Question

a 76 - year - old male patient presents with increased frequency of urination and nocturia. his prostate palpates mushy and boggy. which of the following is the most likely diagnosis?
a) prostatitis
b) urinary tract infection
c) bph
d) prostate cancer

Explanation:

• Prostatitis: Presents with pain (perineal, suprapubic, penile), fever, chills. The prostate is tender, swollen, warm. Not just increased urination frequency and nocturia with a mushy - boggy prostate.
• Urinary Tract Infection (UTI): More common in women. Symptoms include dysuria, urgency, frequency. May have suprapubic pain. The prostate examination is not typically described as mushy and boggy in a simple UTI.
• Benign Prostatic Hyperplasia (BPH): Common in older men (like 76 - year - old). Symptoms of lower urinary tract symptoms such as increased frequency of urination, nocturia. On digital rectal exam, the prostate can be enlarged, smooth, and may have a mushy or boggy consistency (due to hyperplasia).
• Prostate cancer: The prostate may be hard, irregular, with nodules (in advanced cases). While frequency and nocturia can occur, the texture is more likely to be hard rather than mushy and boggy.

Answer:

c) BPH