What are the recommended next steps for a patient with a 45‑50 cc moderately hypertrophic prostate, PSA 8.8 ng/mL, and MRI showing no tumor but median lobe hypertrophy causing bladder outlet obstruction?

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  "question": "What are the recommended next steps for a patient with a 45-50 cc moderately hypertrophic prostate, PSA 8.8 ng/mL, and MRI showing no tumor but median lobe hypertrophy causing bladder outlet obstruction?"
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