Differential Diagnosis
- Single most likely diagnosis
- Benign Prostatic Hyperplasia (BPH): The patient's symptoms of nocturia, strong urge to urinate with minimal output, and sensation of pressure in the prostate area are classic for BPH. The condition is common in older men and can cause urinary obstruction, leading to the described symptoms.
- Other Likely diagnoses
- Overactive Bladder (OAB): The patient's nocturia and strong urge to urinate could be indicative of OAB, a condition characterized by urinary urgency, frequency, and nocturia.
- Prostatitis: Inflammation of the prostate gland could cause the sensation of pressure and urinary symptoms, although it is less likely than BPH.
- Urinary Tract Infection (UTI): A UTI could cause urinary frequency, urgency, and discomfort, but the patient's specific symptoms and the absence of other typical UTI symptoms (e.g., dysuria, hematuria) make it less likely.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
- Prostate Cancer: Although less likely, prostate cancer can cause urinary obstruction and similar symptoms to BPH. It is essential to rule out this diagnosis due to its potential severity and impact on mortality.
- Neurogenic Bladder: A neurologic condition affecting bladder function could cause similar symptoms, and missing this diagnosis could lead to significant morbidity.
- Rare diagnoses
- Bladder Outlet Obstruction (BOO) due to other causes (e.g., bladder neck contracture, urethral stricture): These conditions are less common but could cause similar symptoms.
- Interstitial Cystitis: A chronic condition causing bladder pressure and urinary frequency, although it is relatively rare and typically presents with other symptoms (e.g., pelvic pain).