Basic examinations used in the diagnostics of BPH and monitoring of the treatment:
Basic physical examination – the doctor examines the patient’s abdomen, paying particular attention to the region of the kidneys and the urinary bladder, and evaluates the external genital organs (the testes and the urethral opening).
Per rectum examination – The main aim of this examination is to assess the symmetry, shape and changes in size, texture and surface of the gland with a finger introduced into the rectum. Homogeneous enlargement of the prostate, its smoothness, elasticity and flexibility provide the basis for diagnosis of BPH. This examination is also the initial stage and the basis for diagnosis of prostate cancer.
PSA (Prostatic Specific Antigen) – an examination involving collection of a blood sample and determination of the level of PSA. Normal values should not exceed 4.0 ng/ml. A higher value indicates inflammation of the prostate, benign prostatic hyperplasia or prostate cancer.
Ultrasonography of the abdominal cavity – to assess the size and structure of the prostate and the amount of urine retained in the bladder after urination.
Transrectal ultrasonography (TRUS) – an examination which allows precise determination of the prostatic size as well as assessment of its internal structure.
In addition to the therapy of BPH recommended by the doctor, you can observe a few principles, which increase its safety and efficacy:
- take precise notes concerning the dosage of a particular preparation, or, if it is a product bough in the pharmacy without the doctor’s prescription – use the medication exactly according to the instructions given on the package.
- do not stop the therapy despite improvement or disappearance of symptoms; it should be discontinued according to the doctor’s instructions, or, in case of a no-prescription product, according to the information given in the leaflet accompanying the preparation.
- remember to take the medication at fixed times during the day, preferably in the morning
- reduce the amount of fluid drank before the night, if you suffer from night frequency (coffee and alcoholic beverages in particular increase diuresis)
- if you are overweight, try to reduce your weight as it can cause weakening of your pelvic floor, thus having an unfavorable impact on urinary continence.