Diagnosis of Lower Urinary Tract Symptoms Resulting from Benign Prostatic Hyperplasia

19 March 2015

An article for GPs by Roger Kirby, John Anderson & Adrian Joyce

Curriculum statement 10.2: Men's Health outlines the role of the GP in dealing with benign prostatic hyperplasia. Specifically, it is expected that GPs should:

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• be able to manage the primary contact of men who present with a genitourinary problem
• have knowledge of "prostatism" and benign prostatic hypertrophy, including the principles of primary care treatment
• be able to describe the indications for and role of the prostate-specific antigen (PSA) blood test and evaluate the arguments for and against a national PSA screening programme
• be able to perform a digital rectal examination
• have knowledge of secondary care investigations, including prostate biopsy
• be able to explain the indications for urgent referral to specialist services, including for suspected prostate cancer

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