Steps your Physician may take to diagnose Enlarged Prostate (BPH)
A series of tests help your doctor diagnose BPH
When your symptoms indicate
enlarged prostate (BPH), your regular doctor may send you to a urologist.
Your urologist will give you a physical examination, review your medical history,
and evaluate your symptoms. You may be asked to complete a list of questions known
as the American Urological Association (AUA) Symptom Score Index or AUA BPH
Symptom Quiz in order to help measure the severity of your symptoms. Then,
a series of tests will be performed. These tests may vary from patient to patient,
but can include the following:
Tests often performed
Digital rectal exam. This test checks the size and firmness of the
prostate to determine if it is enlarged. However, the size of the prostate does
not always determine the severity of the symptoms; a man with a small amount of
prostate enlargement may have more severe symptoms than a man with more enlargement.
Urinalysis and urine culture. This test checks for a urinary tract infection that
might be the cause of the symptoms.
Prostate-specific antigen (PSA) test. This is a blood test that helps check for
prostate cancer, which can cause symptoms similar to those of an enlarged prostate.
Other tests that may be performed
Post-void residual urine test (PVR). This test measures the amount of urine
left in the bladder after urination.
Pressure flow study. This test measures pressure in the bladder during
Cystometrogram. This measures bladder pressure and the storage capacity
of your bladder.
Uroflowmetry test. This measures how fast the urine flows out of the bladder.