CARE ASSISTANT
FRBenign Prostatic Hyperplasia (BPH)
Non-cancerous enlargement of the prostate.
With age, the prostate grows and can compress the urethra it surrounds, which hinders the flow of urine.
The signs: weak stream, difficulty starting, a feeling that the bladder is never empty and waking at night. Many options exist, from monitoring to minimally invasive treatments.
More Informations
A common urinary discomfort with age, and a very treatable one.
Definition
Benign prostatic hyperplasia (BPH) is a non-cancerous, age-related enlargement of the prostate. Because the prostate surrounds the urethra, this extra volume can slow the flow of urine: weaker stream, more frequent trips, waking at night, a feeling of incomplete emptying.
Causes
Ageing and the action of male hormones on the prostate. It is very common: about one man in two after 50 and most men after 70 have some BPH, although not all of them have bothersome symptoms.
Diagnosis
- A conversation about the symptoms, often with a simple questionnaire (IPSS score).
- A clinical examination and, depending on the case, a PSA blood test to rule out other causes.
- Ultrasound and a measure of urine flow or of the residue after voiding, if the doctor finds it useful.
Treatments
The range of options is wide and is decided with the urologist according to how bothersome the symptoms are. Often, simple monitoring and lifestyle adjustments are enough. Medicines can relax the prostate or reduce its volume. If the discomfort persists, there are now many minimally invasive techniques (water-vapour therapy, implants, embolisation) as well as laser or endoscopic surgery. The choice depends on prostate size, age, general health and the person's preferences.
When the bladder empties poorly, it can overflow in small leaks, especially at night or after effort. While waiting for treatment or during recovery, a discreet protection keeps clothes and sleep dry: male guards for light leaks, Nateen absorbent underwear for heavier ones.
Educational content written for families and caregivers. It does not replace a consultation: a doctor, a continence nurse or a physiotherapist makes the diagnosis and chooses the treatment.