Monday, January 30, 2023

How Do Doctors Check For Enlarged Prostate

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Gp Examination And Tests

How to Test for Prostate Cancer | Ask a Prostate Expert, Mark Scholz, MD

A GP will ask about your symptoms and concerns, and their impact on your quality of life.

You may be asked to complete a chart that records how much liquid you usually drink, how much urine you pass, how often you have to pee on a daily basis and whether you have any leakage.

The GP may do a physical examination. They may examine your stomach and genital area.

They may also feel your prostate gland through the wall of your bottom . This is called a rectal examination.

The GP may order a blood test to check that your kidneys are working properly.

They may advise you to have a prostate-specific antigen blood test to rule out prostate cancer.

You may be offered a urine test, for example to check for sugar or blood in your pee. This is to see if you have diabetes or an infection.

There Are Risks To Getting Prostate Cancer Tests And Treatments

If your PSA is not normal, you will probably have a biopsy. The doctor puts a needle through the wall of the rectum and into the prostate to take a few samples. Biopsies can be painful and cause bleeding. Men can get serious infections from biopsies, and they may need hospital care.

Surgery or radiation are the usual treatments for prostate cancer. They can do more harm than good. Treatment can cause serious complications, such as heart attacks, blood clots in the legs or lungs, or even death. In addition, 40 men out of 1,000 will become impotent or incontinent from treatment.

When To Get Concerned About An Enlarged Prostate

Common symptoms of BPH involve difficulty beginning to urinate, straining to urinate, dribbling at the end, and a decreased force of the stream. This occurs because the prostate surrounds the urethra and its enlargement will squeeze the urethra making it difficult to urinate.

When symptoms begin to affect your quality of life, it is time to see McIver Clinic. It is time to decide on a treatment that is right for you depending on your age and the severity of your symptoms.

Possible complications from untreated BPH include the following:

  • Urinary retention
  • Bacteria infections

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What Happens During A Dre

The DRE will take place in a private exam room at your doctors office. The test only takes a few minutes. You will need to take off any clothes below your waist. You will be given a gown to wear or a cloth to wrap around your body.

For men. The doctor will ask you to stand and bend forward at the waist or they will ask you to lie on your side on an exam table with knees pulled up to your chest. As they start the DRE, the doctor may ask you to relax and take a deep breath. Then they will gently insert a lubricated, gloved finger into your rectum. The doctor will feel the size of your prostate gland. They will also feel for bumps, soft or hard spots, or other abnormal areas. The doctor will also examine the wall of your lower colon and rectum.

For women. The doctor will usually ask you to lie on your back on an exam table. Your feet will be in raised stirrups. The doctor may ask you to relax and take a deep breath as they start the DRE. Then they will gently insert a lubricated, gloved finger into your rectum. The goal is to feel your reproductive organs and the bowel. The doctor may also feel for problems in your internal organs. They do this by pressing on your lower abdomen or pelvic area with their other hand.

A DRE usually does not hurt, but you may be uncomfortable. You may also feel the need to urinate. If a mans prostate is enlarged, there may be some discomfort or mild pain during the exam.

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This Kinda Gives New Meaning To The Doctor Is In

KD Hospital A prostate check enables your doctor to analyze an expanded ...

How are prostate exams performed? A doctor inserts a gloved, lubricated finger into your rectum to reach the prostate. Yup, you heard that right. A doctor sticks their finger up your butt. What do doctors feel for during a prostate exam? To check the walnut-sized gland, aka the prostate, for abnormal lumps or hard areas and screen for early signs of prostate cancer. This is a necessary medical procedure for guys at about age 50, usually done in addition to a PSA test, with 1 in 9 Canadian men developing prostate cancer during their lifetime.

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What Is An Enlarged Prostate

Many men will experience an enlarged prostate in their lifetime. Learn about the symptoms of an enlarged prostate, what causes it, and how to treat an enlarged prostate here.By the time you reach the age of 60, you have a 50/50 chance of having an enlarged prostate. When you blow out 85 candles on the birthday cake, the likelihood increases to 90%.

