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Benign Prostatic Hyperplasia
(BPH, Enlarged Prostate)

Medical Author: Glenn Gerber, MD
Medical Editor: William C. Shiel Jr., MD, FACP, FACR

Prostate Problem Warning Signs

Find out when you should seek medical attention for prostate problems.The prostate is a small organ about the size of a walnut. It is found below the bladder (where urine is stored) and surrounds the tube that carries urine away from the bladder (urethra). The prostate makes a fluid that becomes part of semen. Semen is the white fluid that contains sperm.

Prostate problems are common in men age 50 and older. Sometimes men feel symptoms themselves, or sometimes their doctors find prostate problems during routine exams. Doctors who are experts in diseases of the urinary tract (urologists) diagnose and treat prostate problems.

There are many different kinds of prostate problems. Many don't involve cancer, but some do. Treatments vary but prostate problems can often be treated without affecting sexual function.

Signs of Prostate Problems

  • Frequent urge to urinate
  • Blood in urine or semen
  • Painful or burning urination
  • Difficulty in urinating
  • Difficulty in having an erection
  • Painful ejaculation
  • Frequent pain or stiffness in lower back, hips, or upper thighs
  • Inability to urinate, or
  • Dribbling of urine

If you have any of these symptoms, see your doctor right away to find out if you need treatment.

What is the prostate gland?

The prostate is a small organ about the size of a walnut. It lies below the bladder (where urine is stored) and surrounds the urethra (the tube that carries urine from the bladder). The prostate makes a fluid that helps to nourish sperm as part of the semen (ejaculatory fluid).

Prostate problems are common in men 50 and older. Most can be treated successfully without harming sexual function. A urologist is a specialist in diseases of the urinary system, including diagnosing and treating problems of the prostate gland.

How does the doctor detect prostate enlargement?

A doctor usually can detect an enlarged prostate by rectal exam. The doctor also may examine the urethra, prostate, and bladder using a cytoscope, an instrument that is inserted through the penis.

What is benign prostatic hyperplasia?

Benign prostatic hyperplasia is nonmalignant (noncancerous) enlargement of the prostate gland, a common occurrence in older men. It is also known as benign prostatic hyperplasia and abbreviated as BPH.

When does benign prostatic hyperplasia start?

BPH generally begins in a man's 30s, evolves slowly, and most commonly only causes symptoms after 50.

What happens in BPH? What are symptoms of BPH?

In BPH, the prostate gland grows in size. It may compress the urethra which courses through the center of the prostate. This can impede the flow of urine from the bladder through the urethra to the outside. It can cause urine to back up in the bladder (retention) leading to the need to urinate frequently during the day and night. Other common symptoms include a slow flow of urine, the need to urinate urgently and difficulty starting the urinary stream. More serious problems include urinary tract infections and complete blockage of the urethra, which may be a medical emergency and can lead injury to the kidneys.

Male Torso Picture - Benign Prostatic Hyperplasia (BPH)

How common is BPH? Are there any risk factors?

BPH is extremely common. Half of all men over 50 develop symptoms of BPH, but only 10% need medical or surgical intervention.

Is BPH a type of cancer?

No! BPH is completely benign. It is not a precursor (a forerunner) to prostate cancer.



Next: Is BPH always treated? »

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Benign Prostatic Hyperplasia

What is blood in urine (hematuria)?

Hematuria, or blood in the urine, can be either gross (visible) or microscopic (as defined by more than three to five red blood cells per high power field when viewed under magnification). Gross hematuria can vary widely in appearance, from light pink to deep red with clots. Despite the quantity of blood in the urine being different, the types of conditions that can cause the problem are the same, and the workup or evaluation that is needed is identical.

People with gross hematuria usually present to their doctor with this as a primary complaint. Microscopic hematuria, on the other hand, is most commonly detected as part of a periodic checkup by a primary-care physician.

What are the causes of blood in urine?

The causes of gross and microscopic hematuria are similar and may result from bleeding anywhere along the urinary tract. One cannot readily...

Read the Blood in Urine article »











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