Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute onset of complete inability to void associated with suprapubic pain, urgency, and lower abdominal distension. History significant for progressive LUTS including hesitancy, weak stream, nocturia, and terminal dribbling. No history of hematuria, fever, or flank pain.
Clinical Examination Findings
Abdominal examination reveals a palpable, tender, dull-to-percuss suprapubic mass consistent with a distended bladder. Digital Rectal Examination (DRE) demonstrates an enlarged, smooth, firm, non-tender prostate with obliterated median sulcus. No nodules or induration palpated.
Treatment Protocol
Immediate urethral catheterization performed with [Size] Fr Foley catheter, resulting in [Volume] mL of clear/turbid urine output. Post-obstructive diuresis monitored. Initiated alpha-blocker therapy (e.g., Tamsulosin 0.4mg daily) and scheduled for trial without catheter (TWOC) after 48-72 hours.