Diagnosing BPH:
If men experience one or more of the symptoms mentioned or other urination problems, a doctor must be consulted so the proper tests and medication (if needed) are set.
Besides a questionnaire done by the doctor regarding the symptoms felt, some of the Tests performed to determine Prostate enlargement include:
Digital Rectal exam: This procedure consists of the insertion of the doctor´s finger into the rectum, so it can be determined if the prostate is enlarged and see if prostate cancer signs are presented.
Neurological Exam: In this exam the mental functioning and nervous system will be evaluated to see if the urination problem is caused by another reason different to prostate enlargement. The methods used are driven depending on the patient´s special condition.
Additional tests to assure prostate enlargement is presented are:
Prostate-specific antigen (PSA) blood test: Testes the level of PSA, which helps liquefy semen. The levels are considerable increased when the prostate is enlarged, previous medical procedures, infections or prostate cancer occurs.
Urinary flow test: during this procedure the urine flow and strength is tested, by urinating in a recipient attached to a machine, it has to be done in a regular basis to check if it got worst or not.
Postvoid residual volume test: checks if the bladder was left empty after urinating, this is done using an ultrasound test or inserting a tube into the bladder.
Transrectal ultrasound: the insertion of an ultrasound probe is inserted into the rectum to get an image of the prostate´s anatomy, its size and shape.
Prostate biopsy: with a transrectal ultrasound guiding some needles, a sample of the prostate tissue will be taken, and examined in order to confirm or discharge if possibility of having prostate cancer.
Urodynamic studies and pressure flow studies: it measures the bladder pressure and how the state of its muscles, this is done with a catheter inserted into the urethra
Cystoscopy: Also known as urethrocystoscopy, allows the doctor to see inside the bladder and urethra. This is performed using local anesthesia and inserting a flexible telescope into the urethra.
Intravenous pyelogram or CT urogram: These tests can help detect urinary tractstones, tumors or blockages above the bladder, kidneys and urethers by using X-rays and or CT scans.
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