Enlarged Prostate Symptoms

Common enlarged prostate symptoms are difficulty urinating and difficulty controlling urination. This may be a difficulty to begin urination, or incomplete urination. Urination frequency is also increased, the urgency of urination is increased, and the urge to urinate at night is also increased.

The male urethra travels through the walnut-sized prostate on its way from the bladder and out through the penis. An enlargement or swelling of the prostate causes difficulty in the passage of urine or in control of the passage of urine.

The flow of urine is typically reduced and dribbling is common (versus a steady flow). In severe cases urination is extremely difficult and the bladder becomes stretched and is extremely painful and distressing.

An enlarged prostate can occur due to a few reasons, the most common of which in elderly men (beyond 50 years of age) is benign prostatic hyperplasia (BPH). Prostatitis, an infection and inflammation of the prostate, can also cause enlargement of the prostate.

Enlarged prostate symptoms:

  • difficulty beginning urination
  • reduced force and flow if urine stream
  • dribbling of urine
  • incomplete feeling following urination
  • frequent urination
  • urination during the night
  • increased powerful urges for urination

Diagnosis is typically through physical examination with a rectal exam. Blood and urine testing is commonly done to try and determine causes for the enlargement (prostate cancer, benign prostatic hyperplasia, infection, etc.). Ultrasound can be used to help try and confirm diagnosis.

If it is decided that treatment is necessary or worthwhile, typically drugs and surgery can be used to help reduce the swelling of the prostate or reduce the blockage of the urethra.