BPH is one of the most common conditions affecting men as they age — and one of the most misunderstood. Here’s a clear explanation of what it is, why it happens, and what your options are.
What is BPH?
BPH stands for benign prostatic hyperplasia — a non-cancerous enlargement of the prostate gland. “Benign” means it isn’t cancer; “hyperplasia” refers to the growth of prostate tissue. As the prostate grows, it can press on the urethra (the tube that carries urine out of the body), making it harder to urinate normally.
BPH is extremely common — most men will develop some degree of prostate enlargement as they get older, and by their 60s and 70s, a large majority of men have at least mild symptoms.
Common symptoms of BPH
BPH symptoms tend to develop gradually, which is part of why so many men live with them for years before seeking treatment. Common symptoms include:
Does BPH affect sexual function?
It’s a common concern — and an important distinction: BPH itself, left untreated, can contribute to sexual difficulties, separate from any effect a treatment might have. Understanding that link is part of why getting evaluated sooner, rather than waiting, can matter.
Watch: Dr. Lamia Gabal explains the link between BPH and erectile dysfunction
Why does BPH happen?
The prostate goes through two main growth periods in a man’s life — one during puberty, and a second, slower growth phase that begins around age 25 and continues for most of adulthood. Hormonal changes that come with aging are thought to drive this second phase, gradually enlarging the gland in many men. It’s a normal part of aging for most men — not a sign that something has gone wrong — but that doesn’t mean the symptoms have to be tolerated indefinitely.
Watch: Dr. Lamia Gabal explains the causes of an enlarged prostate
How is BPH diagnosed?
Diagnosis typically starts with a conversation about your symptoms, followed by tests that may include a urinalysis, a uroflow test to measure your urine stream, and imaging such as a transrectal ultrasound (TRUS). Depending on your symptoms, a cystoscopy may also be used to directly examine the urethra and bladder. Our own evaluation process is built around exactly this kind of thorough, staged workup — see our what to expect section for details on how our appointments are structured.
When should you see a doctor?
If BPH symptoms are affecting your sleep, your daily routine, or your peace of mind, that’s reason enough to get evaluated — you don’t need to wait until symptoms become severe. It’s also worth ruling out other conditions that can cause similar symptoms, which only a proper evaluation can do. Same-week appointments are typically available.
What are your treatment options?
Depending on the severity of your symptoms, treatment can range from watchful waiting and lifestyle changes to medication to minimally invasive procedures. We specialize in two of the most advanced minimally invasive options available: Rezūm water vapor therapy and prostatic artery embolization (PAE) — both alternatives to traditional BPH surgery, with less downtime and a lower risk of sexual side effects.
Ready to find out where you stand?
A same-week consultation with our team can tell you exactly what’s going on and what your options are.
Call or text (949) 284-2792This page is for general educational purposes and isn’t a substitute for medical advice. An accurate diagnosis requires an in-person evaluation.