Index
What Is Benign Prostatic Hyperplasia (BPH)?
BPH is a non-cancerous enlargement of the prostate gland that commonly occurs as men age. The enlarged prostate can press on the urethra, causing urinary symptoms.
BPH is very common in men over 50 and can affect quality of life, but it is not life-threatening.
What Causes BPH?
The exact cause is not fully understood, but contributing factors include:
- Age-related hormonal changes (e.g., increased dihydrotestosterone in the prostate)
- Family history of BPH
- Lifestyle factors such as obesity and inactivity
What Are the Common Symptoms of BPH?
- Weak urine stream or difficulty starting urination
- Frequent urination, especially at night (nocturia)
- Urgency to urinate
- Incomplete bladder emptying
- Dribbling after urination
- Urinary tract infections in some cases
How Is BPH Diagnosed?
Diagnosis usually involves:
- Symptom review and medical history
- Physical examination, including digital rectal exam
- Urine tests to rule out infection or blood
- Ultrasound or PSA blood test in selected cases
- Online GP consultations can assess symptoms and advise on next steps; in-person evaluation is often needed for tests
How Long Does BPH Last?
- BPH is a chronic condition and symptoms may persist or slowly worsen over years
- Treatment can relieve symptoms and prevent complications, but the underlying enlargement is lifelong
Is BPH Contagious?
No. BPH is not contagious.
How to Feel Better and Manage Symptoms
Self-Care at Home:
- Limit fluid intake before bedtime
- Reduce caffeine and alcohol
- Schedule regular bathroom visits to avoid urgency
- Maintain healthy weight and exercise regularly
Treatment from a GP:
- Medications such as alpha-blockers or 5-alpha-reductase inhibitors
- Minimally invasive procedures in selected cases
- Lifestyle advice to manage symptoms
When Referral Is Needed:
- Severe urinary obstruction or retention
- Recurrent urinary tract infections
- Blood in urine
- Suspected prostate cancer
When to Seek Urgent Medical Help
Seek urgent care if:
- Inability to urinate
- Severe pain or bladder distension
- Signs of infection with fever or chills
- Sudden worsening of urinary symptoms
How Dr.Online UK Can Help
We offer:
- Same-day online GP appointments
- Assessment, advice, and prescription for BPH medications
- Guidance on lifestyle adjustments to improve symptoms
- Referral to urology if needed
