Diagnosis of prostate adenoma in men: effective methods

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Symptoms and signs of inflammation of the prostate gland are not always clearly expressed; moreover, they can “speak” of other pathologies. Diagnosis of prostatitis allows you to accurately recognize the disease in a man, determine the form, type and etiology of inflammation.

How to determine prostatitis in men: methods available in the clinic

Any occurrence of discomfort, itching, burning in the lower part, or urination problems is a reason to go to a urologist to clarify the diagnosis and receive an individual treatment regimen. In the process, you will have to go through a number of measures that provide the most accurate diagnosis.

History taking

Identifying any disease always begins with collecting an anamnesis. The urologist asks questions and asks the patient to describe the external signs that brought him to the medical facility.

The dialogue may cover the following topics:

Duration of feeling unwell;
The first appearance of symptoms, the presumed cause of their occurrence, the development of signs;
Are there any sexually transmitted diseases?
Level of physical activity, general lifestyle;
Previous history of inflammation of the prostate gland;
Features of sexual life;
Diseases suffered by the man's sexual partner;
Chronic diseases of the patient himself.

Based on the answers, the doctor makes a preliminary diagnosis, to confirm which additional examinations should be performed.

Analyzes

Disruption of the prostate gland affects the activity of the entire genitourinary system. Accordingly, it is necessary to take many measures, which include the diagnosis of prostatitis. Tests are the first and main step on the path to recovery.

If inflammation of the prostate gland is suspected, the following complex is prescribed:

General blood test - informs about inflammation or its absence;
Blood test for hormones - as a result, the current hormonal levels are determined;
Blood test for tumor markers (including PSA) - indicated in cases of suspected tumor, allows you to determine its nature;
General urine test - reflects the amount of protein that is absent in the urine of healthy people;
Bakposev - makes it possible to determine the activity of pathogenic microorganisms, confirms or refutes the bacterial nature of the disease;
Blood cytology test – provides information about pathological cancer cells (if any);
Spermogram - helps to assess the presence of inflammatory processes in the organs of the reproductive system and find out how much fertility has been affected;
A smear from the urethra is an unpleasant procedure for a man; it is necessary to clarify the state of the microflora and the presence of microorganisms that cause sexually transmitted diseases.

IMPORTANT: it is not necessary to take every test. The choice (must be made by a doctor: urologist or andrologist) depends on the specific situation and individual characteristics of the patient.

Rectal examination

Suspected inflammation of the prostate gland is an indication for rectal diagnosis. Before the manipulation, a microenema is given to cleanse the intestines.

During the process, the doctor determines:

Size of the glandular organ and its parts;
Possible soreness;
Swelling;
Availability of seals.

Sometimes the pain can radiate to the genitals, tailbone or groin area.

Study of prostate secretion

Additionally, it is necessary to obtain a sample of prostatic secretion, which is released when the glandular organ is stimulated. In case of acute inflammation, the rectal examination procedure is very painful, but necessary.

The biomaterial is applied to laboratory glass and sent for research to obtain information about the characteristics of prostatitis. Samples are stained and examined under a high magnification microscope. This helps determine the number of white blood cells and lecithin grains.

Healthy men have a lot of lecithin grains, and leukocytes do not exceed 10 units, more often 4-6. With a prolonged illness, the picture changes. The grains practically disappear from the field of view, but the leukocytes go beyond the reference values.

Studying prostate secretions is a method used in combination with others, since changes in indicators do not 100% indicate prostatitis, and obtaining results indicating that the patient is healthy, on the contrary, is sometimes caused by the location of inflammatory foci or closure of the ducts.

Urodynamic examination

Prescribed for:

High volume of residual urine after bowel movement;
Reduced flow rate;
Obstructive urination.

The method helps to identify problems with the functioning of the bladder and assess the degree of urethral patency. This method is also used in combination, as it helps to obtain additional information about urinary dysfunction, but does not precisely localize the location of the dysfunction.

Ultrasound diagnostics

An obligatory step in diagnosing prostatitis is ultrasound or TRUS diagnostics. The ultrasound examination procedure helps to identify:

Density and structure of the glandular organ;
Prostate size;
Possible neoplasms.

There are several ways to do it:

External (through the perineum or peritoneal wall);
Insertion of the sensor through the urethra;
Examination through the rectum.

