Enlarged Prostate (BPH)

Overview

Benign Prostatic Hyperplasia (BPH) is a non-cancerous enlargement of the prostate gland that occurs commonly in aging men. The enlarged prostate compresses the urethra, causing urinary symptoms.

Symptoms

Weak or slow urine stream
Difficulty starting urination
Frequent urination, especially at night (nocturia)
Urgent need to urinate
Sensation of incomplete bladder emptying
Post-void dribbling

Diagnosis

Diagnosis involves symptom scoring (IPSS), digital rectal examination, PSA blood test, ultrasound, and urinary flow testing.

Treatment

Medications: Alpha-blockers (tamsulosin, alfuzosin) and 5-alpha reductase inhibitors (finasteride, dutasteride).

Surgery: TURP, HoLEP, ThuLEP, or other laser procedures for severe cases or those not responding to medication.