Worsening Suprapubic Pain in Surgery — 72yo Man | Urology | SMLE Q#14853
SMLE Question #14853
Surgery
Urology
Objective: OBJ-124
Last updated: February 2026
A 72-year-old man admitted for community-acquired pneumonia reports 10 hours of inability to pass urine with worsening suprapubic pain. History includes benign prostatic hyperplasia. He denies gross hematuria, recent urethral instrumentation, or pelvic trauma. Examination shows a distended, tender suprapubic mass; bladder scan estimates 900 mL urine. What is the most appropriate next step in management?
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