Question

Please help me solve thisurinary diagonsis. THANK YOU!

- 88 year old male has difficulty in urination, began 3 monthsago.
- Before he had trouble justinitiating a stream, but feels like he is not completely emptyinghis bladder.
- Therefore, he goes to thebathroom a lot more now.
- Experiences dribbling between trips to the bathroom
- Never had a problem like this before
- No sexual activity because cannot achieve or maintain erectionfor this past year
- NO pain, no burning, no discharge upon urination
- Also has back pain on and off for a few weeks, but doesn't thinkit's related to urination problem
- Would rate back pain 3/10 on pain scale
- Back pain around thelumbosacral junction, achy in nature
- Occurs when standing/sitting for a long time
- No medical history or family history relevant to this
- Taking coumadin for atrialfibrillation.

Examination findings:
- Vitals are normal limitsfor his age.
- Abdominal auscultation andpalpation was negative.
- A digital rectal examination showed a hardened, non-tender noduleon his prostate.
- No tenderness was producedwith palpation of the lumbar spine.
- Thoracolumbar ranges of motion were full, but there was milddiscomfort in all directions.
- Straight leg raising exacerbated his back pain bilaterally at 65degrees.
- no sensory or motor weakness findings

QUESTION
- Which symptoms relate to the aging process
- diagonsis for this case and why
- which studies prove the diagonsis
- who should treat the patient, and with what treatment
- what type of lifestyle changes would you recommend tohim