Patient's question:
I suspect there might be a problem with my prostate, and I'm thinking of going to the hospital for a check-up. Which tests should I get done?!!Doctor's answer:
Hello:The methods for examining the prostate include:
The simplest method is digital rectal examination (DRE) of the prostate, which can assess its size, shape, and tenderness, enabling preliminary diagnosis and screening for prostate diseases. Prostate massage can also be performed to evaluate changes in the appearance and composition of prostatic fluid.
Ultrasound is a commonly used method for prostate examination, with techniques such as transrectal ultrasound (TRUS) and transabdominal ultrasound. It allows for accurate measurement of the prostate with an error margin of no more than 5%. It holds significant diagnostic value for various prostate diseases and offers advantages such as simplicity, non-invasiveness, and rapid results.
X-ray examinations also play an important role in the diagnosis of prostate diseases. Plain films can detect calcifications or shadows in the prostate, while contrast studies help identify benign prostatic hyperplasia (BPH) or prostate cancer. CT scans are particularly valuable for differential diagnosis of prostate diseases.
Prostate needle biopsy is highly useful for determining the nature of prostate masses and provides significant assistance in classifying prostate tumors based on histological and cytological features. The biopsy can be performed via transrectal aspiration or perineal puncture, which may cause some discomfort and trauma but is essential for accurate diagnosis.
Additionally, lower urinary tract urodynamic studies are very helpful in diagnosing BPH. Cystoscopy allows direct visualization of the posterior urethra, verumontanum, and the midlateral lobes of the prostate, making it another important tool for diagnosing prostate diseases.