Benign Prostatic Hyperplasia diagram showing enlarged prostate and urinary obstruction

Benign Prostatic Hyperplasia (BPH) Enlarged Prostate - Causes & Symptoms (April 2026)

What is Benign Prostatic Hyperplasia (BPH)?

BPH is a non-cancerous enlargement of the prostate gland, a small organ located below the bladder in men. As the prostate grows, it can press against the urethra (the tube that carries urine out of the body), leading to urinary problems.

Here’s the kicker—BPH is incredibly common. In fact:

  • Around 50% of men over 50 experience symptoms

  • Nearly 90% of men over 80 have some degree of prostate enlargement

So if you’re dealing with it, you’re definitely not alone.

Causes of Enlarged Prostate (BPH)

Now, you might be wondering—what actually causes this condition?

Well, the exact cause isn’t fully understood, but several factors play a role:

1. Aging

As men age, hormonal changes—especially involving testosterone and estrogen—can trigger prostate growth.

2. Hormonal Imbalance

Dihydrotestosterone (DHT), a hormone derived from testosterone, is known to contribute to prostate enlargement.

3. Family History

If your father or grandfather had BPH, chances are higher that you might develop it too.

4. Lifestyle Factors

  • Obesity

  • Lack of physical activity

  • Poor diet

These can increase the risk over time.

5. Chronic Conditions

Conditions like diabetes and heart disease may also contribute indirectly.

Common Symptoms of BPH

Here’s where things get noticeable—and often frustrating.

Urinary Symptoms Include:

  • Frequent urination (especially at night—nocturia)

  • Weak urine stream

  • Difficulty starting urination

  • Dribbling at the end

  • Feeling like the bladder isn’t fully empty

  • Sudden urge to urinate

Severe Symptoms (Don’t Ignore These):

  • Complete inability to urinate

  • Blood in urine

  • Recurrent urinary tract infections

If you’re experiencing any of these, it’s time to consult a specialist—sooner rather than later.

Why Choose Dr Shaileshkumar Garge, Citi Vascular Hospital, KPHB?

Dr. Shaileshkumar Garge is known for his expertise in minimally invasive treatments like Prostate Artery Embolisation (PAE). He focuses on non-surgical solutions, personalized care, and faster recovery with advanced techniques.

Citi Vascular Hospital, KPHB offers modern infrastructure, advanced interventional radiology, minimally invasive procedures, and dedicated patient care—ensuring safe treatment with quick recovery.

Expert care + advanced technology + patient comfort = better outcomes.

Comparison Table: Treatment Options

 

Treatment Type

Invasiveness

Recovery Time

Hospital Stay

Effectiveness

Side Effects

Medication

No

Ongoing

None

Moderate

  Mild 

PAE

Very Low

2–5 days

1-2 days

High

Very Low

TURP Surgery

High

2–4 weeks

2–3 days

High

Moderate

treatment has advantages, so consulting a specialist is essential before making a decision.

Treatment Decision Flowchart

Step 1: Mild symptoms?
➡ Try lifestyle changes + medication

Step 2: Symptoms worsening?
➡ Consider minimally invasive options like PAE

Step 3: Severe complications?
➡ Surgical intervention may be required

Expert Tips for Best Results

Want to manage BPH effectively? Here are some practical tips:

  • Cut down on caffeine and alcohol

  • Don’t delay urination

  • Maintain a healthy weight

  • Exercise regularly

  • Follow your doctor’s advice consistently

  • Schedule regular prostate check-ups

Small changes can make a big difference over time.

FAQs

1. Is BPH the same as prostate cancer?

No, BPH is non-cancerous and doesn’t increase cancer risk.

2. Can BPH be cured without surgery?

Yes! Options like prostate artery embolisation (PAE) offer effective enlarged prostate treatment without surgery.

3. How long does PAE take?

Typically 1–2 hours, and most patients go home the same or next day.

4. Is treatment necessary for mild symptoms?

Not always. Lifestyle changes and monitoring may be enough initially.

5. When should I see a doctor?

If symptoms interfere with daily life or worsen over time.