1st April 2022

Mr James is a 67-year-old retired civil servant who has presented to his GP

Mr James is a 67-year-old retired civil servant who has presented to his GP with difficulty initiating a flow when passing urine but denies any other problems. He has a family history of prostate issues and is keen to have this checked out. His PR exam is unremarkable except for a slightly enlarged prostate, but the borders are regular and smooth. 

What is the most likely diagnosis?

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