ArticleUrology case reports2026
Low PSA but high-grade prostate cancer presenting as a bladder-neck mass in a young patient with refractory bladder outlet obstruction.
Article in Urology case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Abstract
Prostate cancer most commonly originates from the peripheral zone and is typically detected by elevated prostate-specific antigen (PSA) levels. We present a 42-year-old man with progressive lower urinary tract symptoms and a PSA level within the normal range (1.45 ng/mL). Uroflowmetry demonstrated significant bladder outlet obstruction (Qmax 8 mL/s). Cystoscopy revealed a 2 cm bladder-neck mass, which was resected transurethrally. Histopathology confirmed prostatic adenocarcinoma with a Gleason score of 5 + 4 = 9. Multiparametric MRI showed a PI-RADS 4 lesion, and PSMA PET-CT demonstrated no metastasis. This case highlights that aggressive prostate cancer may present with normal PSA and mimic benign obstruction
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