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Differential Diagnosis for a 47-year-old Male with Urinary Retention

Single Most Likely Diagnosis

  • Benign Prostatic Hyperplasia (BPH): This condition is common in men of this age group and can cause urinary retention due to the enlargement of the prostate gland, which compresses the urethra.

Other Likely Diagnoses

  • Urinary Tract Infection (UTI): A UTI can cause irritation and inflammation of the urinary tract, leading to symptoms of urinary retention.
  • Prostatitis: Inflammation of the prostate gland can cause urinary symptoms, including retention.
  • Neurogenic Bladder: Conditions affecting the nerves that control the bladder can lead to urinary retention, although this might be less common in the absence of other neurological symptoms.

Do Not Miss Diagnoses

  • Prostate Cancer: Although less likely than BPH, prostate cancer can cause urinary retention and must be considered, especially if there are other symptoms like weight loss or bone pain.
  • Spinal Cord Injury or Compression: Any condition that affects the spinal cord, such as a herniated disk, tumor, or injury, can lead to neurogenic bladder and urinary retention. This is critical to identify due to its potential for serious neurological consequences.
  • Urethral Stricture: A narrowing of the urethra can cause obstructive urinary symptoms, including retention. This condition can result from trauma, infection, or other causes.

Rare Diagnoses

  • Bladder Neck Contracture: A rare condition where the bladder neck narrows, causing obstructive urinary symptoms.
  • Urethral Cancer: A rare type of cancer that can cause urinary retention among other symptoms.
  • Phimosis: A condition where the foreskin cannot be fully retracted over the glans penis, which can lead to urinary retention in uncircumcised males, although this is more common in younger men.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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