BENIGN PROSTATIC HYPERPLASIA

Enlargement of the prostate causing urinary symptoms.
Common in men above 50 years.

Cause

  • Benign growth of prostate size, age related

Clinical features

  • Obstructive symptoms: weak urine stream, straining at micturition, hesitancy, intermittency, sensation of
    incomplete bladder emptying
  • Irritative symptoms: frequent micturition especially during the night, urgency, urge incontinence
  • Complications: acute urinary retention, frequent infections which may precipitate symptoms

Investigations

  • Urine analysis (blood, leucocytes)
  • Renal function
  • Abdominal ultrasound

Management

  • Treat with antibiotics if infection present (see prostatitis or acute cystitis in previous section)
  • Surgical management if severe symptoms