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Recognising the Early Signs of Benign Prostatic Hyperplasia

By Mosh
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6 min read
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Are you experiencing changes in your urinary habits? Do you find yourself waking up multiple times at night to use the bathroom? These could be early signs of BPH, also called Benign Prostatic Hyperplasia. Be in control of your prostate health today with a free prostate health review from Mosh.

Ready to understand your symptoms of benign prostatic hyperplasia better? Take our quick, free BPH assessment quiz now!

Understanding Benign Prostatic Hyperplasia (BPH)

Benign Prostatic Hyperplasia (BPH), commonly known as an enlarged prostate, is a condition where the size of your prostate gland grows larger over time. This growth is non-cancerous but can significantly affect your quality of life if left unchecked.

Benign Prostatic Hyperplasia (BPH) affects a significant portion of men as they age. Over 40% of men in their 50s and more than 70% of men in their 60s experience BPH symptoms [1]. 

Benign Prostatic Hyperplasia occurs when the prostate gland, a small walnut-sized organ located just below the bladder, begins to enlarge. This prostate enlargement is thought to be primarily due to the prostate's sensitivity to testosterone and/or the effect of dihydrotestosterone [2]. As men age, the prostate and surrounding tissue expand, potentially causing various urinary symptoms in men [3].

The prostate plays a crucial role in the male reproductive system by producing fluid that protects sperm. It surrounds part of the urethra, the tube that carries urine from the bladder through the penis [4]. When the prostate enlarges and squeezes the urethra, it can affect bladder function [3]. Symptoms may significantly impact your daily life if left unchecked.

Key Facts About BPH [1]:

  • It's the most common prostate problem in men over 50
  • Affects up to 70% of men aged 60-69
  • Up to 80% of men older than 70 experience enlarged prostates
  • BPH is not linked to prostate cancer, but symptoms can be similar

Don't wait for symptoms to worsen. Get a comprehensive online assessment with Mosh to find out your prostate health and start the conversation around treatment for BPH from our medical practitioners today.


Recognising Early Signs of an Enlarged Prostate

Identifying the early signs of BPH is crucial for timely intervention and management. Dr. Gordon O'Neill, a urologist with over 25 years of experience at St. Vincent's Clinic, describes the main symptoms:

"BPH symptoms mainly come in the obstructive symptoms such as poor flow, difficulty getting started, stop start dribbling towards the end not knowing when you've finished and the feeling of not emptying your bladder properly."

While not all men with an enlarged prostate will experience all symptoms, here are the key symptoms to watch for [3]:

  • Frequent Urination: This is often the first noticeable sign of prostate enlargement [5]. You may find yourself needing to urinate more often, especially at night (a condition known as nocturia).
  • Urgent Need to Urinate: You might experience sudden, intense urges to urinate, sometimes with little warning.
  • Difficulty Starting Urination: You may notice a delay in starting urination or need to strain to begin the flow.
  • Weak Urine Stream: Your urine flow may be weaker than usual or stop and start intermittently.
  • Dribbling at the End of Urination: You might experience continued dribbling after you think you've finished urinating.
  • Incomplete Bladder Emptying: You may feel like your bladder isn't completely empty after urinating.
  • Urinary Retention: In more advanced cases, you might find it difficult to urinate at all.

Dr. O'Neill adds an important point about nighttime urination:

"We consider sleeping through or getting up once at night to be quite normal, but any more than two times a night is an abnormal symptom and that can be looked into."

Remember, these symptoms can vary in severity and may develop gradually over time. Dr. O'Neill emphasises the slow progression of BPH which can cause symptoms to get worse over time:

"This is the problem with BPH is that it comes on most of the time very slowly. It may just develop slowly over 5 to 10 years. And then all of a sudden they realise the patient realises he has a problem."

If you're looking to dive deeper into benign prostatic hyperplasia (BPH) and its management, check out our comprehensive enlargement prostate guide for more information.

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The Impact of Untreated BPH

While BPH itself is not a life-threatening condition, leaving it untreated may cause lower urinary tract symptoms and complications that significantly affect your quality of life. Dr. O'Neill explains:

"Most of the time it leads to a poor quality of life if the obstruction becomes symptomatic. But sometimes, BPH can present with chronic retention, which means that the bladder is not emptying properly."

Potential complications due to BPH may include[6]:

  • Urinary tract infections (UTIs)
  • Bladder stones
  • Kidney damage
  • Chronic urinary retention
  • Sleep disturbances due to frequent nighttime urination
  • Anxiety and depression related to urinary symptoms

Don't wait for symptoms to worsen. Get a comprehensive online assessment with Mosh to find out your prostate health and start the conversation around treatment for BPH from our medical practitioners today.


Lifestyle Tips for Managing BPH Symptoms

While medical intervention may be necessary for some cases of BPH, there are lifestyle changes that can help manage symptoms resulting from prostate growth [7]:

  • Limit fluid intake before bedtime: Reduce the amount you drink in the hours leading up to sleep to minimise nighttime urination.
  • Avoid bladder irritants: Caffeine and alcohol can irritate the bladder and worsen urinary problems.
  • Practice double voiding: Urinate, wait a moment, then try to urinate again to ensure complete bladder emptying.
  • Maintain a healthy weight: Obesity can contribute to BPH symptoms.
  • Stay active: Regular exercise can help reduce symptoms of BPH and improve overall prostate health.

Remember, these tips are not a substitute for professional medical advice.Don't wait for symptoms to worsen. Get a comprehensive online assessment with Mosh to find out your prostate health and start the conversation around treatment for BPH from our medical practitioners today.

If you’re interested in exploring natural approaches to managing BPH, take a look at our article on the 7 best natural remedies for BPH symptoms.

BPH Treatment Options

There are several approaches to managing symptoms attributed to benign prostatic hyperplasia, ranging from lifestyle changes to medical interventions:

Lifestyle Modifications

  • Limit fluid intake before bedtime
  • Reduce consumption of caffeine and alcohol
  • Stay hydrated throughout the day to support kidney function

Medications

Two main types of medications are used to treat BPH [8]:

  • Alpha blockers: These relax the muscles around the bladder neck, making urination easier.
  • Alpha reductase inhibitors: These help shrink the enlarged prostate gland.

Prostate surgery

For more severe cases, various surgical treatments are available[8]:

Transurethral Resection of the Prostate (TURP): This common procedure involves removing part of the prostate gland.

  • Laser Surgery: Different laser techniques can be used to remove excess prostate tissue, including:
  • - Photoselective Vaporisation of the Prostate (PVP)
  • - Holmium Laser Ablation of the Prostate (HoLAP)
  • - Holmium Laser Enucleation of the Prostate (HoLEP)
  • Prostatic Urethral Lift: The prostatic urethral lift procedure is a minimally invasive procedure that uses implants to lift and hold the enlarged prostate tissue, reducing obstruction of the urethra.

Why Choose Mosh for Your Prostate Health?

At Mosh, we've revolutionised prostate health management, making it easier than ever to recognise and address the early signs of BPH:

  • Comprehensive Online Assessments: Get a thorough evaluation of your symptoms from the comfort of your home.
  • Free Health Practitioner Calls: Discuss your concerns with experienced health practitioners who understand BPH.
  • Fast Specialist Referrals: If needed, we'll connect you with top urologists quickly for further evaluation.
  • Free Symptom Tracker: Monitor the progression of your BPH symptoms easily with our user-friendly app.

Take charge of your prostate health today. Start your Mosh journey with our free BPH quiz!



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