You might be wondering, If its so common, whats the big deal about having benign prostatic hyperplasia ?

Transrectal Ultrasound Scan Guided Biopsy

Your doctor takes a series of small tissue samples from the prostate to examine under a microscope. You have the biopsy through the back passage using a transrectal ultrasound scanner.

A TRUS guided biopsy can be uncomfortable. You usually have a local anaesthetic to numb the area and reduce any pain.

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How The Prostate Changes As You Age

Because the prostate gland tends to grow larger with age, it may squeeze the urethra and cause problems in passing urine. Sometimes men in their 30s and 40s may begin to have these urinary symptoms and need medical attention. For others, symptoms aren’t noticed until much later in life. An infection or a tumor can also make the prostate larger. Be sure to tell your doctor if you have any of the urinary symptoms listed below.

Tell your doctor if you have these urinary symptoms:

  • Are passing urine more during the day
  • Have an urgent need to pass urine
  • Have less urine flow
  • Feel burning when you pass urine
  • Need to get up many times during the night to pass urine

Growing older raises your risk of prostate problems. The three most common prostate problems are inflammation , enlarged prostate , and prostate cancer.

One change does not lead to another. For example, having prostatitis or an enlarged prostate does not increase your risk of prostate cancer. It is also possible for you to have more than one condition at the same time.

How Do I Screen For Prostate Cancer

Should I Get Tested for Prostate Cancer?

There are two main early stage screening methods a digital rectal exam , and a blood test measuring PSA levels. PSA screening is regarded as the best method to screen for prostate cancer in men over 40 or those of a certain risk factor.

While men might be intimidated by a DRE, itâs a quick and safe screening technique used by a physician, and should cause no significant pain.

A Digital Rectal Exam is a simple, painless and quick procedure. A physician inserts a gloved and lubricated finger into the rectum and feels the prostate to identify if the prostate is enlarged, has lumps or is an abnormal texture compared to a healthy example.

Although this procedure is a very clear indicator of prostate health, the entire prostate canât be examined during a DRE. This is why physicians will also take into account PSA blood work, health history, and other risk factors. Overall, itâs often difficult to detect prostate cancer early, itâs mostly found through PSA testing – so PSA screenings should be done regularly, starting at the age of 40-50.

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How Do I Know If My Prostate Is Enlarged

If your prostate is enlarged, it may not be a sign of cancer, but it is something that you should discuss with your doctor. Many of the symptoms of an enlarged prostate tend to relate to urination. If you are concerned about an enlarged prostate, here are 7 symptoms to look for:

  • Difficulty starting urination. The enlarged prostate alters the pressure of your bladder to pass urine. This can have damaging effects on your kidneys.
  • Weak urine stream. As the urethra becomes constrained, urine passes at a much slower rate.
  • Urgent need to urinate. You may go from not needing to urinate to suddenly needing to go because of how the bladder gets constrained.
  • Issues with sleeping. Pressure from the enlarged prostate can interfere with nerve signaling in the middle of the night. This leads to you thinking you have to urinate when you dont.
  • Feeling unable to completely empty your bladder. You may not be able to completely empty your bladder, which can lead to Urinary Tract Infections and stone issues.
  • Urinary tract infection. A UTI is caused by the urine that sits in your bladder which you cant fully empty, creating an environment for bacteria to thrive.
  • Bladder stones. The leftover urine in your bladder can also crystallize to create bladder stones.
  • How To Check Your Prostate

