Benign Prostatic Hypertrophy

A diagram showing the difference between an enlarged prostate and a normal prostate

Benign Prostatic Hypertrophy, or BPH, is a common problem in older men, and occurs as the prostate enlarges over time.

The prostate is a gland that sits below the bladder and surrounds the urethra (the tube that carries urine from the bladder). As it enlarges, it can press on the urethra and makes it more difficult for patients to urinate.


  • Slow stream
  • Getting up at night time
  • Needing to urinate frequently or urgently
  • Leakage of urine
  • Not feeling as though the bladder is empty after urinating
  • Blood in the urine
  • Urinary tract infections
  • Not being able to urinate at all

Diagnosis of BPH may include some or all of the following tests:

  • History
  • Physical exam, including a rectal exam to feel the prostate
  • Urine tests
  • Blood tests
  • Urine flow test
  • Ultrasound of kidneys and bladder
  • Cystoscopy

Treatment depends on the severity of your symptoms, and how bothered you are by your symptoms.

Options include:

  • Healthy bladder habits
  • Medicine
  • Surgery

More information:

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