2 Days Of Severe in Surgery — 82yo Man | Urology | SMLE Q#782
SMLE Question #782
Surgery
Urology
Last updated: February 2026
An 82-year-old man presents to the emergency department with 2 days of severe dysuria, suprapubic discomfort, and inability to empty his bladder with a markedly weak stream. He has long-standing lower urinary tract symptoms attributed to benign prostatic hyperplasia and is not on treatment. Examination shows a distended, tender suprapubic area. Bedside bladder scan shows a markedly elevated post-void residual volume. He has no flank pain. What is the most appropriate initial management?
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