Prostate Enlargement

Benign Prostatic Hyperplasia Enlarged Prostate

  • Prostate enlargement is very common and it affects half of all men over the age of 60 and about 80% of men over 80 years of age.
  • It is thought to be related to the effect of male hormones, including testosterone, on the aging gland.
  • A history of prostate enlargement in your family also increases the odds that you too will experience the problem.

Interesting facts


  • Married men experience prostate enlargement more that single men.
  • American and European men are more likely to get prostate enlargement than Asian men.

Signs symptoms

Vary from person to person

  • Difficulty with starting to urinate
  • Difficulty maintaining a constant flow of urine
  • Dribbling at the end of urination
  • Feeling you need to urinate frequently
  • Increasing need to urinate during the night
  • Urgency to urinate
  • Not being able to empty your bladder completely
  • Urinary tract infections
  • Blood in your urine.


Diagnostic tests for enlarged prostate

  • Cystoscopy: using a local anesthetic to pass a lens into the urethra and bladder to see if any abnormalities are present.
  • Intravenous pyelogram: X raying the urinary tract as a dye is injected into a vein that shows up tumors or blockages.
  • Urinary flow test :( measures the strength and amount of urine flow)
  • Ultrasound, urodynamic studies, postvoid residual
  • Volume test

Treatment necessary,when? 


  • If your symptoms are mild regular checks ups to make sure the cause of your prostate enlargement remains non-threatening to your health may be best.
  • More severe symptoms will require active treatment.
  • See your doctor for evaluation if you are having problems urinating.
  • Always seek urgent treatment for blood loss or an inability to pass urine.


                                                   Prostate Cancer - risk?

Prostate cancer is the second most common form of cancer that affects men.
Prostate cancer overtook lung cancer as the most commonly diagnosed tumor

  Risk Factors of Prostate Cancer:

  • Age is the number one risk factor.
  • 40 to 50 years old - 70 %
  • Those fortunate to live into their 80’s will find that 4 out of 5 men will have some kind of cancerous prostate condition
  • Racial and ethnic groups - African American men have a higher death rate
  • In rural Africa prostate cancer is apparently rare

Overall survival rates for prostate cancer have increased from 67 %to 97 % in the past 20 years.


Genetic links:

if your father or brother has had prostate cancer you are twice as likely to develop it
Prostate screening may therefore be more important for men with an apparent genetic predisposition.