Clinical manifestations of benign prostatic hyperplasia
Madsen, F.A.; Bruskewitz, R.C.
Urologic Clinics of North America 22(2): 291-298
1995
ISSN/ISBN: 0094-0143 PMID: 7539175 Document Number: 453374
The clinical diagnosis of BPH is usually established after completing the initial evaluation of patients who present with symptoms of prostatism. The steps recommended in the initial evaluation include a medical history, symptom assessment using a Symptom Score Index, a digital rectal examination, a focused neurological examination, urinalysis, measurement of serum creatinine, and an optional PSA measurement. Further examinations such as uroflowmetry and cystoscopy are indicated only if the diagnosis is uncertain, or to determine the feasibility of specific invasive therapies.