Transrectal ultrasound is one of the most informative methods and is performed using a small sensor inserted into the rectum. This form provides identification of suppurations and abscesses, a complete check of the condition of the testes and intestinal tract. IMPORTANT: rectal administration is excluded in case of cracks in the anus, rash or hemorrhoids.

Ultrasound diagnostics is indicated in the following cases:

In case of acute bacterial infection to exclude abscesses or to determine the reasons for the ineffectiveness of antibiotic therapy;
Pathological changes in the structure of the organ;
Suspicion of malignant formations after palpation of the gland;
To exclude stones in the prostate;
Painful ejaculation - to clarify the presence or absence of cysts and obstruction in the seminal ducts.

Cystoscopy

Cystoscopy is a method that helps to examine in detail the glandular organ, bladder and urethra from the inside. It is carried out by introducing a probe equipped with a camera into the canal. Thus, the doctor examines the condition of the internal organs using images on the screen.

If there are appropriate indications, a biopsy is combined with cystoscopy - taking tissue samples. If you are diagnosed with prostatitis, this procedure is not mandatory and is only necessary if there are elevated levels in the test results for PSA (prostate-specific antigen).

Biopsy

During cystoscopy, a fragment of tissue cells is often taken by puncturing the rectum or perineum with a needle and sent for biopsy.

There are 2 types of laboratory tests possible:

Cytological – effective for diagnosing tumors at an early stage;
Histological – required for a diagnosed neoplasm (to determine the number of cells and their benignity/malignancy).

MRI

Magnetic resonance imaging is one of the most accurate research methods today. It is important to know that this procedure is excluded in the presence of metal structures inside the body, as well as tattoos made with inks containing metal particles. Before the procedure, all metal objects must be removed.

During the examination it is possible:

Determine the contents of the prostate;
Get additional information about the condition of the testes and lymph nodes;
Identify abscesses, inflammation, benign and malignant tissue growths.

The accuracy of the procedure helps to identify serious diseases at an early stage, which increases the chance of recovery. Additionally, the following diagnostic methods can be prescribed to increase the information content of the study:

Coil procedure. It involves inserting a wire into the anus, protected by a latex sheath. The thinness and flexibility of the device helps to bring it as close as possible to the prostate gland. Despite the discomfort from this type of MRI, the effectiveness of the study increases significantly;
Injection of contrast agent. It enters the body after intravenous injection (or oral use) and provides visual separation of healthy and diseased tissues, which are clearly visible on the tomograph;
Simultaneous spectrogram recording. Allows you to determine the structure of prostatic tissues as accurately as possible.

Also, in some cases, CT (computed tomography) or PET/CT (positron emission computed tomography) of the prostate is prescribed, however, in the absence of suspicion of the presence of tumors, their use is inappropriate, since “prostatitis” can be determined using other tests and techniques.

Diagnosis of prostatitis at home

Self-determination of prostatitis is not an accurate diagnosis and can only suggest the presence of the disease in a man.

If you notice any suspicious symptoms, you should immediately contact the clinic to conduct a professional set of tests.

Online test

Online testing is a fairly effective way to find out whether you should see a doctor immediately. The questionnaire consists of 4 blocks:

Soreness and discomfort;
Symptoms when urinating;
Quality of sexual life;
Impact of symptoms on daily activities.

Based on the results, the number of points is calculated. They are divided into 3 groups: satisfactory condition, moderate and severe. If you fall into the “average” category for at least one block, you should schedule a visit to the urologist as quickly as possible.

Chronic prostatitis can be asymptomatic or the signs are blurred; accordingly, a specialized test has been developed to identify the sluggish form of the disease.

It consists of 15 questions and involves choosing one of several answer options or rating a particular symptom on a scale.

After filling out all the columns, the results are processed automatically, and the man is provided with information about the likelihood of having the disease.

Accordingly, if there is even a slight possibility that you are suffering from an illness, it is recommended to consult a specialist as soon as possible.

Other options

The primary diagnosis of prostatitis in men can be carried out at home. First of all, it is an attentive attitude to one’s own state of health and highlighting disturbing symptoms.

Signs based on which you should make an appointment with a urologist:

Frequent urge to empty the bladder;
Pain during urination;
The need to strain to pass urine;
Weak, intermittent stream;
Feeling that the bladder is full even after going to the toilet;
Difficulty achieving an erection;
Decreased sexual desire on an emotional level;
Inability to conceive a child;
Premature ejaculation;
Discomfortable sensations during ejaculation;
Pain in the tailbone, perineum or groin area;
Increased pain during defecation.

