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Home Disease Index Benign prostatic hyperplasia (benign enlargement of the prostate)



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BENIGN PROSTATIC HYPERPLASIA


Overview

Causes
Symptoms
Therapy
Risk Factor

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Overview

 

The prostate is a gland the size of a chestnut. It is only present in men, and it is situated under the bladder surrounding the urethra, the passageway that takes the urine to the outside. The gland produces seminal fluid, which is mixed with sperm to make semen.

With age, the gland may begin to grow - this happens to most men. The growth may eventually cause problems with urination, because the gland pinches off the urethra as it increases its size.

The growth in itself is harmless and so the condition is called benign prostate hyperplasia (BPH). It occurs most often in men over the age of 60. Up to 30 per cent of men in their 70s have BPH that causes them symptoms.




Causes

 

The enlargement of the prostate gland stretches and distorts the urethra and so obstructs the urine flow. Symptoms include:

  • a weak or interrupted urinary stream. Several attempts to empty the bladder may be necessary.
  • difficulty starting the urine flow, even when the bladder feels full.
  • a feeling the bladder is not completely empty.
  • a need to urinate often during the day and during the night. Increased need to urinate in the night is usually a very early symptom.
  • a need to urinate right away. Some men may experience involuntary discharge of urine.
  • dribbling of urine after urination.
  • burning sensation or pain during urination.

Different men get different symptoms - the symptoms may also vary with each individual throughout the course of the disease. It is important to emphasise that the above symptoms do not necessarily prove that the prostate is enlarged. Other diseases may cause similar symptoms. Men with problems urinating should always see their doctor.

 



Symptoms

 

Prostate enlargement varies in severity from man to man, and doesn't always pose a problem. Only about half the men with prostate enlargement experience signs and symptoms that become noticeable or bothersome enough for them to seek medical treatment. These signs and symptoms may include:

  • Weak urine stream
  • Difficulty starting urination
  • Stopping and starting again while urinating
  • Dribbling at the end of urination
  • Frequent need to urinate
  • Increased frequency of urination at night (nocturia)
  • Urgent need to urinate
  • Not being able to completely empty the bladder
  • Blood in the urine (hematuria)
  • Urinary tract infection

 

Risk Factor

 

The main risk factor for prostate enlargement is aging. Prostate enlargement rarely causes signs and symptoms in men younger than 40, but approximately half the men in their 60s experience some signs and symptoms. In addition to age, other risk factors include:

  • Heredity. A family history of prostate enlargement can increase the odds of developing problems from prostate enlargement.
  • National origin. Prostate enlargement is more common in American and European men than in Asian men.
  • Marital status. For unknown reasons, married men are more likely to experience prostate enlargement than are single men. There's no evidence that supports a link between sexual activity and prostate growth.

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