Benign Prostatic Hyperplasia

Benign prostatic hyperplasia (BPH), a noncancerous growth of the prostate gland, makes urination difficult and uncomfortable. The expanding prostate squeezes the urethra, the channel that carries urine from the bladder. BPH affects only men. Symptoms usually develop around age 50. At age 60, you'll most likely have BPH. At age 80, you'll have an 80 percent chance of experiencing urination problems caused by BPH.

Signs and Symptoms

What Causes It?

Nobody knows the basic cause of BPH. Research shows that testosterone, the male hormone, or dihydrotestosterone, a chemical produced when testosterone breaks down in a man's body, may cause the prostate to keep growing. Since it surrounds the urethra, the prostate gland squeezes the urethra as it expands. Some over-the-counter medications for colds or allergies can drastically worsen BPH.

What to Expect at Your Provider's Office

Your health care provider will feel your prostate gland directly by putting a gloved finger in your rectum. He or she will also order blood tests and possibly a urine sample. Your health care provider may also ask you to urinate into a device that measures the flow of urine. In intravenous pyelography, your health care provider injects a dye into a vein to make the flow of urine visible on an X ray. In cystoscopy, your provider uses a small probe, passed through your urethra, to directly view the inside of your urethra and bladder. Your penis will be numbed before this procedure.

Treatment Options

Treatment Plan
Treatment will depend on your age, overall health, and the severity of the disease. BPH clears up by itself in one-third of mild cases. It is important to receive regular check-ups to monitor the disease. Treatment will begin as soon as your symptoms become bothersome. There are various nonsurgical procedures for BPH. They include microwave and laser treatments. There are also several types of surgery to correct the condition. Balloon urethroplasty uses a balloon to widen the urethra and improve urine flow. Prostatic stents do the same thing with a spring-like effect. Transurethral resection, or removal of a part of the urethra, is done in 90% of BPH surgeries.

Drug Therapies

Surgical Procedures

Balloon urethroplasty uses a balloon to widen the urethra and improve the flow of urine. Prostatic stents do the same thing with a spring-like device. Transurethral microwave therapy and transurethral hyperthermia are new treatments that use microwaves or heat to destroy prostate tissue.

Transurethral resection of the prostate, used on 90 percent of patients undergoing BPH surgery, removes pieces of the enlarged prostate through the urethra. A less invasive method, transurethral incision of the prostate, makes small cuts in the prostate and the neck of the bladder. Laser surgery vaporizes excess tissue in the prostate.

Complementary and Alternative Therapies

Your health care provider may want to keep a close eye on your condition as part of the management of BPH. Nutrition
Herbs may be used as dried extracts (capsules, powders, teas), glycerites (glycerine extracts), or tinctures (alcohol extracts). Unless otherwise indicated, teas should be made with 1 tsp. herb per cup of hot water. Steep covered 5 to 10 minutes for leaf or flowers, and 10 to 20 minutes for roots. Drink 2 to 4 cups per day. Homeopathy
Some of the most common remedies used for this condition are listed below. Usually, the dose is 3 to 5 pellets of a 12X to 30C remedy every one to four hours until your symptoms get better. Physical Medicine

Following Up

Whatever your treatment, have regular checkups. After prostate surgery, drink plenty of water, eat a balanced diet, avoid heavy lifting and operating machinery, and don't strain when you move your bowels.


Alpha blockers. NMIHI. Accessed at on January 15, 2018.

Berkow R, Beers MH, et al., eds. Merck Manual of Medical Information: Home Edition. Whitehorse Station, NJ: The Merck Publishing Group; 1997.

Benign prostatic hyperplasia symptoms. NMIHI. Accessed at on January 15, 2018.

Blumenthal M, ed. The Complete German Commission E Monographs: Therapeutic Guide to Herbal Medicines. Boston, Mass: Integrative Medicine Communications; 1998:201.

BPH. American Academy of Family Physicians Accessed at on January 15, 2018.

Ciprofloxacin. NMIHI. Accessed at on January 15, 2018.

Enlarged Prostate (BPH). MedlinePlus. Accessed at on January 15, 2018.

Finasteride. NMIHI. Accessed at on January 15, 2018.

Levofloxacin. NMIHI. Accessed at on January 15, 2018.

Morrison R. Desktop Guide to Keynotes and Confirmatory Symptoms. Albany, Calif: Hahnemann Clinic Publishing; 1993:119, 141, 286, 341, 388-389.

Murray MT, Pizzorno JE. Encyclopedia of Natural Medicine. 2nd ed. Rocklin, Calif: Prima Publishing; 1998:480-486.

Prostate Enlargement: Benign Prostatic Hyperplasia. The National Kidney and Urologic Diseases Information Clearinghouse. NIH publication no. 91:3012.

Werbach M. Nutritional Influences on Illness. New Canaan, Conn: Keats Publishing; 1988:82-84.