Patient's question:
Diagnosed with benign prostatic hyperplasia last September, I haven't had any obvious symptoms during that time. Recently, I've been feeling abdominal fullness and intermittent urination. I also wake up frequently at night and experience urinary frequency and urgency during the day. Does this mean my condition has worsened? Please ask: What tests are required for a diagnosis of benign prostatic hyperplasia?Doctor's answer:
Prostate enlargement requires the following careful examinations:1. Physical examination: Assess how dull the patient's symptoms are, check for anemia and edema. Hypertension (a clue for or excluding early uremia); check for abdominal masses and their location (compensatory or decompensatory phase of urinary tract obstruction); examine for urethral discharge and swelling of the epididymis (to rule out infection).
2. Digital rectal examination: Assess the tone of the anal sphincter (to differentiate neurogenic bladder) and the condition of the prostate, paying attention to its size, the disappearance of the central sulcus, the presence of nodules, prostate hardness, and tenderness.
3. Laboratory tests: Urinalysis to detect signs of excluding urinary tract infection; blood tests and ultrasound: Low hemoglobin and elevated blood urea nitrogen suggest uremia.