Prostate BPH stands for Benign Prostatic Hyperplasia — a non-cancerous enlargement of the prostate gland that commonly occurs in older men.

Here’s a breakdown:

🧠 Definition

  • Benign = not cancerous

  • Prostatic = related to the prostate gland

  • Hyperplasia = increase in the number of cells

So, BPH means the prostate grows larger because the number of its cells increases.


📍 Why It Happens

  • As men age, changes in hormone levels (especially testosterone and dihydrotestosterone, or DHT) stimulate prostate growth.

  • This usually begins around age 40 and progresses slowly over time.


⚙️ What the Prostate Does

The prostate gland sits just below the bladder and surrounds the urethra (the tube that carries urine out of the body).
When it enlarges, it can press on the urethra, causing urinary problems.


🚽 Common Symptoms

  • Weak or slow urine stream

  • Difficulty starting urination

  • Dribbling after urination

  • Frequent urination, especially at night (nocturia)

  • Urgency to urinate

  • Feeling like the bladder isn’t fully empty


🧪 Diagnosis

  • Digital rectal exam (DRE)

  • PSA blood test (prostate-specific antigen)

  • Urine flow test

  • Ultrasound or post-void residual volume test


💊 Treatment Options

Depends on symptom severity:

  1. Lifestyle changes (reduce caffeine/alcohol, avoid late-night fluids)

  2. Medications

    • Alpha-blockers (e.g., tamsulosin)

    • 5-alpha reductase inhibitors (e.g., finasteride)

  3. Minimally invasive procedures (e.g., UroLift, Rezūm)

  4. Surgery (e.g., TURP — transurethral resection of the prostate)


⚠️ Important Note

BPH does not cause prostate cancer, but the two can occur together, so regular check-ups are important.


 

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