Question
A 70-year-old man complains of urgency, frequency and hesitancy of micturition with a feeling of incomplete emptying. He also has poor flow, intermittent stream and post-micturition dribbling. These symptoms have been going on for 2 years and are gradually getting worse. Clinical examination reveals no abnormality. On rectal examination he has an enlarged smooth prostate with overlying mobile rectal mucosa, and the median vertical groove is easily felt. What is the most likely diagnosis?
| A. |
Acute retention of urine
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| B. |
BPH causing BOO
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| C. |
Acute prostatitis
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| D. |
Carcinoma of prostate
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Show Answer
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Correct Answer � B
Explanation
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|
Answer- B BPH causing BOO
This patient has typical LUTS (Lower Urinary Tract Symptoms) from BOO due to BPH. These symptoms used to be referred to as prostatism. LUTS has storage symptoms or voiding symptoms.
C/F-
Urgency,urge incontinence, Hesitancy, thin stream urine, intermittent stream, sensation of poor bladder emptying, post void dribbling.
Post micturition dribbling or LUTS & voiding leads to Bladder outlet obstruction (BOO).
On rectal examination there is benign enlarged prostate with Firm, rubbery consistency and mucosa is mobile.
Reference- Bailey and Love, Short practice of surgery, 27th edition published in 2018, Pg 1458- 1460
