Differential Diagnosis for Bladder Leakage after Urination in a Male Patient

Single Most Likely Diagnosis

• Benign Prostatic Hyperplasia (BPH): This condition is common in older men and can cause urinary retention, leading to bladder leakage after urination due to the inability of the bladder to fully empty.

Other Likely Diagnoses

• Urinary Tract Infection (UTI): UTIs can cause irritation to the bladder and urethra, leading to symptoms such as leakage after urination.
• Overactive Bladder: This condition can cause involuntary contractions of the bladder muscle, leading to leakage.
• Detrusor Underactivity: Weakness of the detrusor muscle can lead to incomplete bladder emptying, resulting in leakage after urination.
• Urethral Stricture: Narrowing of the urethra can obstruct the flow of urine, leading to retention and subsequent leakage.

Do Not Miss Diagnoses

• Prostate Cancer: Although less common than BPH, prostate cancer can also cause urinary retention and leakage.
• Neurogenic Bladder: Conditions affecting the nerves controlling the bladder, such as spinal cord injuries or multiple sclerosis, can lead to bladder dysfunction and leakage.
• Bladder Cancer: Similar to prostate cancer, bladder cancer can cause obstructive symptoms leading to leakage.

Rare Diagnoses

• Bladder Diverticulum: A condition where a pouch forms in the bladder wall, potentially leading to urine retention and leakage.
• Urethral Diverticulum: A pouch that forms in the urethral wall, which can cause urinary leakage.
• Congenital Anomalies of the Urinary Tract: Certain birth defects can affect the structure and function of the urinary system, leading to leakage and other symptoms.