How is a man diagnosed with prostatic hyperplasia?

Diagnosis is very important for andrological diseases, because andrological diseases are complex, and only by diagnosing the causes and symptoms can the treatment be determined. Especially for male patients with prostatic hyperplasia, it is important to make a good diagnosis. So how to diagnose a man with prostatic hyperplasia?

Digital rectal examination method: the patient empties the urine first, and the best position is the knee-thoracic lying position; However, it is also possible to stand and bend down with the abdomen close to the examination table, and the elderly, frail or seriously ill patients can be placed in the supine or lateral position.The examiner wears gloves or finger covers, applies lubricant, asks the patient to open his mouth to relax, gently rub the anus with his index finger, and slowly insert it into the deep rectum for examination. The order of examination is prostate, seminal vesicles, rectum, and anus.

Recording method of prostatic hyperplasia: normal prostate is the size of a chestnut, flat, with clear edges, tough, uniform and elastic, no nodules or tenderness, slightly depressed central sulcus, symmetrical lobes on both sides, and slightly movable. In prostatic hyperplasia, the glands may increase in length and width, have a smooth surface, well-defined edges, a moderately rigid and elastic texture, and a central sulcus that is shallow, absent, or raised.

The estimated size of the prostate on digital rectal examination is not necessarily its actual size, such as hyperplasia in the middle lobe, where the gland protrudes into the bladder, but prostate enlargement is not evident on digital rectal examination. If the prostate is found to have increased stiffness, uneven surface, and suspicious induration during digital rectal examination, the hospital should be advised to perform aspiration cytology and other examinations to rule out prostate cancer, and at the same time check the contractile function of the anal sphincter, and pay attention to distinguish it from neurogenic cystourethral dysfunction.

Through the explanation of experts, it is hoped that it can be helpful to the majority of patients with prostatic hyperplasia, and it is recommended that patients can do a good job of nursing care in ordinary times. If necessary, you can go to a regular hospital for a check-up, which can not only stabilize the progression of the disease, but also prevent some complications.