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Symptoms of BPH/Enlarged Prostate

Men with BPH can experience a variety of urinary symptoms, from mild to more severe.

Some of the more common symptoms men with BPH experience include:
  • Sudden, urgent need to urinate
  • Increase urinary frequency, especially at night
  • Weak or interrupted urine stream
  • Difficulty starting urination
  • Urine leakage, also known as incontinence
  • Inability to completely empty the bladder

Men experiencing urinary symptoms will have an evaluation performed by one of our experienced urologists. It’s important to understand that some or all of these symptoms can also be signs of other conditions such as a urinary tract infection, prostatitis (inflammation of the prostate), and even prostate cancer, which is why it’s important to see a physician.

How is BPH Diagnosed?

Diagnosing BPH/enlarged prostate includes performing a complete medical history and physical exam. Your physician will also perform a digital rectal exam (DRE) to better assess the size of the prostate. Your urologist may order a prostate specific antigen (PSA) test to rule out other conditions of the prostate.

Additional diagnostic tests may include:
  • Uroflow: This test measures the flow and force of the urine stream.
  • Bladder Ultrasound (post-void residual): A non-invasive ultrasound test that assesses the ability of the bladder to empty.
  • Cystoscopy: A small telescope is used to look inside the bladder to assess prostate size and to also rule out sources of blockages in the bladder such as bladder for stones, tumors, or other obstructions.
  • Urodynamics:  A procedure which helps determine whether a blockage of the prostate is the cause of your urinary symptoms
  • Transrectal ultrasound: This test is used to assess the size of the prostate as well as the function of the bladder.
Did You Know?

Caffeine, alcohol, spicy or acidic foods, certain cold and pain medications, and constipation can exacerbate BPH symptoms. Left untreated, symptoms may worsen over time and can cause complications that may include the inability to urinate (urinary retention), bladder or kidney damage, bladder stones, or urinary tract infections.


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