    This article was co-authored by Robert Dhir, MD. Dr. Robert Dhir is a board certified Urologist, Urological Surgeon, and the Founder of HTX Urology in Houston, Texas. With over 10 years of experience, Dr. Dhirs expertise includes minimally-invasive treatments for enlarged prostate , kidney stone disease, surgical management of urological cancers, and mens health . His practice has been named a Center of Excellence for the UroLift procedure, and is a pioneer in non-surgical procedures for ED using his patented Wave Therapy. He earned his undergraduate and medical degrees from Georgetown University and was awarded honors in pre-medical studies, urology, orthopedics, and ophthalmology. Dr. Dhir served as chief resident during his urological surgical residency at University of Texas at Houston / MD Anderson Cancer Center in addition to completing his internship in general surgery. Dr. Dhir was voted Top Doctor in Urology for 2018 to 2019, one of the top three Best Rated Urologists in 2019 & 2020 for Houston Texas, and Texas Monthly has named him to the 2019 & 2020 Texas Super Doctors Rising Stars list.wikiHow marks an article as reader-approved once it receives enough positive feedback. This article received 11 testimonials and 86% of readers who voted found it helpful, earning it our reader-approved status. This article has been viewed 1,073,580 times.

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    How Might An Enlarged Prostate Affect My Life

    Having an enlarged prostate affects men in different ways. Some men can manage mild symptoms and dont need treatment. Other men find they need to stay near a toilet. This can make it difficult to work, drive, be outdoors and attend social events. If you need the toilet a lot during the night, this can affect your sleep and make you feel more tired during the day.

    Some men with an enlarged prostate find their symptoms improve over time without treatment. But for most, the symptoms will stay the same or slowly start to cause more problems over time unless they have treatment.

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    When Should I Call My Healthcare Provider

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    If youre 50 and you havent had your first prostate exam yet, call your healthcare provider to set up an appointment. If youre at higher risk, such as if you’re Black or prostate cancer runs in your family, you should have your first prostate exam by age 45.

    Furthermore, if you develop symptoms of urinary tract obstruction, schedule a visit with your provider right away. This may indicate an enlarged prostate, benign prostatic hyperplasia or a urinary tract infection.

    A note from Cleveland Clinic

    Most people are understandably apprehensive about their first prostate exam. Learning all you can about the process can help abate any fears or uncertainties you have. Talk to your healthcare provider about your screening options. A prostate exam is the first step in the early detection of prostate cancer and early detection is key to successful treatment.

    Last reviewed by a Cleveland Clinic medical professional on 04/04/2022.

    References

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    Getting A Prostate Biopsy

    For some men, getting a prostate biopsy might be the best option, especially if the initial PSA level is high. A biopsy is a procedure in which small samples of the prostate are removed and then looked at under a microscope. This test is the only way to know for sure if a man has prostate cancer. If prostate cancer is found on a biopsy, this test can also help tell how likely it is that the cancer will grow and spread quickly.

    For more details on the prostate biopsy and how it is done, see Tests to Diagnose and Stage Prostate Cancer.

    For more information about the possible results of a prostate biopsy, see the Prostate Pathology section of our website.

    Ruling Out Prostate Cancer

    If you have symptoms of BPH, your healthcare provider might also test for prostate cancer. An early examination is important because only a comprehensive exam will determine whether you have BPH, which is a benign condition, or whether you have prostate cancer, which is best to diagnose early. Important tests for detecting prostate cancer include a digital rectal examination and prostate-specific antigen test.

    • Digital rectal examination : During this test, your urologist will feel your prostate. The exam shows whether your prostate is hard or asymmetrical, both of which can be signs of cancer, or soft, which is less likely to indicate cancer. Your urologist will insert a lubricated, gloved finger into your rectum. If your healthcare provider feels anything that may indicate prostate cancer, you may need to have more tests to make an accurate diagnosis.
    • Prostate-Specific Antigen Test: This blood test measures a protein produced by the cells of the prostate gland. It is always done and evaluated in conjunction with a DRE.

    It is important to recognize that a high PSA reading alone does not mean that you have cancer. An elevated PSA could be a sign of a number of conditions, including BPH, or prostatitis, an inflammation of the prostate. There is no evidence that prostatitis and BPH cause cancer, but it is possible for a man to have one or both of these conditions and to develop prostate cancer as well.

