A 65-year-old male patient complains of frequency, urgency, hesitancy, and weak urine stream. Physical examination is unremarkable except DRE reveals an enlarged, firm, non-tender prostate gland. Urine culture reveals 100 bacteria CFU/mL
The clinician should suspect:
A. Lower urinary tract infection due to benign prostatic hyperplasia
B. Bacteriuria due to prostatitis
C. Obstructive uropathy due to prostate cancer
D. Upper urinary tract infection due to benign prostatic hyperplasia
ANS: A
Urinary tract infection is uncommon in males and when UTI is diagnosed in the male the etiology should be determined. Benign prostatic hyperplasia presents as an enlarged, firm, non-tender prostate on DRE. An enlarged prostate is commonly diagnosed when a male presents with a lower urinary tract infection. The enlarged prostate causes urine retention in the bladder, and stagnant urine in the bladder is a medium for bacterial growth causing lower UTI.
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