Friday, March 28, 2008

BPH with which to identify disease

Diagnosis of benign prostatic hyperplasia generally is not difficult, but prostatitis, neurogenic bladder [stenosis, prostate cancer, prostate tuberculosis, prostate stones, bladder, the bladder diseases such as outlet obstruction, its clinical manifestations and benign prostatic hyperplasia similar, it should be noted identification:
1. Prostatitis prostate infection rectal examination gland can be increased, in contrast Cystoscopy with benign prostatic hyperplasia similar, could easily lead to misdiagnosis. But without increased prostatitis, prostatic fluid often Nongxibao and other abnormal changes.
2. Neurogenic bladder voiding difficulties, urinary retention or urinary tract infection with symptoms similar to pre-existence. But neurogenic bladder patients with serious nerve injury history and signs can be obstacles. Such as paraplegia, paresthesia, anal sphincter relaxation, anti-rectal examination without increasing the prostate, without organic lower urinary tract obstruction.
3. Urethral stricture with dysuria, thinning or urinary symptoms, such as urinary retention. However, injury, inflammation history, digital rectal examination does not increase prostate, or transurethral expanding exploration contrast, a narrow part of a clear diagnosis can be.
4. Prostate cancer prostate increased, and there may be similar to the symptoms and hyperplasia. But: the seizure on both sides of the prostate often asymmetrical, texture hard, prostate biopsy can i cells. Pelvic metastasis of prostate cancer can be suggested that the existence of.
5. Hematuria prostate and prostate tuberculosis that increase. But the history of urinary tuberculosis, while more complicated seminal vesicle and epididymis TB lesions, local glands scattered in the hard nodules, its borders are unclear or tenderness, stimulating urinary tract symptoms, and obstructive symptoms not obvious.
6. Prostate stones are frequency, dysuria, and other symptoms. Rectal examination prostate increased, texture slightly hard, stone friction flu, X-ray film can be seen on the site are stone shadow of the prostate, contribute to identification.
7. Bladder cancer painless gross hematuria as the main symptoms, such as frequent urination difficulties symptoms, urine checks exfoliated cells can be found cancer cells, cystoscopy tumor can be seen directly, such as at the same time from biopsy examination, the nature of tumor can be clearly .

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