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    When Should Men Get A Prostate Exam

    According to the American Cancer Society, men and people who were assigned male at birth should have their first prostate exam by age 50. If you have a family history of prostate cancer, you should consider having your first prostate exam at age 45.

    Additionally, Black men are at a higher risk for being diagnosed with prostate cancer. For this reason, healthcare providers often recommend that Black men have their first prostate exam around age 45.

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    Tests to Diagnose and Monitor Prostate Cancer

    Surgical procedures to remove the diseased prostate are usually necessary. Surgical procedures are not always necessary. If the disease is caused by bacterial infections, a doctor can treat the symptoms using alpha-blockers or surgery. Physical therapy, relaxation exercises, and warm baths are all recommended. A physician may also prescribe antibiotics to cure the infection. A bacterial infection can also cause a recurrence of the condition.

    An enlarged prostate can be uncomfortable for both men and women. Some of the symptoms of an enlarged male reproductive organ include a weakened urine stream, urgent need to urinate, and urinary tract infections. BPH can also cause damage to the kidneys. A sudden inability to urinate can be life-threatening, as it can lead to bladder and kidney damage. Unfortunately, most men with enlarged prostrates put up with the symptoms for years before they seek treatment. However, many of the men with symptoms finally decide to go to a doctor for proper gynecological evaluation and to begin enlarged prostatic therapy.

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    Treating An Enlarged Prostate

    If you find yourself with any of these symptoms, Dr. Cornell performs a thorough evaluation to determine whether BPH has developed and where.

    Based upon this information, he recommends a treatment plan that could include:

    • Medications to improve urinary flow and shrink your prostate
    • Prostiva® RF Therapy to open the passageways
    • PlasmaButton vaporization to remove prostate tissue

    If youre struggling with any of the symptoms we describe above, we urge you to contact our office in Houston, Texas, as soon as possible. Through early intervention, we can restore your quality of life by restoring your urinary function.

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    Further Tests For Prostate Cancer

    If results of the PSA test or the DRE are abnormal, a urologist will likely recommend a biopsy, where small samples of tissue are removed from the prostate and examined.

    If cancer is diagnosed, other tests may be used to check the progression of the cancer, including:

    • magnetic resonance imaging scan of the prostate – often done before a biopsy
    • bone scan – to check whether or not cancer cells have spread to the bones
    • computed tomography scan – a specialised x-ray
    • pelvic lymph node dissection – a nearby lymph node is removed and examined to check whether or not cancer cells have entered the lymphatic system .

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    Remedies For An Enlarged Prostate

    Even if you have an enlarged prostate, that does not mean you must live with the symptoms for the rest of your life. Your doctor might advise one of several approaches to coping with BPH, including lifestyle changes, medication changes, and other treatments. The remedies and treatments available will depend on your own health situation and how disruptive the symptoms have become.

    Get Sufficient Exercise

    Exercise can improve with your overall fitness, as well as benefit your prostate health. Studies have shown a connection between increased physical activity and reduced risk of BPH, with exercise of any type having some degree of benefit.

    Seated activities, such cycling, can put pressure on the perineum and groin. This can lead to numbness or pinched nerves. To avoid these issues, make sure you utilize a wide seat and engage in a variety of activity types.

    You can also try Kegel exercises to strengthen your pelvic muscles and reduce urine dribbling. To do these exercises, squeeze the muscles that affect urine flow and then release, repeating several times to train the muscles.

    Slow Down

    When you head to the bathroom, make sure you slow down. When you relax your muscles and leave time to account for delayed urine and possible dribbling, youre much more likely to completely empty your bladder. Urine that remains in the bladder because of an enlarged prostate can lead to urinary tract infections or painful bladder stones.

    Reduce Caffeine and Alcohol Consumption

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