indications for BPH on DRE of prostate
On digital rectal examination (DRE) of the prostate, the following indications may support a diagnosis of benign prostatic hyperplasia (BPH):
1. Enlargement of the prostate gland: BPH typically results in an increase in the size of the prostate gland. On DRE, the doctor may feel a firm, enlarged prostate that extends into the rectal area.
2. Smooth surface: In BPH, the prostate gland usually has a smooth surface without any irregularities or nodules. This helps differentiate it from prostate cancer, which may have nodules or hard areas on examination.
3. Symmetrical enlargement: BPH often results in a symmetrical enlargement of the prostate, with the middle or median lobe being predominantly affected. This can be assessed during DRE.
4. No tenderness or pain: BPH is typically a painless condition, and the prostate gland is usually not tender on examination. Presence of pain or tenderness may suggest an underlying infection or other prostate conditions.
It is important to note that DRE findings alone are not sufficient for diagnosing BPH. Additional investigations, such as urinalysis, prostate-specific antigen (PSA) blood test, and imaging studies, may also be required to confirm the diagnosis and rule out other conditions.