Your 77-year-old patient complains of frequent urination,hesitation in getting the stream started,and nocturnal frequency of urination that is bothersome.On DRE,there is an enlarged,firm,non-tender,smooth prostate.The clinician should recognize these as symptoms of:

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These symptoms are classic for Benign Prostatic Hyperplasia (BPH), which is a common condition in older men where the prostate gland enlarges and causes urinary symptoms. Prostatitis could also be a possibility but is less likely given the non-tender, smooth prostate on exam. Urethritis would typically present with other symptoms such as discharge, itching, or burning with urination. Prostate cancer is a consideration in this age group but is less likely to present with bothersome voiding symptoms unless it is advanced.

Your 77-Year-Old Patient Complains of Frequent Urination,hesitation in Getting the Stream