A urine test will rule out any infection or other issue. This protein should be at a low level for a healthy prostate. Higher levels can indicate an inflammation known as prostatitis, BPH, or prostate cancer. This is a routine test for men over age A DRE is a digital rectal exam performed by the doctor using a lubricated glove. As the man bends forward or lies on his side, the doctor inserts one finger into the rectum to feel the prostate and determine if it has an abnormal shape or thickness.
Our caring team of Mayo Clinic experts can help you with your health concerns. Visit Mayo Clinic Men's Health to get started. The Food and Drug Administration hasn't approved any herbal medications for treatment of an enlarged prostate. Studies on herbal therapies as a treatment for enlarged prostate have had mixed results. One study found that saw palmetto extract was as effective as finasteride in relieving symptoms of BPH, although prostate volumes weren't reduced.
But a subsequent placebo-controlled trial found no evidence that saw palmetto is better than a placebo.
Other herbal treatments — including beta-sitosterol extracts, pygeum and rye grass — have been suggested as helpful for reducing enlarged prostate symptoms. But the safety and long-term efficacy of these treatments hasn't been proved. If you take any herbal remedies, tell your doctor. Certain herbal products might increase the risk of bleeding or interfere with other medications you're taking.
Your doctor is likely to ask you a number of questions. Being ready to answer them might give you more time to address any concerns. You might be asked:. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. This content does not have an English version. This content does not have an Arabic version.
Diagnosis Your doctor will start by asking detailed questions about your symptoms and doing a physical exam. This initial exam is likely to include: Digital rectal exam. The doctor inserts a finger into the rectum to check your prostate for enlargement. Urine test. Analyzing a sample of your urine can help rule out an infection or other conditions that can cause similar symptoms.
Blood test. The results can indicate kidney problems. Prostate-specific antigen PSA blood test. PSA is a substance produced in your prostate. PSA levels increase when you have an enlarged prostate. However, elevated PSA levels can also be due to recent procedures, infection, surgery or prostate cancer.
Care at Mayo Clinic Our caring team of Mayo Clinic experts can help you with your benign prostatic hyperplasia bph -related health concerns Start Here. It's a common problem for older men: benign prostatic hyperplasia, or BPH. BPH care at Mayo Clinic. Request an Appointment at Mayo Clinic. Share on: Facebook Twitter. Show references Wein AJ, et al. Benign prostatic hyperplasia: Etiology, pathophysiology, epidemiology, and natural history.
In: Campbell-Walsh Urology. Philadelphia, Pa. Accessed Sept. Please type your comment or suggestion into the text box below. Note: we are unable to answer specific questions or offer individual medical advice or opinions. Please contact your physician with specific medical questions or for a referral to a radiologist or other physician. To locate a medical imaging or radiation oncology provider in your community, you can search the ACR-accredited facilities database.
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Toggle navigation. What is benign prostatic hyperplasia? How is BPH diagnosed and evaluated? How is BPH treated? Tests vary from patient to patient, but the following are the most common: Filling out a questionnaire: Your doctor is most interested in the severity and type of symptoms you have, and how much they bother you or impact your life. A simple questionnaire is a common starting point.
Urine flow study: During this test, the patient voluntarily empties his bladder and the amount of flow is measured. A special device can help physicians detect reduced urine flow associated with BPH. Digital rectal examination DRE : The physician inserts a gloved finger into the rectum located next to the prostate and feels the back of the prostate. Prostate cancers can sometimes be detected as lumps or bumps on the prostate here. Cystoscopy: In this examination, the physician inserts a thin tube with a tiny camera on the end called a cystoscope through the opening of the urethra at the tip of the penis.
The camera allows the physician to inspect the inside of the prostate, urethra channel and bladder. Transrectal ultrasound and Prostate Biopsy: There are two potential reasons for this exam: 1 If there is suspicion for prostate cancer, this test may be recommended. The physician uses an ultrasound probe to acquire images of the prostate and guides a biopsy needle into the prostate to remove small slivers of tissue for examination under a microscope.
In this case, only an ultrasound image will be obtained; no needles will be used. Transabdominal ultrasound : This exam may be performed to measure the size of the prostate and the amount of urine left in the bladder after urination.
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