BPH – Benign Prostatic Hyperplasia: Diagnosis
Your urologist will ask specific questions about problems with urination. They will conduct a thorough exam and may note enlargement of the prostate. Sometimes, a blood PSA (prostate specific antigen) test is ordered to screen for possible prostate cancer.
If the diagnosis of BPH seems likely, we may offer treatment without more testing. If there is concern that the problem may be caused by something other than an obstructing prostate (eg, poor bladder function, a neurological condition) we may need to perform urodynamic testing. This involves placing a small catheter and filling the bladder with sterile fluid to check its function. If the prostate is very large and/or irregular, you may need a transrectal ultrasound and possibly a prostate biopsy if cancer is suspected. If you have had urinary infections and/or a very distended bladder, additional imaging studies (ultrasound or CT scan) may be ordered to check the health of the kidneys.