Benign prostatic hyperplasia

Very low urgency
Very common-

Non-cancerous, benign enlargement of the prostate gland. It usually gets bigger with age, especially after the age of 50, but can cause symptoms if it grows too much.

The main risk factors for developing it are: previous inflammation of the prostate (prostatitis), obesity, high fasting blood sugar levels and diabetes.

Symptoms include frequent urination (often with a sense of urgency), difficulty passing urine and weak urine stream. It may be accompanied by discomfort when passing urine, a sensation of incomplete voiding and leakage of urine after voiding.

It is diagnosed clinically by clinical questioning and additional physical examination with rectal examination.

Changing certain daily habits may delay the onset or progression of the condition. Alpha-blockers may be prescribed to relax the bladder muscles and help voiding. In addition, 5-alpha reductase inhibitors are medications that reduce the size of the prostate gland, thus preventing compression of the duct that empties the bladder.

Bibliographic references
  1. Glenn R Cunningham, Dov Kadmon. Clinical manifestations and diagnostic evaluation of benign prostatic hyperplasia. UpToDate Aug 20, 2015.
  2. Glenn R Cunningham, Dov Kadmon. Lower urinary tract symptoms in men. UpToDate May 11, 2015.
  3. Glenn R Cunningham, Dov Kadmon. Epidemiology and pathogenesis of benign prostatic hyperplasia. UpToDate Aug 11, 2015.
  4. Glenn R Cunningham, Dov Kadmon. Medical treatment of benign prostatic hyperplasia. UpToDate Oct 08, 2015.
  5. Martin S, Lange K, Haren MT, et al. Risk factors for progression or improvement of lower urinary tract symptoms in a prospective cohort of men. J Urol 2014; 191:130.
  6. Marshall LM, Holton KF, Parsons JK, et al. Lifestyle and health factors associated with progressing and remitting trajectories of untreated lower urinary tract symptoms among elderly men. Prostate Cancer Prostatic Dis 2014; 17:265.
  7. Bang WJ, Lee JY, Koo KC, et al. Is type-2 diabetes mellitus associated with overactive bladder symptoms in men with lower urinary tract symptoms? Urology 2014; 84:670.
  8. Schenk JM, Kristal AR, Neuhouser ML, et al. Serum adiponectin, C-peptide and leptin and risk of symptomatic benign prostatic hyperplasia: results from the Prostate Cancer Prevention Trial. Prostate 2009; 69:1303.
  9. Araujo AB, Yaggi HK, Yang M, et al. Sleep related problems and urological symptoms: testing the hypothesis of bidirectionality in a longitudinal, population based study. J Urol 2014; 191:100.
  10. Howard I. Scher, James A. Easthman. Enfermedades benignas y malignas de la próstata. Harrison. Principios de Medicina Interna. Volumen 2. 19º Edición. 587
Author
Dr. Oscar Garcia-Esquirol
Copyright
© TeckelMedical 2026

Symptoms

    Urinating small amounts many times a day


    Weak urine stream


    Need to urinate after having already urinated


    Difficulty initiating urination


    Unable to pass urine

Symptoms to watch out for

Pain when passing urine
Inability to void urine
Blood in the urine
Fever (temperature higher than 38 ºC)
Lumbar pain

Self-care

Reduce caffeine consumption.
Reduce alcohol consumption.
Avoid decongestants or antihistamines consumption.
Urinate twice to increase bladder emptying.