The above mentioned clinical features of poor urinary stream, hesitancy, difficulty in micturition and failure to void completely are consistent with both BPH and autonomic neuropathy. Since the the patient is diabetic, he would most likely be suffering from diabetic autonomic neuropathy. Ref: Harrison's Principles Of Internal Medicine, 16th Edition, Page 2165,2166; R Alagappan, Manual Of Practical Medicine, 3rd Edition, Page, 372, 373.