BPH symptoms: What to expect during the diagnostic process

Understanding BPH and Its Symptoms

Before we delve into the diagnostic process, it's important to understand what BPH is and its common symptoms. BPH, or benign prostatic hyperplasia, is a non-cancerous enlargement of the prostate gland in men. This condition is common as men age, with over half of men in their 60s and as many as 90 percent in their 70s and 80s experiencing symptoms of BPH. The most common symptoms include frequent or urgent need to urinate, difficulty starting urination, weak or slow urinary stream, and a sensation of not emptying the bladder completely. Understanding these symptoms can help you spot BPH early and seek medical attention.

Initial Consultation: Discussing Symptoms and Medical History

The diagnostic process for BPH usually begins with an initial consultation with your healthcare provider. During this consultation, you'll discuss your symptoms, medical history, and any medications you're currently taking. Your doctor may also ask you about your family's medical history, as BPH tends to run in families. This initial consultation is crucial in determining whether your symptoms are likely due to BPH or if they could be caused by another condition.

Physical Examination: Checking for Prostate Enlargement

After the initial consultation, your doctor will likely perform a physical examination. This may include a digital rectal exam, where the doctor inserts a gloved and lubricated finger into your rectum to check for prostate enlargement. While this test may feel a bit uncomfortable, it's a key part of diagnosing BPH and can provide valuable information about the size and condition of your prostate.

Laboratory Tests: Checking Urine and Blood Samples

Laboratory tests are another important part of the diagnostic process for BPH. Your doctor may ask you to provide a urine sample to check for signs of infection or other conditions that could be causing your symptoms. Blood tests, including a prostate-specific antigen (PSA) test, may also be performed. The PSA test measures the level of PSA, a protein produced by your prostate, in your blood. Elevated levels of PSA can indicate BPH, prostate cancer, or other prostate conditions.

Imaging Tests: Visualizing the Prostate and Urinary Tract

Your doctor may also order imaging tests to get a more detailed look at your prostate and urinary tract. These tests can include a transrectal ultrasound, which uses sound waves to create a picture of your prostate, and a cystoscopy, where a small tube is inserted through your urethra to examine the inside of your bladder and prostate. These tests can help confirm a diagnosis of BPH and rule out other conditions.

Urodynamic Tests: Evaluating Bladder Function

Urodynamic tests may also be performed to evaluate how well your bladder is functioning. These tests can measure the pressure in your bladder, how much urine your bladder can hold, and how quickly you can empty your bladder. These tests can help your doctor determine the severity of your BPH and the best course of treatment.

Understanding Your Diagnosis: Interpreting the Results

Once all the tests are completed, your doctor will discuss the results with you and explain what they mean. If you've been diagnosed with BPH, your doctor will explain the severity of your condition and discuss treatment options. It's important to ask any questions you may have at this stage, as understanding your diagnosis is key to managing your condition effectively.

Next Steps: Choosing a Treatment Plan

If you've been diagnosed with BPH, the next step is to choose a treatment plan. This may include lifestyle changes, medication, minimally invasive procedures, or surgery, depending on the severity of your condition and your personal preferences. Your doctor will guide you through this process, providing information and advice to help you make the best decision for your health.