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Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing

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Assessment of prostatism.

Canadian Family Physician Medecin De Famille Canadien

|February 9, 2011

Summary

Prostatism, often caused by benign prostatic hypertrophy, requires investigation for symptoms like nocturia. Post-surgery for benign conditions, continued monitoring is essential for early cancer detection.

Area of Science:

Urology
Oncology

Background:

Prostatism is a clinical syndrome resulting from bladder outlet obstruction.
Benign prostatic hypertrophy (BPH) is the most frequent cause of prostatism.

Purpose of the Study:

To outline the diagnostic and treatment pathway for prostatism secondary to BPH.
To emphasize the importance of long-term surveillance for malignancy after BPH treatment.

Main Methods:

Clinical evaluation including physical examination (palpable bladder, enlarged prostate).
Diagnostic confirmation via cystoscopy to identify prostatic obstruction and bladder trabeculation.
Surgical intervention (Transurethral Resection or open surgery) for benign disease.

Main Results:

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Nocturia and other voiding symptoms are primary indicators for intervention.

Confirmation of bladder outlet obstruction and bladder trabeculation via cystoscopy.

Surgical procedures for BPH preserve the prostatic capsule.

Conclusions:

Early diagnosis and management of prostatism are crucial.
Routine rectal examinations are necessary post-BPH surgery to screen for prostate cancer.