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Prostate Enlargement: Symptoms and Diagnosis

Prostate enlargement, or benign prostatic hyperplasia (BPH), often manifests with urinary symptoms such as increased frequency, urgency, and difficulty in initiating or maintaining a steady stream. Patients may experience a sensation of incomplete bladder emptying, leading to the need for frequent trips to the bathroom. Nocturia, or waking up at night to urinate, is a common symptom associated with prostate enlargement, impacting the quality of sleep. A weakened urinary stream and straining during urination are indicative of the obstructive effects of an enlarged prostate on the urethra. Diagnosis often involves a digital rectal examination, where a healthcare provider assesses the size and consistency of the prostate gland through the rectum. Blood tests, such as the PSA test, help measure levels of a protein produced by the prostate, aiding in the diagnosis and monitoring of prostate conditions. Transrectal ultrasound may be used to visualize the prostate, providing detailed images that aid in assessing the size and structure of the gland. In some cases, a cystoscopy may be recommended to directly visualize the interior of the urethra and bladder, providing additional information for diagnosis and treatment planning. Early detection and proper management can help alleviate symptoms and improve the quality of life for individuals with prostate enlargement.

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Dr. Vipul Agrawal Profile Image

Dr. Vipul Agrawal

Consultant Urologist, Prime Hospital, Dubai, UAE

Dr. Vipul Agrawal is currently working as Consultant Urologist in Prime Hospital, Dubai. He is a member of professional organizations like Urological Society of India, Emirates Urologic Society and many more. He published various papers nationally and internationally. He was awarded 3.Brand Ambassador Award, 2021, Medeor International Hospital, Al Ain and Chief Contributor Award in 2019. He also received First Prize for Best Paper Presentation on Laparoscopic Donor Nephrectomy

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Prostate enlargement, or benign prostatic hyperplasia (BPH), often manifests with urinary symptoms such as increased frequency, urgency, and difficulty in initiating or maintaining a steady stream. Patients may experience a sensation of incomplete bladder emptying, leading to the need for frequent trips to the bathroom. Nocturia, or waking up at night to urinate, is a common symptom associated with prostate enlargement, impacting the quality of sleep. A weakened urinary stream and straining during urination are indicative of the obstructive effects of an enlarged prostate on the urethra. Diagnosis often involves a digital rectal examination, where a healthcare provider assesses the size and consistency of the prostate gland through the rectum. Blood tests, such as the PSA test, help measure levels of a protein produced by the prostate, aiding in the diagnosis and monitoring of prostate conditions. Transrectal ultrasound may be used to visualize the prostate, providing detailed images that aid in assessing the size and structure of the gland. In some cases, a cystoscopy may be recommended to directly visualize the interior of the urethra and bladder, providing additional information for diagnosis and treatment planning. Early detection and proper management can help alleviate symptoms and improve the quality of life for individuals with prostate enlargement.