What tests are generally needed for prostate enlargement?

Patient's question:

I have been sick for a while. Recently, I often have a frequent urge to urinate, urinate frequently, and even see blood in my urine. It feels very painful. I would like to ask the doctor, what tests are generally required for the diagnosis of benign prostatic hyperplasia?

Doctor's answer:

Prostate enlargement requires the following careful examinations:
1. Physical examination: Check how dull the patient's response is, whether there is anemia, and whether there is edema. Hypertension (a clue for considering or excluding early uremia); whether there is a mass in the abdomen and its location (compensatory or decompensatory phase of urinary tract obstruction); whether there is urethral discharge, and how swollen the epididymis is (speculating whether there is a split infection).
2. Digital rectal examination: Check the tension of the anal sphincter (to differentiate neurogenic bladder) and the condition of the prostate, paying attention to the size of the prostate, how the central groove disappears, whether there are nodules, the hardness of the prostate, and whether there is tenderness, etc.
3. Laboratory tests: Urinalysis to detect whether there is a split urinary tract infection.

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