diagnose-ultraschall
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diagnose_harnfluss-messung2
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Diagnosis
When noticeable dysfunctions of bladder emptying occur, affected men seek out their general practitioner or urologist. After the symptoms have been described, the following examinations are conducted.
- General physical examination
- Digital probe of the prostate (digital rectal examination - DRE
)
- A urine analysis to determine if the urine contains bacteria or traces of blood
- A blood test to check kidney function and elevated blood lipids, liver functions and saline levels
- Ultrasound (sonography
) of the kidneys, the filled bladder and prostate gland including determination of the BPH size
- Urinary retention using ultrasound after the bladder has been emptied
- Measuring the urinary stream; measuring the flow rate (uroflowmetry
)
- Laboratory testing of the PSA value
in the blood, which are supposed to help differentiate benign enlargement from malignant cancerous growth of the prostate
- Urethra and bladder endoscopy (urethrocystoscopy
) with a thin bladder endoscope (cystoscope), which enables the doctor to see the prostate and bladder
Additional possibilities
- X-raying the kidneys and urinary tracts (urogram
)
- Bladder pressure measurement (urodynamic
)
When all the test results have come in a discussion with the doctor should take place. Here, the degree of the prostate enlargement will be disclosed and the best therapy will be discussed.
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