In addition, in the presence of a bacterial infection, an increase in body temperature is likely up to 39 degrees, and the pain syndrome is expressed clearly. Congestive prostatitis can be suggested by a feeling of pressure in the intestines and a particularly frequent urge to urinate during sleep.

There is another way to determine the inflammatory process in the prostate gland yourself:

You need to prepare 3 sterile jars;
Urinate in each one in turn, without stopping;
The presence of turbidity in both the first and third containers is highly likely to indicate prostatitis;
Cloudy urine in the first jar indicates infectious inflammation in the urethral canal;
Completely clean urine indicates the health of the genitourinary system.

Inflammation of the prostate gland is a serious disease, self-diagnosis is only the first step towards identifying the disease. Any of the listed symptoms is a signal to visit a doctor and undergo clinical trials. Without timely drug treatment, prostatitis worsens, provokes complications and poses a danger to a man’s overall health.

Source: https://MalePotency.ru/diagnostika-prostatita-u-muzhchin.html

How to check the prostate in men, examination of the prostate by a urologist, methods of examining the prostate

Prostatitis is a serious male disease that, if left untreated, leads to complications such as:

impotence;
infertility;
serious mental disorders;
the appearance of malignant neoplasms.

It is necessary to regularly check the prostate and monitor the condition of the genitourinary system. It is this aspect of maintaining men's health that we will consider in the article. You will learn:

who needs to see a urologist for preventive purposes;
what symptoms indicate the need to see a specialist as quickly as possible;
what questions the doctor will ask;
how specialists check the prostate in men for inflammation;
what diagnostic methods are used;
Do you need to prepare for an initial appointment with a urologist?
How to diagnose the prostate yourself at home.

When should you have your prostate checked?

It is recommended for all men over 40 years old to visit urologists for prostate examinations for preventive purposes. It is advisable to do this once a year. Patients in the following groups are more often recommended to undergo preventive prostate examinations.

Men over 50 years old.
People suffering from obesity.
Patients whose relatives (fathers, brothers and sons) were diagnosed with urological diseases.
Men who have suffered from diseases of the genitourinary system.

In addition, it is necessary to undergo prostate examinations more often when taking medications that have a negative effect on the functioning of the pelvic organs.

A prostate examination should be performed as soon as possible if symptoms of inflammation of the gland are detected.

Increased body temperature.
Frequent urge to urinate (especially at night).
Difficulty emptying the bladder.
Pain when urinating.
Erectile dysfunction.
Discomfort during sexual intercourse.
Painful ejaculation.
Foreign discharge from the urethra.
Weakness and general malaise.

Primary examination of the prostate at an appointment with a urologist

Diagnosis of prostate diseases in men begins with a medical history. Here is a sample list of questions the doctor will ask.

How long ago did the symptoms appear?
Is there pain and where is it located?
How difficult is urination?
Do you have problems with potency?
Where do you work?
What kind of sex life do you lead?
Have you had problems with the genitourinary system before?
Do you have any previous illnesses?
What kind of lifestyle do you lead?

All this is needed to build a preliminary clinical picture. Therefore, do not distort the information and answer in as much detail as possible.

The next stage of diagnostics of the genitourinary system is a digital rectal examination of the prostate. It goes like this.

The doctor washes his hands, puts on gloves and lubricates the index finger with medical gel lubricant.
The doctor will ask you to lie on the couch and take a knee-elbow position or turn on your side.
The specialist inserts a finger into the rectum and feels the prostate for abnormalities.
A small amount of prostate secretion is collected for laboratory testing.

In normal condition, everything looks like this.

Prostate size is 27–43 mm.
The volume of the gland is 19.6–23 cm3.
There are no seals.
The prostate secretion released during palpation has no foreign odors.
The organ is moderately dense.
The lobules of the gland are the same size.
The contours are clear.
Mobility is present.

If abnormalities are detected, the doctor will give you directions for basic diagnostic procedures to accurately identify the etiology, form and stage of the disease.

Important! You need to prepare for your initial visit to the urologist.

The day before your appointment, avoid sex and masturbation.
On the eve of the examination, do a cleansing enema.

