Europe’s Leading Benign Prostatic Hyperplasia Shockwave Clinic
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Diagnosing Benign Prostate Enlargement.

Diagnosing Benign Prostate Enlargement

A doctor or your urology consultant will diagnose Benign Prostate Enlargement based on your personal and family medical history, together with a physical examination and medical tests.

They will ask:

  • What symptoms you are suffering from
  • When the symptoms began and how frequently they occur
  • Whether you have a history of recurrent Urinary Tract Infections
  • What prescription and over the counter medications you are taking
  • How much liquid you drink each day
  • Whether you consume caffeine and alcohol

Finally, they will enquire about your general medical history, including any significant illnesses or surgeries.

Physical Exam for BPH

A physical exam may help diagnose BPH. You will be checked for all or some of the following:

  • Any discharge from the urethra
  • An enlarged or tender lymph nodes in the groin
  • A swollen or tender scrotum
  • And undergo a digital rectal examination

A digital rectal examination is a physical exam of the prostate.

To perform this your doctor will ask you to bend over a table or lie on your side while holding your knees close to your chest. The doctor will then slide a gloved, lubricated finger into the rectum and feel the part of the prostate that lies next to the rectum. You may find this slightly uncomfortable, but it will reveal if the prostate is enlarged or tender or has any abnormalities that require further testing.

You may also be asked to take a blood test to check that your kidneys are working properly and a urine test to check for sugar (glucose) or blood in your pee. This is to see whether you have an infection or diabetes.

In some case you may be asked to have a prostate-specific antigen (PSA) blood test to rule out prostate cancer.

Medical Tests for Benign Prostate Enlargement

Following on from the physical examination that your doctor undertakes he or she may refer you to a urologist. A urologist specializes in many urinary problems and the male reproductive system and can use medical tests to help diagnose lower urinary tract problems related to BPH and recommend treatment. The medical tests may include:

  • A prostate-specific antigen (PSA) blood test, if not already undertaken
  • Urinalysis
  • Urodynamic tests
  • Cystoscopy
  • Transrectal ultrasound
  • Biopsy

PSA Blood Test

This test measures the amount of Prostate Specific Antigen (PSA) in your blood. PSA is a protein produced by normal cells in the prostate and also by prostate cancer cells. It is normal to have a small amount of PSA in your blood, and the amount rises slightly as you get older and your prostate gets bigger. A raised PSA level may suggest you have a problem with your prostate such as BPH but not necessarily cancer as the test can discriminate between prostate cancer and other prostate conditions.


A urinalysis is a test of your urine, it is used to detect and manage a wide range of disorders other than BPH, such as urinary tract infections, kidney disease and diabetes. It involves checking the appearance, concentration and content of urine since an abnormal urinalysis r may point to a disease or illness.

Urodynamic Tests

Urodynamic tests include a variety of procedures that look at how well the bladder and urethra store and release urine, they focus on the bladder’s ability to hold urine and empty steadily so that it empties all the way. A reduced urine flow or residual urine in the bladder, often suggests a urine blockage due to BPH.


Cystoscopy is a procedure that uses a tubelike instrument, called a cystoscope, to look inside the urethra and bladder. The test can tell how much the bladder can hold, how elastic your bladder is and when you feel the need to urinate. The test can also measure abnormal contractions or spasms of your detrusor muscle (smooth muscle in the wall of the bladder) while the bladder is filling.

Transrectal Ultrasound Scan

A Transrectal Ultrasound Scan (TRUS) uses a device, called a transducer, that bounces safe, painless sound waves off organs to create an image of their structure. It uses high frequency sound waves to create a picture of a part of the body. The sound waves bounce off the organs inside your body, and a microphone picks them up. The microphone links to a computer which turns the sound waves into a picture.

A prostate ultrasound scan can show up changes in your prostate, including abnormal growths. Urologists most often use TRUS to examine the prostate by inserting the transducer into the rectum next to the prostate. The picture it produces shows the size of the prostate and any abnormalities, such as tumors.


Biopsy is a procedure that involves taking a small piece of prostate tissue for examination with a microscope. A urologist uses imaging techniques such as ultrasound to guide the biopsy needle into the prostate. A pathologist will then examine the tissue in a lab.

Once you have been diagnosed with BPH you should consider having it treated with Shockwave Therapy – find out more my following the link or by completing the contact form below.