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Bladder outlet obstruction BOO is a blockage at the base of the bladder that reduces or prevents the flow of urine into the urethra, the tube that carries urine out of the body. No incision or stitches are needed. A doctor makes a diagnosis of BPH based on description of symptoms, medical history, physical examination, and various blood and urine tests. It has a telescope lens to help the surgeon see the prostate gland. To determine whether the bladder is obstructed, an electronic test called uroflowmetry measures the speed of urine flow. These risk factors include obesity, physical inactivity, high blood pressure, and low levels of HDL good cholesterol. The procedure takes 30 minutes to 2 hours, and the patient can go home immediately afterward.