82-year-old Man in Surgery — 82yo Man | Urology | SMLE Q#783

SMLE Question #783

Surgery Urology
Last updated: February 2026
An 82-year-old man has 2 days of worsening dysuria and 1 year of straining, weak urinary stream, and incomplete bladder emptying. Since this morning, he has passed only a few drops of urine despite intense urgency and suprapubic discomfort. Examination shows a distended, tender suprapubic area and a smooth, symmetrically enlarged, non-tender prostate on digital rectal examination. Urinalysis is pending. What is the most appropriate next step in management?

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