What is the initial assessment recommended for managing benign prostatic hyperplasia?

For managing benign prostatic hyperplasia (BPH), the initial assessment typically includes evaluating the patient's urinary symptoms and conducting basic laboratory tests. Checking urinalysis and creatinine levels is essential because it helps in detecting urinary tract infections, hematuria, or other conditions that can mimic or complicate BPH. Additionally, measuring creatinine levels assesses kidney function, which is critical since advanced BPH can lead to urinary retention and subsequent renal impairment.

These initial tests set the foundation for determining the appropriate management plan. Other assessments, such as a digital rectal exam, although important for a comprehensive evaluation of the prostate, are not the first step in the assessment of BPH. Starting antibiotics is not warranted unless there is clear evidence of infection, and referring to a urologist may be considered if medical management fails or if there are complications, but it is not part of the initial assessment.