Enlarged Prostate (BPH)
A non-cancerous enlargement of the prostate gland in older men, which can make passing urine difficult.
Quick Summary
Weak urine flow, difficulty starting, needing to go often (especially at night), urgency and feeling the bladder isn't empty.
Lifestyle changes, medicines such as tamsulosin or finasteride, and surgery for severe symptoms.
Age over 50, family history and hormonal changes.
Overview
The prostate surrounds the urethra. As it grows with age, it can press on the urethra and affect urine flow.
BPH isn't cancer and doesn't increase cancer risk, but urinary symptoms should be checked to rule out other causes.
Symptoms
Weak flow
Slow stream or dribbling.
Frequent urination
Especially at night.
Urgency
A sudden need to go.
Unable to pass urine
Painful, full bladder needs emergency care.
Causes & Risk Factors
Biological Causes
Hormonal changes with age cause prostate cells to multiply.
Key Risk Factors
- Age Very common after 50.
- Family history Increases risk.
- Other conditions Diabetes and obesity.
Management & Treatment
01. Lifestyle
Reduce fluids before bed, cut caffeine and alcohol.
02. Medicines
Alpha blockers such as tamsulosin; finasteride to shrink the prostate.
03. Surgery
TURP or other procedures for severe symptoms.
Frequently Asked Questions
Is BPH prostate cancer?
Do I need a PSA test?
Sources and further reading
Last updated 21 October 2026. For more detail, see these trusted health organisations.
- Enlarged Prostate (BPH)(opens in a new tab) · MedlinePlus, US National Library of Medicine
- Enlarged prostate(opens in a new tab) · NHS