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Exam questionKROK 2Medicine ยท 2025

A 64-year-old man complains of the absence of urination during the last 12 hours. Objectively, a painful mass is palpable above the pubis, the upper edge of the mass reaches the navel. Rectal examination detects an enlarged prostate. The prostate is painless, lumpy and has a stone-like density. Blood levels of prostate-specific antigen are 24.2 ng/ml. What is the cause of the acute urinary retention in this case?

Answer options

  1. Benign prostatic hyperplasia
  2. Acute prostatitis
  3. Epididymo-orchitis
  4. Chronic paraproctitis
  5. Prostate cancer
Correct answer

Prostate cancer

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