of therapy. To his great satisfaction, his erectile problems disappeared completely. He has never felt better!

At the follow-up appoitment, twelve months after his first visit (where he complained of "normal" voiding problems and erectile dysfunction), Mr Andersson is wondering what his PSA levels were at the former visit. He has a neighbour who has been recently undergoing through prostate cancer treatmentTo your surprise, when going through his past medical history, you realise that your first evaluation and investigation lacks some very important information.

What do you think is lacking?

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