Basic set of analyzes

A complete urological examination for suspected prostatitis usually includes:

examination of prostate secretions;
urine tests (regular and bacterial);
general and biochemical blood tests;
examination of a smear from the urethra.

Examination of prostate secretions

Diagnosis of the prostate involves studying its secretions in the laboratory under a microscope. The study determines:

the nature of the microflora;
number of lecithin grains;
number of leukocytes.

An increased amount of the latter indicates inflammation. If there are bacteria in the secretion, the disease is infectious in nature.

We talked above about preparing for taking prostate secretions for examination at an initial appointment with a urologist.

General and bacterial urine tests

A general urine test is prescribed to determine:

the presence of foreign secretions;
leukocyte count;
the nature of pathogenic microflora;
erythrocyte sedimentation rate.

A bacterial urine test is aimed at determining the type of microorganisms causing the infection.

General and biochemical blood tests

The first type of diagnostic procedure provides general information about the patient's health. Biochemical analysis is aimed at assessing the condition of organs, disturbances in the functioning of which can provoke prostatitis.

Urethral smear examination

Prescribed for suspected presence of pathologies and diseases such as:

urethritis;
chlamydia;
gonorrhea;
ureaplasmosis.

Additional types of prostate diagnostics that a urologist can prescribe

Additional diagnostic procedures aimed at assessing the condition of the prostate are usually prescribed in the following cases.

There is not enough information to make an accurate diagnosis.
Treatment of the disease does not bring results.
There are suspicions of oncology and pathologies associated with prostatitis.

We list additional types of prostate diagnostics.

Transrectal ultrasound of the prostate

This is a very informative diagnostic procedure. In addition to prostatitis, it detects cysts, adenoma, and the presence of malignant neoplasms.

Transrectal ultrasound involves inserting an ultrasound probe into the rectum 5–7 cm. If you want to examine the seminal vesicles, the device is inserted a little deeper (7–9 cm). The duration of an ultrasound examination of the prostate usually does not exceed 15 minutes.

Transrectal ultrasound of the prostate requires preparation.

A week before the procedure, eliminate foods that increase gas formation from your diet.
Do not eat after 6:00 pm the day before the examination.
Before the procedure, cleanse the intestines using an enema or other methods.
An hour before the examination, drink 1 liter of water.

Usually, transrectal ultrasound examination of the prostate is sufficient to obtain the necessary information. Other additional diagnostic procedures are prescribed much less frequently.

Prostatography

This is an x-ray of the gland using a contrast agent. The procedure is suitable for diagnosing prostatitis and prostate adenoma. Prostatography is prescribed when it is necessary to urgently obtain accurate data on the condition of the organ. This examination does not require any prior preparation. You just need to empty your bladder before the procedure.

It is carried out like this.

A contrast agent is injected into the bladder (in some cases, directly into the gland).
The doctor waits a few minutes. During this time, the contrast agent enters the blood and is distributed throughout the body.
The specialist takes an x-ray in two projections (on the back and side).

After receiving the images, the doctor examines them and draws up a conclusion.

CT scan

It is prescribed if there is a suspicion that the prostate gland is filled with pus. In this case, it is necessary to urgently prescribe treatment. Computed tomography allows you to determine the direction of growth of the purulent sac for timely removal.

Prostate Health Index Determination

Involves taking blood for further laboratory testing. Detects all forms of prostatitis, as well as the presence of benign and malignant tumors. This is the most modern diagnostic method, allowing in 26% of cases to eliminate the need for a biopsy fraught with complications.

Find out more about the Prostate Health Index here.

How to check your prostate yourself at home?

Doctors do not recommend self-diagnosis, but you can check the prostate gland yourself at home.

First of all, you need to prepare for the procedure. For this:

empty your bowels naturally or give an enema;
cut your fingernails;
wash your hands thoroughly with soap;
Put a surgical glove on your right hand.

Now you can start checking the condition of the prostate gland. Act like this.

Lubricate your index finger with Vaseline or intimate lubricant.
Slowly and without sudden movements, insert your index finger into the rectum.
Try to feel the gland. The prostate feels like a ball to the touch.
Palpation examination involves gently palpating the prostate with slow movements, lightly massaging the gland.

We indicated the signs of deviations above. If they are detected, you should immediately consult a doctor.

