Benign Prostatic Hyperplasia

Urology
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Struggling to answer when nature calls?

Learn how an enlarged prostate can slow your flow.

If your urine stream seems weak or hard to start, it could be an enlarged prostate, or benign prostatic hyperplasia (BPH). The prostate gland is about the size of a walnut. As you age, it may get larger and cause problems. The larger prostate can squeeze the urethra, the tube that carries urine out of the body. This pressure can make the bladder wall thicker, weakening the bladder and making it harder for you to empty completely.

What are the symptoms?

  • Feeling like your bladder isn’t empty after urinating
  • Needing to urinate every one – two hours
  • Feeling a sudden, urgent need to urinate
  • Noticing a weak urine stream
  • Having trouble starting your flow or needing to push or strain
  • Waking up more than twice at night to urinate

What causes BPH?

The causes of BPH aren’t clear, but BPH isn’t cancerous. It occurs mostly among older men as their hormone levels change. In fact, up to 90% of men over 80 experience BPH.

Is it dangerous?

BPH typically gets worse with age. It can lead to bladder damage, bladder infections, blood in the urine and kidney damage.

How is it diagnosed?

Your provider may refer you to a urology specialist for evaluation. During your visit, you may have a digital rectal exam and urine tests to check whether the urethra is blocked. Some patients may also need an ultrasound, MRI or CT scan. Blood tests that measure PSA, a protein made by the prostate, can also help diagnose BPH.

How is it treated?

Treatment varies by patient, but common options include:

  • Prescription medications
  • Minimally invasive procedures, such as UroLift
  • Surgical options, such as transurethral resection of the prostate