BPH and renal symptoms?,”BPH (benign prostatic hyperplasia) is typically associated with a smooth, firm, and enlarged prostate. In contrast, prostate cancer often presents with a palpable nodule at the periphery of the prostate gland. All patients with suspected BPH should have urinalysis (to look for hematuria) and a serum creatinine test. Bladder outlet obstruction should be considered in any patient with suspected BPH and acute kidney injury. Generally, creatinine is not elevated by unilateral obstruction (kidney stones), but it is elevated due to bilateral obstruction. As a result

BPH and renal symptoms?,”BPH (benign prostatic hyperplasia) is typically associated with a smooth, firm, and enlarged prostate. In contrast, prostate cancer often presents with a palpable nodule at the periphery of the prostate gland. All patients with suspected BPH should have urinalysis (to look for hematuria) and a serum creatinine test. Bladder outlet obstruction should be considered in any patient with suspected BPH and acute kidney injury. Generally, creatinine is not elevated by unilateral obstruction (kidney stones), but it is elevated due to bilateral obstruction. As a result

patients with elevated creatinine require imaging (renal U/S) to exclude other obstruction causes and assess for hydronephrosis. Placement of a urinary catheter in patients with hydronephrosis can provide quick relief of urinary obstruction. Medical management with alpha-blockers (tamsulosin) or 5-alpha-reductase-inhibitors (finasteride) can help improve BPH urinary symptoms.”