What is the diagnosis for a 32-year-old Malay male experiencing post-void dribbling for 3 days, with normal Urine Flow Study (Uroflowmetry) (UFEME), Rectal Examination (RP), and Full Blood Count (FBC), and occasional nocturia?

Differential Diagnosis for 32-year-old Malay Male with Post-Voiding Dribbling Sensation

Single Most Likely Diagnosis

• Benign Prostatic Hyperplasia (BPH): The patient's symptoms of post-voiding dribbling and nocturia are common in BPH, especially in men of this age group. Although the UFEME (Urine Flow Study), RP (Rectal Examination), and FBC (Full Blood Count) were reported as normal, BPH can still be present, especially if the prostate is only mildly enlarged or if the patient has a significant post-void residual volume.

Other Likely Diagnoses

• Urinary Tract Infection (UTI): Although the UFEME and FBC were normal, a UTI could still be present, especially if the infection is not severe enough to cause significant abnormalities in these tests. Symptoms like nocturia and post-voiding dribbling can occur in UTIs.
• Overactive Bladder: This condition can cause urinary frequency, nocturia, and sometimes a sensation of incomplete bladder emptying, which might be interpreted as post-voiding dribbling.
• Prostatitis: Inflammation of the prostate can cause symptoms similar to BPH, including nocturia and discomfort. The normal RP does not entirely rule out prostatitis, as the condition can be chronic and not always associated with significant prostate tenderness.

Do Not Miss Diagnoses

• Prostate Cancer: Although less common in younger men, prostate cancer must be considered, especially if there's a family history. The normal RP and UFEME do not rule out prostate cancer, as early stages may not cause significant abnormalities in these tests.
• Neurogenic Bladder: Conditions affecting the nerves controlling the bladder can lead to a variety of urinary symptoms, including dribbling and nocturia. This diagnosis is critical to consider due to its potential for significant impact on quality of life and the need for specific management.

Rare Diagnoses

• Urethral Stricture: A narrowing of the urethra can cause obstructive urinary symptoms, including dribbling. This condition is less common and typically presents with more pronounced obstructive symptoms, but it should be considered in the differential diagnosis.
• Bladder Neck Contracture: Similar to urethral stricture, this condition involves a narrowing at the bladder neck and can cause obstructive urinary symptoms. It is a rare condition but important to diagnose due to its specific treatment requirements.