Specialist urologist · Ballito
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Prostate care

Prostate enlargement (BPH)

Clear investigation and tailored management of urinary symptoms caused by benign prostate enlargement.

Understanding the condition

Benign prostate enlargement becomes more common with age. As the prostate enlarges, it may narrow the urethra and affect bladder emptying. Similar symptoms can have other causes, so a proper assessment matters before treatment is selected.

01

Symptoms that may need assessment

  • Weak or interrupted urine stream
  • Difficulty starting urination
  • Feeling that the bladder has not emptied
  • Urgency or frequent urination
  • Waking at night to urinate
  • Dribbling after urination
02

How it may be assessed

  • Discussion of symptoms and medication
  • Physical examination
  • Urine and blood tests when indicated
  • PSA discussion where clinically appropriate
  • Urine-flow and bladder-emptying assessment
  • Ultrasound or cystoscopy in selected cases
03

Care may include

  • Monitoring and lifestyle measures
  • Medication when appropriate
  • TURP for suitable patients with significant obstruction
  • Bladder management where emptying is affected
  • Follow-up based on symptoms and findings
When to seek urgent help

Do not wait when symptoms are severe.

An inability to pass urine, severe lower abdominal pain, visible blood in the urine or fever with urinary symptoms needs urgent assessment.