6 Months Of Progressive in Surgery — 60yo Man | Urology | SMLE Q#17926
SMLE Question #17926
Surgery
Urology
Objective: OBJ-UR-BPH-01
Last updated: February 2026
A 60-year-old man presents to a primary care clinic with 6 months of progressive urinary hesitancy, weak stream, straining, incomplete emptying, and nocturia three times nightly. He has type 2 diabetes mellitus for 10 years and obesity (BMI 41 kg/m²). He is not taking opioids or anticholinergic medications. Digital rectal examination shows a symmetrically enlarged, smooth, non-tender prostate. Which factor is the key contributing risk factor for developing benign prostatic hyperplasia underlying his symptoms?
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