BPH is usually a slowly developing condition. This is not, however, always accompanied by a worsening of symptoms. As BPH progresses, the normal prostatic tissue is compressed more and more by the surrounding tissue. This then pinches the urethra. The prostatic urethra becomes less flexible, causing progressive obstruction of urine flow.
Patients complain of hesitancy and a reduced stream.
This intense stretching and strain on the bladder may make recovery of bladder function difficult, if not impossible. DRE provides useful information about the size, consistency, and limits of the prostate. An analysis of the urine is done, either by dipstick or microscopic examination. These tests are useful in helping to identify patients with prostate cancer. Treatment Options Watchful Waiting Patients with low symptom scores and a normal PSA and DRE can be considered for watchful waiting.