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Disorders of the Male Reproductive System

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Updated: May 16, 2026

Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing
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Published on: August 14, 2019

Benign prostatic hyperplasia: clinical manifestations and evaluation.

José Santos Dias1

  • 1Urology Department, Centro Hospitalar de Lisboa Norte, Hospital de Santa Maria and Instituto da Próstata e Incontinência Urinária Lisboa, Portugal. josesantosdias@gmail.com

Techniques in Vascular and Interventional Radiology
|December 19, 2012
PubMed
Summary

Benign prostatic hyperplasia (BPH), a common condition in aging men, requires strict evaluation. This includes assessing lower urinary tract symptoms and performing key clinical examinations for accurate diagnosis.

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Area of Science:

  • Urology
  • Geriatrics
  • Internal Medicine

Background:

  • Benign prostatic hyperplasia (BPH) is highly prevalent, particularly in aging populations.
  • BPH causes lower urinary tract symptoms (LUTS), significantly impacting quality of life.
  • Effective management of BPH necessitates adherence to established clinical evaluation guidelines.

Purpose of the Study:

  • To outline the recommended diagnostic steps for evaluating patients with benign prostatic hyperplasia.
  • To review the symptoms, signs, and available clinical examinations for BPH assessment.
  • To emphasize the importance of standardized evaluation protocols in BPH management.

Main Methods:

  • Review of international guidelines for BPH evaluation.
  • Description of clinical assessment procedures for BPH.
  • Inclusion of symptom scoring, digital rectal examination, voiding charts, laboratory tests, and imaging.

Main Results:

  • Standardized evaluation of BPH should incorporate LUTS assessment using validated scores.
  • Digital rectal examination, voiding diaries, urinalysis, and blood tests (PSA, creatinine) are essential components.
  • Urinary tract imaging is recommended as part of the basic evaluation for BPH.

Conclusions:

  • Adherence to strict evaluation protocols is crucial for optimal BPH management.
  • A comprehensive approach including symptom assessment, physical examination, and laboratory/imaging studies ensures accurate diagnosis.
  • Following international guidelines standardizes BPH evaluation, improving patient care.