D.P. is a 63-year-old man who has been experiencing progressive difficulty with initiating the urinary stream and frequently needs to get up in the night three or more times to urinate. A prostate-specific antigen (PSA) is obtained and a prostate examination performed. The PSA is not significantly elevated. The prostate is enlarged.
What is the likely cause of DP’s urinary problem?
What is the danger of leaving this untreated?
What further testing would be helpful in evaluating the degree of urinary obstruction?
How reliable is the PSA in distinguishing between benign and malignant enlargement of the prostate? Is further testing indicated
What are the treatment options for D.P.?