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BPH (Enlarged Prostate): Symptoms, Diagnosis and Treatment

What is BPH?

Benign prostatic hyperplasia (BPH) is a non-cancerous enlargement of the prostate that can slow or block urine flow. It’s common with age and very treatable.

Common symptoms

  • Weak or slow stream

  • Hesitancy (hard to start), stopping/starting

  • Frequent urination—especially at night

  • Sudden urgency or leakage

  • Feeling you didn’t fully empty

Simple steps to try

  • Evening fluids: Cut back 2–3 hours before bed

  • Bladder irritants: Reduce caffeine, alcohol, carbonated/sugary drinks

  • Timed voiding: Bathroom breaks every 3–4 hours

  • Medication review: Some cold/allergy meds can worsen symptoms—ask your clinician

  • Constipation management: Keeps pressure off the bladder

How we evaluate

A focused visit may include a symptom questionnaire, urine test, exam, PSA (as appropriate), and a quick bladder scan or flow test to see how well you empty.

Treatment options

  • Medications that relax or shrink the prostate

  • Minimally invasive office procedures to relieve blockage with shorter recovery

  • Surgical options for larger prostates or severe symptoms
    Your urologist will match options to your anatomy, goals, and lifestyle.

When to seek care promptly

Fever with urinary symptoms, inability to urinate, or blood in the urine with clots—call right away.


You don’t have to live with urinary symptoms—we’re here to help with clear answers and a plan that fits your life.

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