Initial evaluation and Surveillance
When a man develops BPH, it is recommended to reach out to a general practitioner for initial evaluation that can include:
Family history evaluation: Having a blood relative, such as a father or a brother, with prostate problems means you’re more likely to have problems.
The IPSS score: International prostate symptoms score to find out how bad the patient urinary symptoms are and how much it is affecting his life. Patients are stratified according to 3 categories [0-35 range]: Mild symptoms (0-7), moderate (8-19) and severe (20-35).
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Digital Rectal Examination (DRE): Because of where the prostate is located, the doctor inserts a gloved, lubricated finger into the rectum to check the size of the prostate and assess if there are any abnormalities.