CLINICAL DIAGNOSTIC MANUAL
An enlarged prostate is a common condition in men, particularly as they age. This enlargement can result from various pathologies, ranging from inflammation and infections to malignant neoplasms.
Symptoms can vary depending on the underlying cause and the severity of the enlargement, affecting the patient’s quality of life and urinary function. A thorough evaluation is essential to identify the specific cause and provide appropriate treatment.
Condition | Symptoms and Clinical Signs | Suspected Diagnosis | Confirmatory Diagnosis |
Prostatitis | Pelvic or perineal pain, dysuria, urinary urgency and frequency, fever in acute cases | History of urinary symptoms and pain, physical examination revealing tender prostate | Urinalysis, urine culture, and prostate secretion culture, transrectal ultrasound |
Benign Prostatic Hyperplasia (BPH) | Weak urine stream, nocturia, urinary frequency and urgency, incomplete emptying | History of obstructive urinary symptoms, digital rectal exam revealing enlarged prostate | PSA test, transrectal ultrasound, uroflowmetry |
Prostate Carcinoma | Similar to BPH in early stages, may include hematuria, bone pain in advanced cases | History of persistent urinary symptoms, elevated PSA, digital rectal exam revealing nodules or asymmetry | Prostate biopsy, multiparametric MRI, imaging studies for staging |
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