Enlarged Prostate

Enlarged Prostate

An enlarged prostate, medically known as benign prostatic hyperplasia (BPH), is a common age-related condition seen in men above 40 years. It refers to the non-cancerous increase in the size of the prostate gland. The prostate lies just below the bladder and surrounds the urethra, the tube that carries urine out of the body. As the gland enlarges, it can compress the urethra and interfere with normal urinary flow. While BPH is not cancer and does not increase the risk of prostate cancer, it can significantly affect quality of life if symptoms are ignored.

The prostate normally grows slowly throughout a man’s life. In many men, especially after the age of 50–60 years, this growth becomes prominent enough to cause urinary symptoms. By age 60, nearly one-third of men experience moderate symptoms, and by age 80, about half report bothersome urinary complaints.

This enlargement primarily occurs in the transitional zone of the prostate, which surrounds the urethra, explaining the urinary disturbances.

Most symptoms are associated with the passage of urine. Patients usually complain of:

  • Weak or slow stream of urine
  • A delay before starting to pass urine, or hesitancy
  • Poor stream – slow, may stop & start
  • The need to strain to keep urine flowing
  • Passing urine often and urgently
  • Needing to pass urine at night, nocturia
  • Dribbling urine onto underpants after finishing urination
  • The feeling that the bladder is not empty

In the advanced phase, patients may complain of urinary retention, urinary tract infections, or hematuria (blood in urine).

The exact cause of prostate enlargement is not fully understood. Hormonal changes that occur with ageing, particularly involving testosterone and dihydrotestosterone, are believed to play a major role.

Certain factors increase risk:

  • Advancing age
  • Family history of prostate problems
  • Diabetes and heart disease
  • Obesity and a sedentary lifestyle

BPH is broadly classified into four stages:

  • Stage I: Mild symptoms, minimal obstruction
  • Stage II: Symptoms interfere with daily routine
  • Stage III: Significant obstruction with severe symptoms
  • Stage IV: Obstruction with complications such as bladder damage or kidney involvement

Early evaluation helps prevent progression to advanced stages.

Diagnosis is largely clinical, based on symptoms and physical examination, including a digital rectal examination. Additional tests may include:

  • PSA (Prostate-Specific Antigen) blood test
  • Urine examination
  • Ultrasound of the prostate and bladder
  • Uroflowmetry (to assess urine flow)

These help rule out other conditions such as urinary tract infection, bladder stones, urethral stricture, or prostate cancer.

Treatment depends on symptom severity and patient preference.

Lifestyle Modifications

For mild symptoms, simple changes may help:

  • Avoid delaying urination
  • Limit caffeine and alcohol, especially in the evening
  • Reduce fluid intake before bedtime
  • Maintain a healthy weight and regular exercise
  • Practice pelvic floor (Kegel) exercises

Medications

Urologists prescribe appropriate medications such as antibiotics, hormonal medications or alpha-1 blockers to relax prostate muscles.

Surgical Options

When medications are ineffective or complications arise, minimally invasive or surgical procedures may be advised to relieve obstruction. Consult our team at the Department of Urology at UMC hospitals to learn more about prostate surgery in Navi Mumbai.

At UMC Hospitals, evaluation of an enlarged prostate is approached with clinical precision and patient-centred counselling. Our urology team focuses on early diagnosis, individualized treatment planning, and long-term monitoring to preserve bladder and kidney health. Patients are guided through every stage of care with clarity and transparency. An enlarged prostate is a manageable condition. With timely consultation and appropriate urology treatment in Navi Mumbai at UMC Hospitals, most men experience significant relief and maintain a good quality of life.