Growth of benign prostate cancer does not return but because of public complaints can be confused with cancer. However, a simple physical examination and PSA blood test, called often possible to achieve this distinction.

Benign prostate growth in diagnostic tests which are requested?

Prof. Dr. Oktay DEMİRKESEN: Lower urinary tract complaints, and the patients with benign prostate growth that must be done in the first tests you want instant recognition Those users, or some special circumstances deemed necessary to classify as possible. Story to be taken, with close to scoring of evaluation, physical examination, complete urine tests, blood in the value of PSA and creatinine measurements, daily micturition, urine flow rate and back to work after determining the amount remaining in the first request at diagnosis are proposed survey. Full urine tests, urinary tract infections and urine for the determination of whether the bleeding is important. PSA is required to exclude prostate cancer.

The higher the PSA level increases the probability of cancer, so PSA levels are higher than those of prostate cancer should be sure. However, prostate cancer can cause PSA elevation out there are also other situations. Prostate infection, such as prostate biopsy has been recently advanced degrees has grown initiatives and the presence of benign prostate tissue also may be the cause of PSA elevation. Roughly the functions of detection for creatinine to assess kidney is needed, the patient’s daily urination during a certain period (eg day or long l) urinary frequency, each time you save the day and night is the amount of urine. Better evaluation of the lower urinary tract complaints, and provide important clues for the cause in terms of an examination is very valuable. Cheap, easy to apply and no undesirable effects to the patient express a lack of significant advantages.

Urine Flow Rate Test What is it?

Prof. Dr. Oktay DEMİRKESEN: This survey was the name suggests, urine flow rate is measured through a device. For this, the patient’s device is connected to a rough work is sufficient. Test is simple and easily applicable. Ideally, you should be done at different times and 2 times the amount of work must be on 150 milliliter. This examination identified with the normal value of peak urinary flow rate for men 20 ml / sec and higher are considered to be. The male patient for a particular age range of peak urinary flow rate 10 ml / sec be below, probably due to prostate enlargement and bladder outlet obstruction suggest me.

Ultrasound How?

Prof. Dr. Oktay DEMİRKESEN: Ultrasonic deemed necessary or desired in some specific conditions are among the tests, can be done in two ways. First, and most of the kidneys and bladder from the abdomen to evaluate the suprapubic ultrasound is aimed. Bleeding in the urine, recurrent urinary tract infections, kidney failure, history of urinary tract stone disease, tumor, or urinary tract surgery should be sure who has a history. Second from the rectum and transrectal ultrasound as the method is called. Prostate biopsy and prostate volume measurement is required except in patients with benign prostate growth is considered used.

Symptom Score Questionnaire What is it?

Prof. Dr. Oktay DEMİRKESEN: Closed for assessment of the patient often needs to fill its own international prostate complaints scoring (I-PSS) is used. In this form 3 storage (frequency, compression, get up at night to pass urine), 3 excretion (urine to intermittent, weak urine flow, straining to), 11 after the work of the lower urinary tract to close with 7 questions are investigated. The answer to each question are scored from O to 5, so the total score ranges from O to 35. Patient’s score is 0-7 light, the 7-19 center, while 20-35 is considered to be severe complaints. This form also more complaints in this patient how they feel self-assessment to set quality of life associated with an additional question is found too.

After wetting behind Determination of Remaining Amount What Does?

Prof. Dr. Oktay DEMİRKESEN: Employment in the bladder after the urine under normal conditions should not be any. This amount increased prostate growth is very important in the differential diagnosis of obstruction due to bladder dysfunction that may be indicative. Therefore, especially after surgical treatment and it is thought the amount of urine left behind on the 200 ml’nin patients, should be further reviewed.