Prostate prevention

There are various methods to prevent prostatitis. Among them:

taking medications prescribed by a doctor;
maintaining a healthy lifestyle;
use of dietary supplements;
diet therapy;
folk remedies;
physiotherapeutic procedures;
regular sex life;
sports and physical therapy.

The most effective way to prevent prostatitis without taking medications is physical therapy. The following have a positive effect on the prostate gland:

vibration massage of the organ;
warming up;
IR therapy;
magnetotherapy.

The maximum effect is observed with simultaneous impact on the pelvic organs in all four directions. This is exactly how the innovative Smart-Prost device we created works. Regular procedures in clinical or home settings:

improves blood flow in the organ;
relieves inflammatory processes and prevents their occurrence;
reduces the number of leukocytes in prostate secretions;
increases libido;
improves potency;
enhances orgasmic sensations;
relieves pain;
normalizes urination.

The feasibility of using the physiotherapeutic device we developed has been clinically proven. The effectiveness of fighting prostatitis with the use of Smart-Prost increases by 42%.

You can order an innovative vibrating massager by phone or by going to the main page. Before using Smart-Prost to prevent prostatitis at home, consult your doctor.

conclusions

Our main advice to middle-aged and older men is to never hesitate to contact a specialist if you notice signs of prostatitis. To quickly restore men's health, visit a urologist as soon as possible. Diagnosis and treatment of prostatitis in the early stages will be as fast, effective and inexpensive as possible.

Source: https://smartprost.ru/kak-proveryajut-prostatu-u-muzhchin/

How to check the prostate in men: methods of examining the organ

Most men are afraid and embarrassed to see a doctor for a prostate examination. The number of people suffering from prostatitis and prostate cancer is growing every year. In order not to fall into the risk group for male diseases, you need to undergo regular medical examinations. How is the prostate checked in men? Do you need to prepare for this test method and what can you expect after a urological examination?

Indications

Checking the prostate gland through the rectum today is prescribed to all representatives of the stronger sex who have reached puberty. The examination is carried out regularly once a year. Some patients need to be examined by a urologist more often, especially if a man is at risk of problems or pathologies in the prostate gland:

If a man has crossed the age of 50.
If a malignant prostate tumor was diagnosed in first-degree relatives - father, brother or son.
If the man is of the Negroid race and is over 45 years old.
If a man smokes and abuses alcohol.
If he is overweight.
He has already suffered from genitourinary diseases and needs to be examined systematically;
He does not have a permanent partner, he has sex irregularly, which is why the secretion stagnates, or the man practices interrupted coitus without releasing ejaculate.
He is being treated with potent drugs that negatively affect the functioning of the male genital organs.
If a man has already had complaints about the health and functioning of the prostate gland: the temperature has risen, unpleasant or painful sensations have been observed in the pubic area, scrotum, there have been or are problems with urination, urge, a feeling of incomplete excretion of urine, malaise, blood in the urine, a burning sensation and etc.

Which doctor checks the prostate?

All diseases related to the prostate gland are treated by a urologist. But before you go to see this specialist, you need to take a referral from your general practitioner/family doctor.

This doctor will collect anamnesis, if necessary, give a referral for general tests, and at the same time write a referral for a consultation with a urologist. An andrologist also deals with diseases of the male reproductive system.

You may be referred to this specialist if problems with the prostate gland cause erectile dysfunction, impotence, or sexual dysfunction.

According to the World Health Organization, prostate cancer affects one in seven men. The appearance of suspicion of such a disease is revealed by examining the prostate.

Digital rectal examination, although not a visualization method, but refers to a physical examination, due to its simplicity, low cost and safety, remains an integral method for examining patients with risk factors for problems with the prostate gland. During a digital examination, lesions with a volume of more than 0.2 ml, the location of cancer, etc. can be detected.

Rectal examination of the prostate has low predictive value. This method cannot be considered sufficient for the early diagnosis of prostate cancer, therefore its data should be assessed in conjunction with the data of TRUS (transrectal ultrasound), MRI, biopsy and other research methods.

Progress of the procedure

Arriving at an appointment with a specialist, the doctor first collects an anamnesis - asks the patient what is troubling him, when the complaints began, what is the nature and intensity of his pain, etc. After this, the urologist palpates the prostate.

