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.