28th August 2020

A 78-year-old man presents to his GP with poor urinary flow during micturition

A 78-year-old man presents to his GP with poor urinary flow during micturition. He describes ‘taking quite some time to get the stream started’ and dribbling towards the end. He denies any blood in urine or any pain or discomfort. PSA showed PSA of 4.5 (<4ng/mL). Digital rectal examination reveals a smooth, enlarged prostate with a palpable central sulcus and no discrete nodularity. 

For the patient above, please select the SINGLE most likely diagnosis. Select ONE option from the list above.