An 81-year-old man presented to the emergency department with the chief complaints of difficulty in passing urine. He further reported a worsening urinary stream over the last 6 months, together with increased nocturia. There was a recent history of bedwetting. He has no pain. He opens his bowels 3–4 times a week and his last bowel motion were 2 days ago. Medical and medication history : He is on insulin for type 1 diabetes.

He also takes aspirin 75mg od and simvastatin 20mg od. Social history : Alcoholic Physical Examination On examination of the abdomen, there is a palpable suprapubic mass, which is nontender and dull to percussion. The rest of the abdomen and genitalia are unremarkable. Digital rectal examination reveals an enlarged smooth-feeling prostate gland. What will be the most likely diagnosis? *This case is from Docplexus editorial team for educative purpose only Source: 100…