Benign prostatic hyperplasia (BPH) is one of the most common diseases to affect men over 40. Almost half of all men over the age of 65 suffer from problems caused by an enlarged prostate gland. The development of new, effective drugs and treatments has reduced the need for surgery in treating prostate problems. However, many men simply adapt their lives to cope with their symptoms rather than to have any treatment.

What does the prostate gland do?

The prostate gland is at the base of the bladder. It secretes fluid into the semen. The gland gradually enlarges with age and can block the passage of urine from the bladder.

Who is at risk of BPH and what are the symptoms?

The risk of BPH increases with age and is more likely if a close relative has the disease. The gland can change slightly after the age of 40 and around 50% of men in their 60’s and 90% of men over 85 have BPH.

The symptoms of BPH are caused by the prostate gland enlarging and obstructing the flow of urine. This obstruction irritates the bladder. The symptoms tend to come on very slowly but they gradually affect the sufferer’s quality of life.

Ask yourself the following three questions

Many men find it difficult to start passing water. They have to stop and start and it feels like they have not quite emptied the bladder. The bladder may overflow, causing urine to leak. For example, the sound of running water can cause leakage before you reach the toilet and dribbling afterwards. Sometimes the need to pass urine will become very urgent and you will feel the need to urinate more often. Although the symptoms will get gradually worse in 55% of men, symptoms can vary. Up to 30% of men may find symptoms remain stable and 15% of mens symptoms will improve with time.