How Is an Enlarged Prostate Diagnosed?
Diagnosing an Enlarged Prostate typically begins with a thorough medical history and physical exam. A doctor will inquire about symptoms such as urinary frequency, difficulty urinating, or nighttime urination, which are common in Benign Prostatic Hyperplasia (BPH). During the physical exam, the doctor may perform a Digital Rectal Exam (DRE), where the doctor gently inserts a gloved finger into the rectum to feel the size and texture of the prostate. This helps determine if the prostate is enlarged or has other irregularities, such as lumps, that may require further investigation.
In addition to the DRE, several Tests may be used to confirm the diagnosis and rule out other conditions. A Prostate-specific antigen (PSA) blood test can help assess the likelihood of prostate cancer, although an elevated PSA level may also be linked to BPH. Imaging tests, such as ultrasound or an MRI, may be conducted to evaluate the prostate’s size and shape and identify any abnormalities. Urodynamic tests, which measure bladder pressure and urine flow, can be helpful in assessing how well the bladder is functioning and how much blockage the enlarged prostate might be causing. These diagnostic tools allow for a comprehensive evaluation and guide treatment options.
