Benign Prostatic Hyperplasia Guide
What it is
Benign prostatic hyperplasia (BPH) is nonmalignant enlargement of the prostate associated with lower urinary tract symptoms.
Common symptoms
- Urinary hesitancy
- Weak stream
- Nocturia
- Incomplete emptying
Treatment approach
- Mild symptoms: shared decision, watchful waiting, lifestyle steps.
- Moderate/severe symptoms: alpha-1 blockers and/or 5-alpha reductase inhibitor pathways based on prostate profile.
Non-pharmacologic care
- Timed voiding and evening fluid moderation
- Caffeine/alcohol symptom-trigger review
Monitoring and follow-up
- Symptom score trajectory, orthostatic effects, and urinary retention red flags