When examining a prostate for BPH, how should the prostate feel?

When assessing the prostate for benign prostatic hyperplasia (BPH), the correct characteristic to note is that the prostate should feel firm and uniformly enlarged. In BPH, the prostate gland undergoes hyperplastic changes, leading to an increase in size while maintaining a smooth and firm texture. This uniform enlargement is a typical finding in BPH, as opposed to other conditions that may present with more abnormal features.

The other characteristics, such as a boggy and enlarged prostate, may suggest different conditions such as prostatitis, where inflammation can lead to a softer, edematous feel. A prostate that feels harder than normal could indicate malignancy or other pathological conditions, which should prompt further investigation. The presence of tender nodules would also raise suspicion for prostate cancer or other serious conditions. Thus, the hallmark of BPH during a physical exam is the firm and uniformly enlarged prostate, distinguishing it from other prostate disorders.