Diagnostic assessment of benign prostatic hyperplasia.

The Prostate. Supplement
W B Peeling

Abstract

Clinical evaluations of benign prostatic hyperplasia (BPH) are based upon careful history taking, uroflowmetry, palpation of the prostate, and diagnosis of urinary infection or possible damage to the kidneys caused by outflow obstruction. Symptom assessment includes scoring by the patient of the four obstructive and five irritative symptoms of prostatic obstruction: a simple questionnaire is used. The scoring system should be reviewed with the urinary flow measurements as part of the workup. The various forms of ultrasound used for diagnosis, although invaluable, may not be assessed out of context, and the combination of digital palpation and endoscopy generally provide most information leading to a decision for operation. When available, perrectal ultrasound scanning should be used to investigate palpable abnormalities and to identify unexpected prostatic cancer.

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Citations

Jan 1, 1992·Lasers in Surgery and Medicine·A J CostelloD M Bolton
Nov 1, 1994·British Journal of Urology·J V JolleysP Abrams
Mar 23, 2011·European Urology·Matthew J JacksonAnthony R Mundy
Mar 12, 2016·Investigative and Clinical Urology·Jeong Kyun YeoHyung Ji Kim
Feb 19, 2020·World Journal of Urology·Malte W VetterleinUNKNOWN Trauma and Reconstructive Urology Working Party of the European Association of Urology Young Academic Urologists
Nov 25, 2020·Health Technology Assessment : HTA·Robert PickardNick Watkin

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