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What is Benign Prostate Enlargement?

The prostate is a small gland in the male reproductive system that is wrapped around the urethra, the tube that carries urine out of the body. The prostate makes part of the semen that carries sperm. During sex, muscles squeeze the prostate's fluid into the urethra. This fluid helps keep sperm active and alive in the vagina.

Benign prostatic hyperplasia, or BPH, is the medical term for what happens when a man's prostate gland grows larger and makes it difficult for him to urinate. BPH -­ a non-cancerous condition -­ is a normal part of growing older.

As the prostate grows, the capsule that surrounds it prevents the gland from expanding outward. As a result, the prostate presses against the urethra like a clamp on a garden hose and causes difficulty in urinating. The bladder wall thickens and becomes irritated. It may begin to contract when it holds even a small amount of urine, causing more frequent urination. As this strain continues, the bladder may eventually become unable to empty itself completely.

We still do not fully understand why BPH occurs. However, BPH does not seem to have to do with how sexually active a man is. Celibate priests experience BPH as often as all other men. Nothing seems to link BPH to impotence, prostate infections or sexually transmitted diseases.

Some men will begin to show some symptoms of BPH in their late 40s. About one-third of men develop BPH in their 50s. More than half of all men have it by the time they are in their 60s, and by age 85, nine out of 10 men develop BPH. In the U.S. alone, up to 300,000 men undergo surgery for BPH each year.

While you can't prevent BPH, but you can have it and be among the over 50% of men who never experience any symptoms. If you're having problems with urination, talk with your doctor.

For more information, learn about testing and treatment options.

 


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