CLINICAL MANIFESTATIONS OF BENIGN PROSTATIC HYPERPLASIA

The clinical diagnosis of BPH is usually established after completing the initial evaluation of patients who present with symptoms of prosta tism. The steps recommended in the initial evaluation include a medica l history, symptom assessment using a Symptom Score Index, a digital r ectal examination, a focused neurological examination, urinalysis, mea surement of serum creatinine, and an optional PSA measurement. Further examinations such as uroflowmetry and cystoscopy are indicated only i f the diagnosis is uncertain, or to determine the feasibility of speci fic invasive therapies.