Diagnosis of Benign Prostatic Hyperplasia (BPH)

Benign Prostatic Hyperplasia (BPH) is one of the most common conditions affecting older men. Diagnosis is usually made based on symptoms, a physical examination and some imaging studies.

The steps involved in diagnosing BPH include:

  • A detailed history of the symptoms and any similar conditions among first-degree male relatives (such as father and brothers) is obtained. Patients may be asked to maintain a voiding chart to record their urine flow.
  • The International Prostate Symptom Score (IPSS) is a scoring system used to screen for and diagnose benign BPH as well as to monitor symptoms and guide decisions about how to manage the disease. The IPSS is based on the answers to eight questions, seven regarding the patient’s symptoms and one relating to their perceived quality of life.
  • For each of the symptom questions, the patient is asked to choose the rating that best represents their condition. The scale ranges from 1 to 5, with 5 representing the most symtpomatic disease and giving an overall maximum possible score of 35. The answers to the quality of life question are scored on a scale of 1 to 6.

The questions about symptoms ask the patient to report on their experience of the following during the past month:

  • how often the bladder has felt like it s not completely emptied
  • how often there is an urge to urinate less than two hours after the last time
  • how often the flow has stopped and started again
  • how often it is difficult to withhold from urinating
  • how often the stream of urine is weak
  • how often urinating is a strain
  • how often one needs to get up at night to urinate

The combined score is obtained to give an idea of the extent of BPH, with a score of 0 to 7, representing mild symptoms, 8 to 19 moderate symptoms and 20 to 35 severe symptoms.

  • Routine urine tests are performed to rule out other conditions such as urinary tract infection
  • A digital rectal examination is performed by a healthcare professional who feels the prostate through the wall of the rectum to check it for abnormalities. If the gland has grown in size, the enlargement may be felt with the index finger, since the prostate lies just in front of the rectum. The procedure is not usually painful but can be a bit uncomfortable. In BPH, the enlargement feels smooth and firm.
  • A blood test to measure levels of prostate specific antigen (PSA) is performed. PSA is a protein that is secreted by the prostate gland. PSA is normally present in the blood but the level normally increases with age and is significantly increased in cases of BPH.
  • A transrectal ultrasound scan uses ultrasound waves to generate an image of the prostate gland.

Further Reading

Last Updated: Jan 3, 2023

Dr. Ananya Mandal

Written by

Dr. Ananya Mandal

Dr. Ananya Mandal is a doctor by profession, lecturer by vocation and a medical writer by passion. She specialized in Clinical Pharmacology after her bachelor's (MBBS). For her, health communication is not just writing complicated reviews for professionals but making medical knowledge understandable and available to the general public as well.

Citations

Please use one of the following formats to cite this article in your essay, paper or report:

  • APA

    Mandal, Ananya. (2023, January 03). Diagnosis of Benign Prostatic Hyperplasia (BPH). News-Medical. Retrieved on July 13, 2024 from https://www.news-medical.net/health/Diagnosis-of-Benign-Prostatic-Hyperplasia-(BPH).aspx.

  • MLA

    Mandal, Ananya. "Diagnosis of Benign Prostatic Hyperplasia (BPH)". News-Medical. 13 July 2024. <https://www.news-medical.net/health/Diagnosis-of-Benign-Prostatic-Hyperplasia-(BPH).aspx>.

  • Chicago

    Mandal, Ananya. "Diagnosis of Benign Prostatic Hyperplasia (BPH)". News-Medical. https://www.news-medical.net/health/Diagnosis-of-Benign-Prostatic-Hyperplasia-(BPH).aspx. (accessed July 13, 2024).

  • Harvard

    Mandal, Ananya. 2023. Diagnosis of Benign Prostatic Hyperplasia (BPH). News-Medical, viewed 13 July 2024, https://www.news-medical.net/health/Diagnosis-of-Benign-Prostatic-Hyperplasia-(BPH).aspx.

Comments

The opinions expressed here are the views of the writer and do not necessarily reflect the views and opinions of News Medical.
Post a new comment
Post

While we only use edited and approved content for Azthena answers, it may on occasions provide incorrect responses. Please confirm any data provided with the related suppliers or authors. We do not provide medical advice, if you search for medical information you must always consult a medical professional before acting on any information provided.

Your questions, but not your email details will be shared with OpenAI and retained for 30 days in accordance with their privacy principles.

Please do not ask questions that use sensitive or confidential information.

Read the full Terms & Conditions.

You might also like...
Researchers identify two risk factors that indicate higher risk of aggressive prostate cancer