Benign prostate disease

Benign Prostatic Hyperplasia (BPH)

Benign prostatic hyperplasia (BPH)-commonly known as an enlarged prostate is a frequent condition that men experience as they grow older. The prostate is a small, walnut-sized gland located just below the bladder that is essential for producing fluid for semen. It is very common for this gland to gradually increase in size as part of the natural aging process.

When the prostate enlarges, it can squeeze the urethra (the tube that carries urine from the bladder out of the body) and restrict the flow of urine. This can lead to uncomfortable symptoms and, if left unmanaged, may result in bladder, urinary tract, or kidney complications.

Understanding the symptoms of BPH

The symptoms of an enlarged prostate vary from person to person. Interestingly, the size of your prostate does not always dictate the severity of your symptoms; some men with minor enlargement experience significant discomfort, while others with very large prostates have minimal disruption.

Common signs to look out for include:

• Frequent or urgent need to urinate, especially during the night.
• Difficulty initiating urination or a slow, hesitant start.
• A weak, interrupted urine stream that stops and starts.
• Dribbling at the end of urination.
• An inability to completely empty your bladder.

Less common but serious symptoms include:

• Urinary tract infections (UTIs).
• An absolute inability to pass urine (acute urinary retention).
• Blood present in the urine.

While BPH symptoms usually progress slowly over time, they can fluctuate, sometimes remaining stable or even improving temporarily.

Other causes of urinary symptoms

It is crucial to get an accurate diagnosis, as several other conditions and medications can mimic the symptoms of BPH. Alternative causes include:

• Urinary tract infections or an inflamed prostate (prostatitis).
• Narrowing (stricture) of the urethra or scarring from previous surgeries.
• Bladder or kidney stones.
• Neurological conditions affecting bladder control.
• Prostate or bladder cancer.
• Medications: Certain over-the-counter and prescription drugs, such as strong opioid pain relief, cold and allergy medications, and older antidepressants, can also impair bladder function.

When to seek expert advice

If you are experiencing any changes to your urinary habits, we recommend speaking to a specialist, even if the symptoms feel manageable. Leaving BPH untreated can increase the risk of a sudden, painful, and potentially dangerous blockage of your urinary tract.

Treatment and care at Sulis Hospital

At Sulis Hospital, our dedicated urology team provides personalised, comprehensive care for men experiencing BPH. There is no one-size-fits-all approach; the right path forward depends entirely on your specific symptoms, the size of your prostate, and your overall medical history.

We offer a full spectrum of advanced management options, including:

• Lifestyle Adjustments & Monitoring: For mild symptoms that require careful observation.
• Medication: To relax the prostate muscles or shrink the gland to improve flow.
• Minimally Invasive Procedures & Surgery: Innovative techniques designed to clear the blockage with minimal downtime.

Our world-class consultants are here to guide you through your options, ensuring you receive the exact care you need to regain your quality of life.

Take the first step

Do not let urinary symptoms disrupt your daily life. Contact our private patient advisors today to book a consultation with a specialist urologist.