70-yr-old male with nocturia

• Medical history: Atrial fibrillation diagnosed 6 mo ago, not taking anticoagulation drugs after informed discussion with cardiologist.


• Surgical history: None


• Medications: Avanafil 100 mg as needed; aspirin 325 mg daily.


• Allergies: No known drug allergies.


• Family history: His father died from prostate cancer at age 78.


• Social history: The patient is a retired businessman who splits his time between sailing on a yacht and spending time with his grandchildren. He is active and exercises daily. He denies current or previous tobacco use. He has a glass of wine daily. He denies any illicit drug use. All relevant immunizations are up to date. He denies exposure to any sick contacts. He is sexually active with his wife of 35 yr. He recently returned from a sailing trip to the western Caribbean.