Here is a summary of the important facts and information related to prostate enlargement.
- An enlarging
prostate glandcan squeeze against the urethraand, in some cases, constrict the neck of the bladder. This can cause problems with the flow of urine. Benignprostatic hyperplasia(BPH) is a noncancerous condition.
- The prostate normally increases in size as men age.
- The incidence of BPH rises sharply after age 40, possibly due to hormonal changes.
- The symptoms of BPH include irregularities in the stream of urine, problems controlling
urination, and an increased frequency of urination.
- Symptoms of BPH are categorized as mild, moderate, or severe; the severe symptoms are usually treated medically or surgically.
- Treatment options include
watchful waiting; medical treatments such as alpha blockers and 5-alpha reductase enzyme inhibitors; and surgical treatments such as TUIP, TURP, and open prostatectomy.
- Potential side effects of treatment include
impotence, urinary incontinence, bleeding, and recurrence of enlargement requiring additional treatment; these risks must be weighed against the potential benefits.
- Among the more recent treatment options are laser prostatectomy,
transurethralneedle ablation (TUNA), high intensity focused ultrasound (HIFU), and prostate stents.