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How Is BPH Diagnosed?

Benign Prostatic Hyperplasia, or BPH, is a scary sounding name. It affects 25 percent of men by age 55 and half of the male population by age 75. It has easily recognizable symptoms, and is non-cancerous, but some of the test results can look like cancer. Let’s start at the beginning: how is BPH diagnosed?

Symptoms of BPH

BPH causes the prostate gland to increase in size. When this happens slowly over time, it interferes with the flow of urine through the urethra.

Typical symptoms include the following:

man visiting urologist in clinic.

  • Difficulty starting despite pushing or straining
  • A weak stream of urine
  • Interruptions while urinating
  • Dribble at the end
  • Frequent awakening at night to urinate

Men who begin to have these side effects will usually see their primary care physician or a urologist like Dr. Steven Gange in Salt Lake City, UT in order to get a diagnosis and treatment. 

How Is BPH Diagnosed?

After reviewing your health history and completing an examination, Dr. Steven Gange may order the following tests:

Blood Test

This will identify anything else, such as kidney problems.

Urine Testing

This will look for any infections or other conditions that can cause similar symptoms.

Digital Rectal Exam

This involves the physician inserting a finger into the rectum to check for signs of an enlarged prostate gland. 


A thin and flexible tube is inserted into the penis and through the urethra so Dr. Steven Gange can look at the bladder and urinary tract for any changes or blockages. Patients are given local anesthesia to eliminate any discomfort

PSA Blood Test

PSA stands for prostate-specific antigen blood test. This protein level increases when you have an enlarged prostate. Elevated PSA levels can be due to many other things including prostate cancer.

Urinary Flow Test

You urinate into a device that can measure the strength and amount of the urine flow. Over time, Dr. Steven Gange can tell if your condition is getting worse or better.

Post-Void Residual Test

This will determine how much urine is left in the bladder. 

Dr. Steven Gange can diagnose conditions involving an enlarged prostate at our office in Salt Lake City, UT. Contact us at (801) 993-1800 or request an appointment online if you are experiencing symptoms of BPH.



I have seen Dr. Gange for a number of years and developed the typical symptoms associated with an enlarged prostate. During my annual urologist visit, Dr. Gange laid out my options. After doing some personal research, I elected to have the Urolift procedure performed by Dr. Gange on an outpatient basis.

The procedure was uncomfortable but not particularly painful compared to other surgeries I have had. Recovery was relatively quick and I was back at work after two days of rest.

I did experience some significant discomfort associated with urination but was counseled that I was not drinking enough water. Once I increased my consumption of water, most of the discomfort went away and I was back to normal after about two weeks.

In the wake of the surgery, the urgency to urinate has gone away. The interval between trips to the bathroom has lengthened significantly such that I usually get up to urinate only once each night and sometimes not at all.

Having talked with others who have had more drastic prostate surgery, I feel that the Urolift procedure was much less stressful and the results were as hoped for.