Prof. Dr. Mustafa SOFİKERİM | Urology

What is Prostate Enlargement (BPH)?

Generally, prostate enlargement is a disease that occurs after the age of 50 years. But there are patients who are 29 years old in the literature.

The most common disease of prostate, which is the fearful dream of all men, is normal prostate growth. With advancing age, especially after the age of 50, half of men experience symptoms of prostate enlargement. After 60 years of age, this rate goes up to 70 percent. One third of men have to have an operation due to prostate enlargement. In other words, one of the 3 men is affected by this prostate growth. Since prostate is a very common disease, men should be very careful and often go to physician control.

Normal prostate enlargements are usually caused by an advanced age and we cannot know why. Prostate enlargement is a condition that manifests itself in the growth of the glands in the prostate, especially in the urinary tract under the bladder. When these glands grow, they create a resistance to urine flow. Therefore, the patient has to contract his urinary bladder more strongly to drain his urine. In later times, urine cannot be completely emptied and urine remains in its bladder.

Generally, prostate enlargement is a disease that occurs after the age of 50 years. But there are also patients aged 29 years in the literature.

Prostate Growth or Benign Prostate Growth (BPH) is a natural condition that causes a pressure similar to that created by a clamp that grows slowly around the urethra into the garden hose.

Common symptoms of prostate enlargement include:

  • Frequent urination, especially at night
  • Immediate urge to urinate
  • Difficulty in starting to urinate
  • Pain or burning
  • Feeling that your bladder is never fully emptied
  • Urinary dripping or incontinence
  • Poor urine flow

Many men have talked about changes in lifestyles, such as avoiding travel, preventing daily activities, and using toilet bowls instead of urinals. Going to bathroom too often, may cause lose of sleep.

Diagnosis in Prostate Enlargement

You may first notice the symptoms of prostate enlargement (BPH) yourself, or your doctor may determine that your prostate is growing during regular health check-ups. When there is a suspicion of prostate enlargement (BPH), you may be referred to a urologist who is a specialist in the urinary tract or in the male reproductive system. There are a number of tests that allow doctors to identify the problem and decide on the best treatment. Tests may vary according to the patient, but the following are the most common.

Digital Rectal Examination (DRE)

This is usually the first test performed. The doctor, fingertip the rectum with gloves in his hand and feels the prostate piece with his finger. This examination gives the doctor a general idea of the size and condition of the prostate gland.

Prostate Specific Antigen (PSA) Blood Test

Your doctor may ask you to take a PSA blood test to eliminate the possibility of cancer-related symptoms. PSA, a protein of prostate cells, is usually found in high levels in the blood of men with prostate cancer.

Rectal Ultrasound in Prostate Growth

If there is a possibility of prostate cancer, your doctor may ask you to take a rectal ultrasound test. In this process, a probe placed in the rectum directs sound waves in the prostate. Echo patterns of sound waves display the image of the prostate gland on the screen.

Urine Flow Analysis in Prostate Growth (Uroflowmeter)

Sometimes, doctors may ask the patient to urinate a special container that measures how fast the urine flows. The low urine flow usually indicates the presence of Benign Prostate Growth (BPH).