Case history
Case history #1
A 65-year-old white man presents to his general practitioner in his normal state of health. He describes nocturia (1 episode per night) and a 3-hour daytime voiding interval. He denies any incontinence, haematuria, dysuria, frequency, or urgency. He has no gastrointestinal complaints. Rectal examination reveals his prostate to be smooth and symmetrical, with an approximate volume of 40 mL.
Case history #2
A 60-year-old black man presents to his general practitioner with complaints of difficulty with urination. He describes a weak stream and a sense of incomplete voiding. He describes nocturia (5 episodes per night) and has been taking an alpha-blocker for this with minimal improvement. He says he can last about 60-90 minutes without urinating. He denies any suprapubic tenderness, dysuria, or haematuria. He further denies any back pain or gastrointestinal complaints. Rectal examination reveals his prostate to be approximately 60 mL, asymmetrical, with a large 2-cm nodule at the right base.
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