A 71-Year-Old Man With Urinary Problems

Gerald W. Chodak, MD

Disclosures

March 14, 2017

Physical Examination and Work-up

His family doctor orders a PSA test and performs a digital rectal examination (DRE), and feels that the gland is asymmetric. The PSA test result was 2.4 ng/mL.

Figure 1.

On the basis of the examination findings, the patient was sent to an urologist. The patient was asked to complete a urinary symptom score, which was recorded at 18. Physical examination of the prostate showed a smooth gland with no nodules or induration, measuring about 35 g. The urologist performed bladder ultrasonography after the patient urinated (postvoid residual), and the residual urine was 25 mL. No abnormalities were seen (Figure 1).

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