Prostate Enlargement

Prostate is a walnut shaped gland that is part of the male reproductive system. The function of the prostate gland is to produce a fluid that goes into the semen. Prostate fluid is necessary for a man’s fertility. Benign prostate hyperplasia is a condition in which the prostate gland is enlarged and it is not still cancerous. It is also called benign prostate hypertrophy or benign prostatic obstruction.

When the prostate enlarges, the gland presses against and pinches the urethra. The bladder wall gets thicker and eventually, the bladder may weaken and lose the ability to empty completely, causing urinary retention. This causes lot of problems associated with the condition.

Causes of prostatic hyperplasia

Prostatic hyperplasia does not seem to have any well define cause, except that it is seen to occur more in older men. A person whose testicles have been removed before puberty does not get the condition. So it is believed that aging and testicles causes the condition. Men seem to produce dehydrotestosterone (DHT) even when the blood testosterone drops at older age. The presence of DHT may induce the prostate to grow even in old age and this can lead to the enlargement.

Who are at risk of getting BPH?

Men are of course at risk and there are some additional factors that can maximise the risk like age above 40 years, family history of BPH, medical conditions like obesity, diabetes and heart disease, lack of exercise and erectile dysfunction.

What are the symptoms of BPH?

Symptoms usually occur in the lower urinary tract and it may include the following:

Frequent urination.


Trouble starting a urine stream.

Dribbling at the end of urination.

Frequent urination during night time.

Urinary retention.

Pain during ejaculation.

Urine with unusual colour or smell.

Treatment for BPH

Treatment for Benign Prostatic Hyperplasia will have varied approach including

Lifestyle changes.


Minimally invasive procedures.

Normal surgery.

The doctor may recommend the appropriate treatment based on the severity of the symptoms, and how much affects the normal life of a patient.