During the assessment of BPH symptoms, which of the following would be classified as irritative symptoms?

Irritative symptoms associated with benign prostatic hyperplasia (BPH) are characterized by the urgency and frequency of urination as well as discomfort related to urination. Dysuria, which refers to painful or difficult urination, is a classic irritative symptom. Bladder pain is also indicative of an irritated bladder that is often a response to increased urgency or the need to void more frequently, commonly seen in men with BPH. These symptoms arise due to the increased pressure on the bladder as it attempts to expel urine in the context of obstruction caused by an enlarged prostate, leading to a sensation of irritation in the urinary tract.

The other options represent obstructive symptoms rather than irritative ones. Dribbling at the end of urination, and difficulty starting a stream of urine are indicative of obstruction in the urinary flow rather than irritation. Stopping the stream several times during voiding also reflects an obstructive issue, which is more about the mechanics of urine flow rather than the irritative sensations experienced during urination. Understanding the distinction between irritative and obstructive symptoms is crucial for identifying and managing BPH effectively.