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Exam questionKROK 2Medicine ยท 2014

A 77-year-old male patient complains of inability to urinate, bursting pain above the pubis. The patient developed acute condition 12 hours before. Objectively: full urinary bladder is palpable above the pubis. Rectal prostate is enlarged, dense and elastic, well-defined, with no nodes. Interlobular sulcus is distinct. Ultrasonography results: prostate volume is 120 cm3, it projects into the bladder cavity, has homogeneous parenchyma. Prostate-specific antigen rate is of 5 ng/ml. What is the most likely disease that caused acute urinary retention?

Answer options

  1. Prostatic hyperplasia
  2. Acute prostatitis
  3. Sclerosis of the prostate
  4. Prostate carcinoma
  5. Tuberculosis of the prostate
Correct answer

Prostatic hyperplasia

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