BPH (Benign Prostate Hyperplasia)

Benign Prostatic Enlargement

• Non-cancerous enlargement of prostate
• Common above the age of 60
• Due aging and hormonal changes
• BPH can cause difficulty in urination
• Some may asymptomatic
• Size of the prostate is not related to severity of the symptoms
• BPH do not become cancerous but may co-exist

Causes of BPH

• Age-Risk increases with age
• Family history
• Hormone changes
• Growth hormones
• Testosterone
• Obesity
• Race-common in African-Black

Signs & Symptoms of BPH

• Change in urination
• Passing urine frequently
• Urgency-unable to control urination
• Getting up more than 2 times at night

• Dribbling of urine after urination
• Changes in urine flow
• Slow stream
• Difficulty in initiating urine flow
• Straining to pass urine
• Feeling of not completely emptying the bladder

• Inability to pass urine or retention of urine
• Urinary infection
• Bleeding
• Renal failure

Complications

• Retention or sudden inability to pass urine
• Urine Infection
• Bleeding
• Bladder stone
• Bladder damage
• Kidney damage

Treatment of BPH

• WW-wait and watch
• Medications- 20 to 30% effective
• Surgery
• BNI
• TURP
• TURIS
• Laser prostatectomy
• Robotic prostatectomy
• Open prostatectomy