Which test is recommended for routine screening of benign prostatic hyperplasia in men over 50 years of age?

The recommended test for routine screening of benign prostatic hyperplasia (BPH) in men over 50 years of age is the digital rectal examination (DRE). This examination allows healthcare providers to assess the prostate size and texture, which can indicate the presence of BPH. Since BPH is a common condition that affects older men, the DRE serves as a valuable tool in evaluating prostate health and identifying any abnormalities that may need further investigation or management.

Routine screening with DRE is practical because it does not require specialized equipment and can be performed during a regular healthcare visit. This test can help in the early detection of prostate enlargement, facilitating timely attention to symptoms associated with BPH, which can include urinary difficulties.

Other options, like urinalysis, while useful in diagnosing urinary issues, do not specifically screen for BPH itself. Blood pressure measurement is important for overall health but is not directly related to assessing prostate conditions. A CT scan of the abdomen is typically reserved for more complex diagnostic needs, rather than routine screening. Thus, the DRE is the most appropriate recommendation for BPH screening in this age group.