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Benign Prostatic Hyperplasia (BPH)

As men age, their prostate gland often grows larger. This is referred to as benign prostatic hyperplasia (BPH) or an enlarged prostate.

BPH can interfere with your quality of life by causing bothersome urinary symptoms, such as incontinence and difficulty urinating.

Symptoms of BPH include the following:

  • Incontinence
  • Waking to urinate during the night frequently (two or more times)
  • Feeling like your bladder is not empty even after urinating
  • Difficulty urinating

Benign prostatic hyperplasia: what you should know

  • As they age, almost all men develop an enlarged prostate.
  • When your prostate gets larger, it squeezes down on the urethra. This leads to a number of urinary symptoms and problems.
  • While BPH is a common problem, it should not be ignored. If left untreated, BPH can cause bladder, urinary tract and kidney problems, including urinary retention and recurrent urinary tract infections.
  • Having an enlarged prostate does not mean you have prostate cancer — and it does not increase your risk for developing prostate cancer.
  • Your doctor can diagnose BPH by discussing your medical history and performing a digital rectal exam to feel your prostate gland.
  • Additional tests, such as a urinalysis or a prostate specific antigen (PSA) blood test, can also detect underlying infections or prostate cancer.
  • BPH treatment includes medications, lifestyle modifications or surgery. 

Care for benign prostatic hyperplasia at Rush

Your treatment options for BPH depend on the size of your prostate, your symptoms and your overall health.

  • Watchful waiting: If you have an enlarged prostate, but it is not causing symptoms or discomfort, your doctor might just monitor you closely.
  • Lifestyle modifications: Changing current medications, diet and exercise habits can help improve BPH symptoms.
  • Medications: Talk to your doctor at Rush about medications that can improve your symptoms.
  • Minimally invasive procedures: When medication does not help, these two procedures can reduce the size of your prostate and ease your symptoms:
    • Transurethral needle ablation (TUNA)
    • Transurethral microwave thermotherapy (TUMT)
  • Surgery: Your urologist might recommend BPH surgery if your symptoms are not responding to more conservative therapies. Surgical options include the following:
    • Laser surgery of the prostate (PVP)
    • Transurethral resection of the prostate (TURP)
    • Open prostatectomy 

Why choose Rush for benign prostatic hyperplasia care

  • Urologists at Rush specialize in treating benign prostatic hyperplasia. The urology program at Rush is consistently recognized as one of the best in the country by U.S. News & World Report.
  • Urologists at Rush are highly skilled in minimally invasive procedures to help relieve the symptoms of benign prostatic hyperplasia. These procedures offer you shorter recovery times, less risk for infection and fewer side effects than open prostate surgery.

Departments and programs that treat this condition