Understanding Benign Prostatic Hyperplasia (BPH)

A Comprehensive Guide to Prostate Enlargement

Internal Medicine

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Last updated: Mar 24, 2025

What is BPH?

Benign prostatic hyperplasia (BPH) is a common condition where the prostate gland enlarges as men age. This non-cancerous enlargement typically begins after age 25 and affects most men by age 60.

Key Facts

  • Not related to prostate cancer
  • Natural part of aging
  • Treatable condition
  • Common in older men

Common Symptoms

  • Frequent urination, especially at night
  • Weak urine stream
  • Difficulty starting urination
  • Urgent need to urinate
  • Incomplete bladder emptying
  • Dribbling after urination

Risk Factors

  • Age (primary factor)
  • Family history
  • Obesity
  • Lack of physical activity
  • Diabetes

Diagnosis

Physical Examination

  • Digital rectal examination (DRE)
  • Prostate-specific antigen (PSA) test

Additional Tests

  • Urinalysis
  • Bladder scan
  • Prostate volume measurement
  • Uroflowmetry

Treatment Options

Lifestyle Changes

  • Limiting evening fluid intake
  • Double voiding
  • Avoiding caffeine and alcohol
  • Regular exercise

Medications

  1. Alpha blockers (e.g., tamsulosin)
  2. 5-alpha reductase inhibitors
  3. Combination therapy

Surgical Options

  • TURP (Transurethral resection of the prostate)
  • Laser therapy
  • UroLift procedure

Complications if Untreated

  • Urinary retention
  • Bladder stones
  • Kidney damage
  • Urinary tract infections

When to See a Doctor

  • Inability to urinate
  • Blood in urine
  • Severe urinary symptoms
  • Pain during urination

Prevention Strategies

  • Maintain healthy weight
  • Regular exercise
  • Balanced diet
  • Regular check-ups

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