One of the most common prostate problems is benign prostatic hyperplasia (BHP), also known as prostate gland enlargement. It is a condition often seen in males aged 40 or above. According to Hong Kong’s Department of Health, over half of all men over the age of 60 have BPH, with the condition seen in almost 90% of men over the age of 80.
What is Benign Prostatic Hyperplasia (BHP)?
A part of the male reproductive system, the prostate is a gland that produces a thick fluid that forms part of semen. BHP is an enlarged prostate caused by non-cancerous growth within the gland. As the prostate is located beneath the bladder with the urethra passing through it, an enlarged prostate may block urine flow and cause various urinary symptoms. Prostate problems can affect males of all ages.
Early symptoms of BHP may include frequent urination and increased frequency of urination at night. If BHP worsens, other symptoms may arise, such as difficulty urinating, blood in the urine, or even inability to urinate. More severe complications include urinary tract infection, bladder stones, and damage to bladder or kidney function. The American Urological Association recommends all males aged 55 and over to undergo regular prostate exams even in the absence of symptoms.
BHP is mainly linked to aging, while risk factors include obesity, stress, depression, excessive consumption of alcohol, smoking, medication, diet, and poor hygiene.
- Excessive consumption of alcohol
*A urinary flow test is a common urological test and is conducted in a designated room located on the first floor of the hospital. A nurse first explains the procedure to the patient, after which the patient urinates into a special funnel device that automatically records the information needed, such as average and highest rate of flow, amount of urine, length of time until all urine has been passed, when the highest rate of flow is reached, and amount of residual urine. A report will be available after the test, and medical staff will conduct an ultrasound to detect post-void residual urine, which will provide further information to support the doctor’s diagnosis.
Appropriate treatment is often effective in alleviating mild urinary symptoms.
Prostatic Urethral Lift (UroLift)