A 63-year-old African-American male presents for the evaluation of urinary urgency, hesitancy, nocturia, and a weak urinary stream. These symptoms have progressively worsened over the past year, despite being on doxazosin. He denies any fever, abdominal pain, hematuria, malaise, or weight loss. He is a non-smoker and non-alcoholic. Rectal examination reveals a smooth, firm enlargement of the prostate without any induration or asymmetry. Neurological examination is normal. His PSA level is elevated, and you explain the option of transurethral resection of the prostate. He is concerned about the complications of the procedure. Which of the following is the most likely expected complication of this procedure?

Question

A 63-year-old African-American male presents for the evaluation of urinary urgency, hesitancy, nocturia, and a weak urinary stream.  These symptoms have progressively worsened over the past year, despite being on doxazosin.  He denies any fever, abdominal pain, hematuria, malaise, or weight loss.  He is a non-smoker and non-alcoholic.  Rectal examination reveals a smooth, firm enlargement of the prostate without any induration or asymmetry.  Neurological examination is normal.  His PSA level is elevated, and you explain the option of transurethral resection of the prostate.  He is concerned about the complications of the procedure.  Which of the following is the most likely expected complication of this procedure?

Quizplus · Accepted Answer

Explanation: Retrograde ejaculation is the most frequent complication of transurethral resection of the prostate (TURP), which is an invasive procedure used in the management of benign prostatic hyperplasia (BPH). (Choices B and C)Urinary tract infections and urethral strictures are also complications of TURP, but are less common. (Choices D and E) Urinary incontinence and erectile dysfunction have been described with TURP but are relatively uncommon. Educational Objective: Retrograde ejaculation is the most frequent complication of transurethral resection of the prostate, and all patients should be made aware of this. References: Sexual functions in patients with benign prostatic hyperplasia before and after transurethral resection of the prostate. (http://www.ncbi.nlm.nih.gov/pubmed/9537689)

A 63-Year-Old African-American Male Presents for the Evaluation of Urinary