If you have problems with your bladder or your prostate, you should describe your symptoms to your doctor in detail. Even though it’s natural, try not to be embarrassed or ashamed when discussing intimate topics such as incontinence or urinary behaviour – your doctor deals with these topics every day.
Answer your doctor’s questions openly and without shame; this is the only way he or she will be able to help you. If you have already been keeping a treatment diary, give this to your doctor. This will provide him or her with important information.
Your medical consultation and detailing of your symptoms (medical history) will be followed by a physical examination. This involves your doctor palpating your abdomen, bladder and kidneys and demarcating these from the other abdominal organs. Sometimes further examination includes palpation of the prostate in men.
For women a gynaecological examination to assess the pelvic floor muscles can be useful. The urine sample is the most important of the laboratory tests done.
The urine is analysed for bacteria, glucose, protein, and red and white blood cells, and the pH (acidity) is also measured. Specific blood tests, e.g. PSA (prostate specific antigen), kidney values, blood count, etc. complete the laboratory analysis.
Instrument-based examinations enable the doctor, where necessary, to make a diagnosis or to observe the course of a disease.
Ultrasound examination (sonography):
This examination uses ultrasound waves and a transducer head, which is guided over the abdominal wall, to scan and image the bladder, prostate, ureters, renal pelvis and kidneys for assessment by the doctor. The residual urine, the amount of urine left in the bladder after attempting a complete emptying, can be easily assessed using ultrasound.
Pressure/flow measurement (cystometry):
Pressure/flow measurements are used to measure the storage capacity of the bladder, its elasticity and emptying force.
Radiological examination I (excretion urography):
With this radiological examination, a contrast agent is injected into a vein. Excretion of the contrast agent via the organs of the urinary tract enables the kidneys, ureters and bladder to be easily demarcated from other tissues.
Radiological examination II (micturition cysto-urography):
With this radiological examination, a contrast agent is injected into the bladder. The position of the bladder, its filling capacity and the completeness of the emptying can be determined in this way.
Bladder imaging (cystoscopy):
Using a thin, tubular instrument with a light source and video camera, the doctor can examine the urethra and the bladder from the inside.
Measurement of the urine flow rate (uroflowmetry):
The speed of and time needed for emptying the bladder is measured using a special toilet.
Tissue sampling (biopsy):
For prostate diseases, a tissue analysis may be necessary. A sample of prostate tissue is collected and then examined under a microscope.
UROSTEMOL Men & Femina, these are traditional herbal medicinal products for use in the relief of lower urinary tract symptoms related to an overactive bladder or bladder weakness, exclusively based upon long-standing use. Visit your doctor before use to rule out any underlying conditions. Always read the leaflet.
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