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Agrandamiento de la próstata - Symptom

Nombres alternativos

HPB; Hipertrofia (hiperplasia) prostática benigna; Próstata agrandada

Síntomas:

Menos de la mitad de los hombres con HPB tienen síntomas de la enfermedad, entre los cuales se pueden mencionar los siguientes:

Pruebas y exámenes:

Después de tomar la historia clínica completa, el médico llevará a cabo un tacto rectal para palpar la glándula prostática. Igualmente, se pueden realizar los siguientes exámenes:

  • Tasa del flujo urinario
  • Examen de orina residual posterior al vaciado para ver qué tanta orina queda en la vejiga después de la micción
  • Estudios del flujo de presión para medir la presión en la vejiga mientras se orina
  • Análisis de orina para verificar la presencia de sangre o de infección
  • Urocultivo para buscar infección
  • Un examen de sangre de antígeno prostático específico (PSA) para detectar cáncer de próstata
  • Cistoscopia

Adicionalmente, a usted se le puede solicitar que llene un formulario para evaluar la gravedad de los síntomas y su impacto en su vida cotidiana. El puntaje se puede comparar con los registros anteriores para determinar si la afección está empeorando.

  • Reviewed last on: 8/10/2009
  • Reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc. Also reviewed by Scott Miller, MD, Urologist, private practice, Atlanta, Georgia.

Referencias

Bent S, Kane C, Shinohara K, et al. Saw palmetto for benign prostatic hyperplasia. NEJM. 2006;354:557-566.

Abrams P, Chapple C, Khoury S, Roehrborn C, de la Rosette J; International Scientific Committee. Evaluation and treatment of lower urinary tract symptoms in older men. J Urol. 2009;181:1779-1787.

Kirby R, Lepor H. Evaluation and nonsurgical management of benign prostatic hyperplasia. In: Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 87.

Lourenco T, Pickard R, Vale L, Grant A, Fraser C, MacLennan G, et al. Minimally invasive treatments for benign prostatic enlargement: systematic review of randomised clinical trials. BMJ. 2008;337:a1662.

Roehrborn CG, McConnell JD. Benign prostatic hyperplasia: etiology, pathophysiology, epidemiology, and natural history. In: Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 86.

Rich KT, Safranek S. PPIN's clinical inquiries: medical treatment of benign prostatic hyperplasia. Am Fam Physician. 2008;77:665-666.

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