80M with burning micturition pain in umbilicus

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 I have been given this case to solve in an attempt to understand the topic of " Patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, and investigations, and come up with a diagnosis and treatment plan.

80 yr old male, unemployed from nampelly came to opd with 

C/o-   

nocturia(5times/day) 

Burning micturition

Pain in abdomen during micturtion

Dysuria since 1 day 

History of presenting illness

Patient was apparently asymptomatic before July 2021

Then he developed nocturia(5times /day), urgency, urgency incontinence, dribbling, poor stream for 2 months (June-sep of 2021). Patient went on acute retention of urine in sep 2021 and was catherized. 

He gives a history of voiding trial given 5 months back and failed and he was advised for surgery but he refused it. 

Hematuria was seen when he collected urine for urine examination. 

Dysuria since 1 day, 2 episodes of vomiting 2 days back. 

Glucose levels raised to 540 yesterday night

No history of fever, loss of appetite, loss of weight, turbiduria