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Prostate

Enlarged Prostate (BPH)

Benign prostatic hyperplasia is a non-cancerous enlargement of the prostate gland that squeezes the urethra and obstructs urine flow. It affects most men as they age.

Symptoms

  • Weak stream
  • Hesitancy and straining
  • Getting up at night to pass urine
  • Urgency and dribbling
  • Sense of incomplete emptying

Causes and risk factors

  • Age-related hormonal change
  • Genetic predisposition
  • Metabolic syndrome

Diagnosis

  • IPSS score
  • Digital rectal examination
  • Uroflowmetry and residual urine
  • Ultrasound for prostate volume
  • Serum PSA

Treatment

  • Watchful waiting with lifestyle advice
  • Alpha blockers and 5-ARI medication
  • TURP
  • Laser TURP or enucleation
  • Bladder neck incision for small glands

Prevention

  • Stay physically active
  • Limit fluids and caffeine in the evening
  • Control weight and blood sugar
  • Annual check-up after age 50

Recovery

After TURP, most men stay one to two days and see immediate improvement in flow. Mild burning can last a couple of weeks; avoid heavy lifting for a month.

Information on this website is for patient education only and does not replace an in-person consultation. Treatment results vary between individuals and no outcome is guaranteed.