This research method is mandatory and is carried out immediately before other diagnostic methods:

The doctor washes his hands, then puts on gloves, lubricates the index finger with a special compound for better insertion of the finger into the client’s anus;
The specialist asks the patient to lie down on the couch, get on his knees and elbows so that the specialist has access to his anus. You can also take a horizontal position: lie on your right side and bend your legs;
After preparing and the patient taking the desired position, the urologist inserts a finger into the patient’s rectum;
He examines the prostate, checks it for the presence of nodes and lumps;
If during the examination the doctor does not find any problems, then the procedure ends. If he has any suspicions, then he will refer the man to undergo additional tests and studies.

It is impossible to independently determine pathological changes in the prostate by touch. Only a specialist can correctly interpret changes in the organ during palpation.

A healthy gland feels elastic and slightly hard to the touch. If it is soft, then this is the first symptom of the onset of prostatitis.

If the prostate gland is hard, then the doctor may suspect the presence of tumors, inflammatory processes and other pathological conditions.

Prostate examination - a painful procedure or not? With the correct technique for performing a digital examination, the patient should not feel pain. Discomfort may be present, and the patient may have an urge to go to the toilet.

Preparation

In order for a doctor to conduct a quality study, the patient must:

The day before consultation and reception, refrain from having sex, as well as oral sex and masturbation;
Do a cleansing enema the day before to achieve reliable diagnostic results. An enema can be done using an Esmarch mug, pouring regular boiled cool water or chilled chamomile decoction into it.

For an appointment with a specialist, the patient must prepare the necessary documents: passport, medical insurance, medical card, results of previous prostate tests (if any). You also need to remember what complaints the patient had and, if necessary, write them down on a piece of paper to voice to the doctor.

Is it possible and how to check the prostate yourself at home?

Doctors do not recommend checking the prostate gland on your own without the skills and medical knowledge to do so. But self-diagnosis can still be carried out, especially if a man begins to experience pain and burning when urinating, and he has a sluggish stream of urine.

Before self-diagnosis, you should give an enema or have a bowel movement naturally. Before the procedure, be sure to wash your hands with soap, cut your nails and put on a sterile glove. The index finger on the glove should be lubricated with Vaseline.

Having assumed a knee-elbow position, you should carefully and slowly insert your index finger into the rectum, trying to feel the gland. Sudden movements are not allowed. The finger should move gently, you should try to lightly massage the prostate. The prostate feels like an elastic ball, the contours of which should be clear.

The prostate gland should move slightly. A man may notice a longitudinal groove in the middle of the prostate; this is normal. If he finds nodules, compactions, blurred contours of the gland, or experiences acute pain during palpation, then he should immediately seek advice and help from a specialist.

It’s not difficult to check the prostate yourself, but if you do something wrong, you can injure the gland. Then the patient’s condition will only worsen, and an exacerbation may occur.

Even if a man discovers some problems with the prostate, he will still need to see a urologist to make a diagnosis.

And this specialist will re-palpate the prostate to determine the cause of the pathology and pain.

Other methods for examining the prostate gland

In addition to the digital rectal examination, the first and most popular research method, prostate problems can also be detected using:

Laboratory methods - by taking a blood test. Such a study shows the concentration of sex hormones, the activity of acid phosphatase, etc.;
Ultrasound – it can determine the size and shape of the prostate; Ultrasound helps identify diseases such as prostatitis, prostate adenoma, malignant or benign tumors;
Vesiculography is an X-ray examination of the seminal vesicles. This research method is prescribed to determine malignant cells both in the seminal vesicles and in the prostate. Such a study is prescribed by a surgeon to decide on an operation to remove the prostate in order to avoid the germination of cancer cells into the seminal vesicles;
Prostate biopsy – prescribed if prostate cancer is suspected;
Radioisotope research method - determines the presence of prostate tumors, and is also used to monitor the effectiveness of treatment of benign tumors, etc.

results

With a digital examination of the prostate gland, the doctor can determine various parameters that are responsible for the health of this organ, namely:

prostate size – from 27 to 43 mm;
prostate volume – from 19.6 to 23 cm3;
clarity of contours - they should be clear, not blurry;
symmetry of the lobules of the prostate gland, the groove should be clearly in the middle;
prostate density – it should be moderately dense;
mobility of the gland - relative to the walls of the rectum, the prostate should be mobile;
features of the secretion released during a digital examination - the prostatic secretion should have a characteristic odor, a cloudy grayish tint.

