Enlarged Prostate

At Panchal Urology Centre, our aim is to understand your bothering symptoms with the help of international scoring system (IPSS), make an accurate diagnosis by detailed examination and necessary tests including Ultrasound and Urine Flow test (Uroflowmetry). This along with your other medical problems and personal and social circumstances will help us in suggesting the best option of treatment. We would also like to ensure that the prostate enlargement is age-related (benign) only and not due to cancer.

1. IPSS (International Prostate Symptom Score) and Quality of Life Score (QOL)

IPSS is a questionnaire designed to determine the intensity of man's urinary symptoms and help diagnose prostate enlargement. The patient answers seven questions related to common symptoms of prostate enlargement and severity of each symptom is rated from 0 to 5. These numbers added together provide a score that is used to evaluate the condition.IPSS is a questionnaire designed to determine the intensity of man's urinary symptoms and help diagnose prostate enlargement. The patient answers seven questions related to common symptoms of prostate enlargement and severity of each symptom is rated from 0 to 5. These numbers added together provide a score that is used to evaluate the condition.

QOL is a questionnaire designed to determine the effect of the urinary symptoms on man's daily routine. This is rated from 1 to 6.

2. Digital Rectal Examination (DRE)

The doctor inserts a lubricated, gloved finger into the patient's rectum to feel the surface of the prostate gland through the rectal wall to assess its size, shape, and consistency. Healthy prostate tissue is soft and malignant tissue is firm to hard, and often asymmetrical.

QOL is a questionnaire designed to determine the effect of the urinary symptoms on man's daily routine. This is rated from 1 to 6.

Uroflowmeter at Panchal Urology Hospital

Uroflowmeter

3. Uroflowmetry (Urine flow test)

With the help of a uroflowmeter, a test is performed which records urine flow to determine how quickly the bladder can be emptied. With a full bladder, the patient urinates into a device that measures the amount of urine, the time it takes for urination, and the rate of urine flow. A reduced flow rate may indicate prostate enlargement.

4. PSA Test

This is a blood test to check the levels of prostate specific antigen (PSA) in a patient who may have BPH. Normal result generally means absence of prostate cancer. Higher level along with abnormal feeling prostate raises the suspicion of prostate cancer and requires further evaluation.

5. Ultrasound test (including post void residue measurement)

This test is performed with full bladder and immediately after urination. At full bladder, the volume of urine is measured and any changes in bladder wall due to prostate enlargement are noted. The shape and size of prostate are also noted. The patient is then asked to urinate and the residual urine is determined by ultrasound. Post void residue (PVR) less than 50 ml generally indicates adequate bladder emptying and measurements of 100 to 200 ml or higher often indicate blockage.


Panchal Urology Centre
Dynamic House, Nr Memnagar Fire Station, Vijay Char Rasta, Navrangpura, Ahmedabad - 380 009

Phone: +91-9099079700 / 01 / 02 | Fax: +91-79-26937039 | Email: info@panchalurologycentre.com

Affiliations:

Shalby Hospitals|Sterling Hospital
SAL Hospital|Apollo Hospitals