A 68-year-old male presents with frequent urination, especially at night, and difficulty starting urination. His PSA levels are normal. What could be the issue?
The patient's symptoms suggest Benign Prostatic Hyperplasia (BPH), a common condition in older men where the prostate gland enlarges and can cause issues with urination. Even though his PSA levels are normal, BPH is still a possibility since PSA levels can be normal in BPH. Additional diagnostic steps might include a digital rectal examination and potentially a uroflowmetry test to measure urine flow rate.