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Benign Prostatic Hyperplasia (BPH)

Benign prostatic hyperplasia is a common men's health problem resulting from enlargement of the prostate gland with age and restricting urine flow.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Üroloji department. Book Appointment →

What is Benign Prostatic Hyperplasia (BPH)?

Benign prostatic hyperplasia (BPH) is a common men's disease caused by age-related enlargement of the prostate gland pressing on the urethra, resulting in lower urinary tract symptoms (LUTS).

Histological BPH findings are detected in approximately 50% of men at age 50, and in more than 90% of men at age 80. However, not every BPH leads to symptoms.

Severe untreated BPH can cause urinary retention, bladder stone formation, recurrent infections, and kidney damage. Early diagnosis and treatment prevent these complications.

Symptoms

Frequent and urgent sensation of needing to urinate
Frequent nighttime urination (nocturia)
Weak, intermittent, or split urine stream
Difficulty starting urination and hesitancy
Post-void dribbling
Feeling of incomplete bladder emptying
Acute urinary retention (sudden inability to urinate — emergency)

Risk Factors

Advanced age (risk markedly increases after age 50)
Family history of BPH
Obesity and metabolic syndrome
Physical inactivity
Diabetes and cardiovascular disease
High-fat and red meat-dominated diet

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Sudden inability to urinate (acute urinary retention — emergency)
  • Blood in urine (hematuria)
  • Recurrent urinary tract infections
  • Moderate-severe symptoms measured by IPSS score
  • Annual prostate evaluation in men over 50

Treatment Methods

01
Lifestyle changes: caffeine and alcohol restriction, evening fluid restriction, bladder training
02
Alpha blockers (tamsulosin, alfuzosin): relax prostatic smooth muscle to increase urinary flow
03
5-alpha reductase inhibitors (finasteride, dutasteride): long-term use to reduce prostate volume
04
Combination therapy: alpha blocker + 5-ARI in patients with large prostate and severe symptoms
05
Transurethral resection of the prostate (TUR-P): endoscopic partial removal of prostate tissue (gold-standard surgery)
06
Laser prostatectomy (HoLEP, GreenLight): minimally invasive alternatives to TUR-P

Which Department to Visit?

You can visit our Üroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.