Case Study: Diagnosing and Managing BPH in a Male Patient With Urinary Symptoms

Video content above is prompted by the following:

• Patient Case Example: A man in his late 60s who presents with the following:
  • History of straining to initiate and maintain a urinary stream, a weak and intermittent urinary stream, a sensation of incomplete bladder emptying after urination, and nocturia; absence of hematuria or dysuria.
  • Past Medical History:
    • No history of urinary tract infections or other urological conditions
    • Hypertension (well-controlled with medication)
    • Hyperlipidemia
    • No previous surgical history
  • Physical Examination:
    • Digital rectal examination reveals an enlarged, nonnodular prostate (approximately 50 g); no other significant findings.
  • Laboratory and Diagnostic Tests: Serum prostate-specific antigen level: 2.5 ng/mL; urinalysis: normal; uroflowmetry: peak flow rate of 8 mL/sec (borderline obstructed); post-void residual urine volume: 120 mL; transrectal ultrasound: prostate volume estimated at 55 g.
• Please describe your approach to diagnosing, treating, and managing this patient.