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BPH is a common disease in older men, therefore, proposed over the age of 50 middle-aged men pay close attention, if repeated or persistent urinary frequency, nocturia, number 1 above, start slow urination, urine weakness, intermittent urinary Line and drop Lek and other symptoms for more than a month, even in model group increased by benign prostatic hyperplasia when the first consideration, it is best diagnosed by the following means: menshealthknowledge.com
From: http://menshealthknowledge.com
1. Rectal examination:
Prostate hyperplasia and must be the easiest way to check, check should be noted that the anatomy of prostate boundaries, size, texture, and whether there induration, prostate hyperplasia, its hard texture, smooth, central sulcus shallow or disappeared. Rous in 1985 proposed the prostate digital rectal examination and assessment re-indexing method. menshealthknowledge.com
2.B ultrasound examination:
From: http://menshealthknowledge.com
Not only proliferation of prostate measured the shape, size and nature, and can analyze internal organizational structure, with his Differential Diagnosis provides the patients no damage and can be repeatedly checked. Transrectal ultrasound B which can be more accurate, it could show patient's urethra when urinating deformation, displacement, and thus reflect the dynamic changes of bladder outlet obstruction. Abdominal B ultrasound determination of residual urine help (the more accurate the more residual urine), urinary tract stones and the presence of a merger of the existence of hydronephrosis. From: http://menshealthknowledge.com
3. Urodynamics:
Can determine the existence of lower urinary tract obstruction and the extent to which the maximum urinary flow rate (Qmax) is the most simple and more reliable parameters, the normal male> 15 ml / sec, when the urine output from 200 to 500 ml, the measured results than standard, if the urine output of less than 200 ml, the reliability decreased, but voiding resistance with a relative (RVR = T / MFR, where T is voiding time, MFR for the maximum flow rate) is calculated to compensate for this lack of , its normal for the ≤ 2.20. Conditions for those who may be further pressure - urinary - EMG determination to obtain detrusor pressure, the early sense of volume, bladder capacity and compliance, maximum urethral closure pressure, functional urethral length and urine parameters. From: http://menshealthknowledge.com
To rule out the existence of lower urinary tract obstruction caused by expansion of the renal pelvis and ureter estimate renal function, intravenous urography can check, if the patients with gross hematuria as the main symptom, do cystoscopy. Others include prostate imaging, prostate specific antigen (PSA) test. The diagnosis of prostate hyperplasia, must pay attention to patients with general conditions (if any non-cardiovascular and pulmonary disease), the analysis should be combined with history, from simple to complex, to minimize any damage of the inspection. menshealthknowledge.com
Tips: The proposed paying sufficient attention to older men, found that adverse symptoms of early treatment to avoid serious consequences.
From: http://menshealthknowledge.com
