27th June 2023

A 73-year-old man presents with a 4-month history of ‘leaky urine’

A 73-year-old man presents with a 4-month history of ‘leaky urine’. He reports it happens at any time of day or night, usually involving small amounts of urine, a strong urgency with difficult initiation and weak stream. He reports ‘a feeling of the bladder never being empty, like a constant pressure’. What is the most likely cause of this patient’s urinary incontinence?