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Enlarged Prostate (cont.)

Enlarged Prostate Symptoms

Many men with an enlarged prostate have no symptoms. If symptoms are present, they commonly include the following:

  • a weak stream of urine;
  • difficulty starting urination;
  • dribbling of urine, especially after urinating;
  • a sense of not fully emptying the bladder;
  • leaking of urine;
  • more frequent urination and a strong and sudden desire to urinate, especially at night; and
  • blood in the urine.

When Should You Call the Doctor?

If you experience fever/chills or nausea/vomiting, or if the prostate enlargement condition worsens and symptoms such as blood in the urine or lower back pain are present, consult a doctor immediately. If you cannot reach your doctor when these symptoms are present, seek evaluation at a hospital's emergency department.

For acute symptoms such as acute urinary retention (you cannot urinate), you should immediately go to the closest emergency medical facility.

Men over 50 years of age should have their prostate checked annually by their physician even if they have no symptoms.

Enlarged Prostate Tests and Diagnosis

  • A physical exam is required to see if other medical problems may be causing your symptoms. The doctor will conduct a digital rectal exam to examine the prostate gland. He or she can feel the prostate by inserting a gloved, lubricated finger into the rectum. This procedure allows your doctor to estimate the size and condition of the prostate. Most importantly, it allows the doctor to feel for lumps or hard areas that could indicate the presence of prostate cancer.
  • Your doctor may check your urine (urinalysis) for blood or signs of infection. Your blood may be tested for kidney problems or sent for a prostate-specific antigen (PSA) level - a screening test for prostate cancer.
  • Some men are referred to a specialist (urologist) for further tests. Urologists specialize in diseases of the male and female urinary tracts and of the male genital tract. Before you are treated for benign prostate enlargement, it is important to rule out other possible causes of an enlarged prostate, such as cancer.
Medically Reviewed by a Doctor on 2/5/2016
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Read What Your Physician is Reading on Medscape

Prostate Hyperplasia, Benign »

Benign prostatic hyperplasia (BPH) is a noncancerous enlargement of the prostate gland that may restrict the flow of urine from the bladder.

Read More on Medscape Reference »


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