Where to get tested

There are two options:

Go to an appointment at the city clinic. The advantage is that the appointment will be free if you have a medical insurance policy. The downside is that you can wait outside the doors of your queue for more than one hour, and the attitude of the staff of city clinics is not always hospitable;
Go to an appointment at a private clinic. In paid medical clinics, employees value their reputation, so they treat each patient with respect, try to please him, and do everything possible to make him feel comfortable. The disadvantage of going to a private clinic is that you will have to pay not only for the test, but also for the appointment.

Examination of the prostate with a finger is the main, simple, cheap and informative method of examining the prostate gland. The completeness of the picture, as well as the success of the procedure, depends on the correct diagnosis at home or in the doctor’s office.

It is best to undergo regular examination by a urologist. This way, you will not only prevent the risk of injury to the prostate (during self-examination, you can damage the gland if you check it carelessly), but you will also be able to get a reliable picture of the health of the prostate.

Source: https://MedProstatit.ru/kak-proveryayut-prostatu-u-muzhchin.html

Methods for diagnosing prostate adenoma

Treatment in France // ANDROLOGY // Methods for diagnosing prostate adenoma

Methods for diagnosing prostate adenoma

Diagnosis of prostate adenoma is not difficult. Diagnosis of prostate adenoma today is usually carried out using ultrasound.

Diagnostic methods:

Detailed interview with the patient

The first thing a doctor does when a patient arrives. At the same time, it is clarified how often the patient urinates per day, what symptoms accompany urination, etc. It also asks if anyone in his family suffered from BPH.

Digital rectal examination.

The method is based on the fact that the prostate gland is located in front of the rectum. The doctor inserts a gloved finger lubricated with glycerin into the patient's rectum and feels the prostate, assessing its size, the condition of the interlobar groove, the consistency of the gland, the presence of nodes in it and soreness.

Laboratory tests.
Among the laboratory tests that are important in diagnosing prostate adenoma are a urine test (it can indicate the presence of infection) and a PSA blood test.
PSA (prostate-specific antigen) is a special substance in the blood, the level of which increases in various prostate diseases, for example, prostate adenoma or prostate cancer.

PSA is secreted by the prostate gland. As the prostate grows, the PSA level also increases. When the prostate is removed, the PSA level becomes zero. PSA may increase after bladder catheterization or prostate puncture. PSA is an indicator of recurrence or metastasis of prostate cancer after surgical removal.

Urodynamic study.

This type of study allows you to evaluate the rate of urine outflow from the bladder. These studies also help to identify other causes of urinary outflow problems.

Ultrasound of the prostate.

The most important method for diagnosing prostate adenoma, and other prostate diseases. Safe, fast and inexpensive diagnostic method.

Ultrasound allows you to evaluate the shape of the prostate, its structure, size and volume. Assess the condition of the bladder and the volume of urine that remains after urination.

Ultrasound can also be performed transrectally, using a special sensor that is inserted into the rectum. This method is based on the proximity of the anterior wall of the rectum and the prostate. It allows a more detailed study of the structure of the prostate gland, and is usually used when prostate cancer is suspected and when performing a prostate biopsy.

Cystoscopy.

Endoscopic diagnostic method. The doctor inserts a thin probe with a camera and a small light at the end into the bladder through the urethra. At the other end of the cystoscope there is an eyepiece into which the doctor conducting the examination looks. This method allows the doctor to evaluate both the condition of the bladder and the prostate gland.

Intravenous contrast urography.
The X-ray diagnostic method involves injecting a special X-ray contrast agent into a patient’s vein, and then taking a series of X-rays of the kidneys and bladder.
This method allows you to evaluate the anatomical condition of the kidneys, the presence of congenital anomalies, as well as kidney function.
Retrograde pyelography.

In this method, a radiopaque contrast agent is injected into the ureters using a catheter inserted through the urethra. When contrast is administered, x-rays are taken. This method also allows you to assess the level of urine outflow disturbance.

Prostate biopsy.

A prostate biopsy involves puncture of the prostate gland with a special needle. A small piece of tissue is taken with this needle and examined under a microscope. A prostate biopsy allows a diagnosis of malignancy (cancer) to be made. Prostate biopsy is performed under ultrasound guidance.

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Source: https://medfrance.ru/andrology/methodsdiagnosticsadenomaprostate/