Benign prostatic hyperplasia (BPH) / Prostate enlargement

CONDITION

Benign prostatic hyperplasia (BPH) is a benign (non-cancerous) condition where the prostate continuous to grow as men get older; it is a natural part of the ageing process. The enlarging prostate may squeeze the water pipe (urethra) and limit the flow of urine, resulting in bladder outflow obstruction and difficulty passing urine. If left untreated complications such as urinary retention (inability to pass urine), chronic kidney disease, urinary tract infections (UTIs) and bladder stones may develop. BPH is a common condition, estimated to affect 1 in 2 men over the age of 50 to some degree and almost all men over the age of 80.

A detailed history and careful examination along with urine flow tests, a post-void bladder scan and urine testing in clinic will usually help to diagnose BPH and rule out sinister causes such as prostate cancer. Sometimes additional tests such as PSA blood test, MRI scan of the prostate, ultrasound of your kidneys and bladder, flexible cystoscopy or urodynamic investigations may be required.

Treatment options for BPH range from lifestyle changes to medical therapies to surgical interventions, of which there are many options. A careful discussion at your consultation will help to ascertain which of these will work best for you.