You see a 78-year-old man in clinic for his annual physical. He reports excellent health. During your review of systems, he admits to having difficulty initiating his urine stream, nocturia, and occasionally feels as if he does not completely empty his bladder. Routine lab tests show a normal level of prostate-specific antigen (PSA). Analysis shows no hematuria or crystalluria. What related finding might you anticipate when you move on to his physical exam?

Question

Quizplus · Accepted Answer

The symptoms described are consistent with benign prostatic hyperplasia (BPH), a common condition in older men characterized by difficulty initiating urine stream, nocturia, and a sensation of incomplete bladder emptying. A uniformly smooth prostatic enlargement on physical examination is a typical finding associated with BPH.

You See a 78-Year-Old Man in Clinic for His Annual