Introduction
Prostate enlargement, also known as Benign Prostatic Hyperplasia (BPH), is a common condition affecting men as they age. By age 60, nearly 50% of men experience symptoms; by age 85, the number rises to 90%.
In this blog, Dr. Ajinkya Kasekar explains the warning signs, causes, and treatment options for an enlarged prostate.
What Is BPH?
BPH is a non-cancerous enlargement of the prostate gland.
As the gland grows, it compresses the urethra and affects urine flow.
Symptoms of Prostate Enlargement
- Difficulty starting urination
- Weak or interrupted urine stream
- Frequent urge, especially at night
- Dribbling after urination
- Feeling of incomplete emptying
- Sudden urgency
- Recurrent UTIs
These symptoms worsen gradually if untreated.
Why Does BPH Occur?
The exact cause is unclear, but contributing factors include:
- Age-related hormonal changes
- Family history
- Sedentary lifestyle
- Obesity
- Diabetes
- Hypertension
Diagnosis
Evaluation may include:
- Digital rectal exam
- PSA blood test
- Ultrasound
- Uroflowmetry
- Urine tests
Treatment Options for BPH
1. Medications
- Alpha-blockers
- 5-alpha reductase inhibitors
Useful for mild to moderate symptoms.
2. Minimally Invasive Procedures
For worsening or moderate symptoms.
3. TURP (Transurethral Resection of Prostate)
Gold-standard surgery for BPH.
Removes obstructing prostate tissue through the urethra.
4. TUIP
Small incision in the prostate to improve flow.
Ideal for smaller prostates.
5. Laser Prostate Surgery
Advanced method using laser energy to shrink or vaporize tissue.
Complications If Left Untreated
- Urinary retention
- Bladder stones
- Recurrent infections
- Kidney damage
- Severe discomfort affecting quality of life
Conclusion
Prostate enlargement is common but manageable. Early diagnosis ensures simpler treatment and better outcomes.
If you’re experiencing urinary symptoms, consult Dr. Ajinkya Kasekar for accurate evaluation and modern treatment options.