Enlarged Prostate

prostate-labeledBenign prostatic hyperplasia (BPH) refers to the excessive cellular growth of the glandular and stromal elements of the prostate.  It is a common condition affecting grown men, with incidence increasing dramatically after the age of 50. 

The symptoms of BPH, which include difficulty urinating, urgency with leaking or dribbling, and nocturia, can adversely affect sexual functioning and quality of life.  Many men with BPH and lower urinary tract symptoms wait until symptoms become much worse before seeking medical attention. 

It is advisable to get a consultation to determine severity.  The American Urological Association (AUA) Symptom Index is a validated seven-question instrument that can be used to objectively assess the severity of BPH.  You can take the 7 question quiz and discuss with your urologist.  American Urological Association Symptom Index is used to assess the severity of BPH.  A score of 7 or less indicates mild BPH; a score of 8 to 19 indicates moderate BPH; a score of 20 to 35 indicates severe BPH.

Enlarged Prostate

Enlarged Prostate

Normal Prostate

Normal Prostate

  • Mild symptoms may be treated by watchful waiting. This means you may make small changes to your lifestyle to control your symptoms, but there is no need to take medicines or have surgery. You have regular checkups to be sure your symptoms are not getting worse.
  • Moderate to severe symptoms of BPH treatment depends on how much you are bothered by them. You may choose watchful waiting or treatment with medicine. If the symptoms are impacting your quality of life and you want more aggressive treatment, you may opt for surgery or less invasive therapies.
  • If you are having severe symptoms such as urinary retention, bladder stones, blood in your urine or any damage to the kidneys, then surgery may be an option.  Discuss treatment options with your urologist.

BPH impact on lifeIt is advisable not to rush urination and relax while using the bathroom.  Fluid intake is vital, but drink throughout the day and limit in the evening if you are waking up 1+ times at night to urinate. 

You may also discuss the option of trying herbal therapy for BPH. 

Some of these tips may reduce how much BPH affects your quality of life.