Overflow incontinence or total retention. Burning on urination, chills and fever indicate infection has set in. Possibly palpable distended bladder. Enlarged, rubbery prostate on rectal exam often with loss of median sulcus. Labs due to infection and retention.
Most patients improve significantly after treatment.
Other obstructive pathology. Prostate represents masculine principle. Mental fears weaken the masculinity. Sexual pressure and guilt. Belief in aging.