28th August 2020

A 60-year-old male presents with difficulty urinating

A 60-year-old male presents with difficulty urinating. He described intermittent hematuria for the past week and has been unable to pass urine for the past 24 hours. He is in significant pain and distress. On examination, he had a smooth mass arising from his pelvis and extending to the level of his umbilicus. 

Which of the following is the most likely cause of his presentation?

Select the SINGLE most appropriate option from the list below. Select ONE option only.