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Review Question - QID 107344

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QID 107344 (Type "107344" in App Search)
A 73-year-old man presents to his primary care physician complaining of increased urinary frequency, nocturia, and incomplete emptying after void. He is otherwise healthy, with no active medical problems. On examination, a large, symmetric, firm, smooth prostate is palpated, but otherwise the exam is normal. Which of the following is a potential complication of the patient's present condition?

Prostate cancer

7%

1/14

Hydronephrosis

79%

11/14

Bladder cancer

0%

0/14

Prostatitis

14%

2/14

Renal cancer

0%

0/14

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This patient presents with signs and symptoms consistent with benign prostatic hypertrophy (BPH); this condition places one at increased risk for hydronephrosis.

BPH is a common condition seen in older men. It typically presents with any number of lower urinary tract symptoms ("LUTS"), including: increased frequency, nocturia, hesitancy, urgency, and weak stream. Enlarged prostate on examination can confirm the diagnosis. Over time, the retrograde pressure caused by BPH can cause hydronephrosis and even renal failure; this is also associated with bladder diverticula. Patients with BPH are at increased risk for developing urinary tract infections, but not prostate cancer.

Incorrect Answers:
Answers 1, 3, 4: All of these are not associated with BPH, whereas hydronephrosis is.
Answer 5: Although bladder stones can be associated with BPH, nephrolithiasis is not.

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