Benign Prostatic Hyperplasia (BPH)
Benign Prostatic Hyperplasia (BPH)
Topic Overview
Benign prostatic hyperplasia (BPH) is an enlarged prostate gland. The prostate gland surrounds the
urethra, the tube that carries urine from the bladder out of the body. As the prostate gets bigger, it may
squeeze or partly block the urethra. This often causes problems with urinating.
BPH occurs in almost all men as they age. BPH is not cancer. An enlarged prostate can be a nuisance. But
it is usually not a serious problem. About half of all men older than 75 have some symptoms.
Benign prostatic hyperplasia is probably a normal part of the aging process in men, caused by changes in
hormone balance and in cell growth.
Often feeling like you need to urinate. This feeling may even wake you up at night.
A sense that your bladder is not completely empty after you urinate.
In a small number of cases, BPH may cause the bladder to be blocked, making it impossible or extremely
hard to urinate. This problem may cause backed-up urine (urinary retention), leading to bladder
infections or stones or kidney damage.
BPH does not cause prostate cancer and does not affect a man's ability to father children. It does not
cause erection problems.
Your doctor can diagnose BPH by asking questions about your symptoms and past health and by doing a
physical examination. Tests may include a urine test (urinalysis) and a digital rectal examination, which
lets your doctor feel the size of your prostate. In some cases, a prostate-specific antigen (PSA) test is
done to help rule out prostate cancer. (Prostate cancer and BPH are not related, but they can cause some
of the same symptoms.)
Your doctor may ask you how often you have symptoms of BPH, how severe they are, and how much
they affect your life. If your symptoms are mild to moderate and do not bother you much, home
treatment may be all that you need to help keep them under control. Your doctor may want to see you
regularly to check on your symptoms and make sure other problems haven't come up.
You can use this tool to help you think about how bothersome your symptoms are:
Interactive Tool: How Bad Are Your Urinary Symptoms From Benign Prostatic Hyperplasia (BPH)?
How is it treated?
As a rule, you don't need treatment for BPH unless the symptoms bother you or you have other
problems such as backed-up urine, bladder infections, or bladder stones.
Although home treatment cannot stop your prostate from getting larger, it can help reduce or control
your symptoms. Here are some things you can do that may help reduce your symptoms:
Practice "double voiding." Urinate as much as you can, relax for a few moments, and then urinate again.
Avoid caffeine and alcohol. They make your body try to get rid of water and can make you urinate more
often.
If possible, avoid medicines that can make urination difficult, such as over-the-counter antihistamines,
decongestants (including nasal sprays), and allergy pills. Check with your doctor or pharmacist about the
medicines you take.
If home treatment does not help, BPH can be treated with medicine. Medicine can reduce the
symptoms, but it rarely gets rid of them. If you stop taking medicine, symptoms return.
If your symptoms are severe, your doctor may suggest surgery to remove part of your prostate. But few
men have symptoms or other problems severe enough to need surgery.
You cannot prevent BPH or the urination problems it may cause. Some people believe that regular
ejaculations will help prevent prostate enlargement. But there is no scientific proof that ejaculation
helps.