The prostate is a small circular gland situated just below the bladder. Through the centre of it passes the urethra, the tube which carries urine through the penis. The prostate produces fluid which forms part of the semen and helps carry sperm during sex.

It is rare for prostate problems to affect young men, but from age 45 onwards they become increasingly common. Because many men prefer not to talk about urinary and prostate difficulties, the exact numbers who may be affected are not known, however American research has found that more than half of all men aged over 50 have symptoms caused by an enlarged prostate, a condition known as benign prostate hyperplasia (BPH).

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Benign Prostatic Hyperplasia (BPH) is an enlargement of the prostate gland due to increases in the number of cells of the prostate tissue. Although the enlarging effects of BHP cannot be reversed, it is nonmalignant (non-cancerous), and does not always progress to a cancerous state. In fact, about 80% of men will experience some degree of BPH by the age of 80.1 Enlargement typically starts around 40 to 45 years of age and continues throughout life. Men who are diagnosed with BHP are encouraged to go in for regular screenings (once a year) to monitor the growth of the prostate gland; nevertheless, many men will go years with out experiencing any symptoms.

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We know that starting at age 40, the levels of the by-product prolactin of testosterone of men increases, stimulating the production of the enzyme 5-alpha reductase that causes the conversion of testosterone to gihydro-testosterones DHT triggering prostate enlargement and other problems. Therefore in order to prevent the symptoms of enlarged prostate is to naturally impend the conversion of testosterone to DHT. Unfortunately, aging is not the only cause of enlarged prostate. In this article, we will discuss the chronic signs and symptoms of benign prostatic hyperplasia (BPH).

1. Nocturia.
Nocturia is defined as being awakened at night one or more times in order to pass urine. It becomes more common as the person becomes older. This common pattern seen among people with this condition is an increased number of times of waking up every night to urinate for the rest of their life.
Nocturnal Polyuria is an important cause of nocturia in which there is an overproduction of urine at night. It is defined to have nighttime urine volume that is greater than 20-30% of the total 24 hour urine volume. Nocturia occurs more commonly among older people. It also occurs in women and men differently. Women generally experience nocturia as a result from childbirth, menopause, and pelvic organ prolapse. Nocturia in men can be directly attributed to benign prostatic hyperplasia (BPH), also known as enlarged prostate.

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Benign Prostatic Hyperplasia, or enlarged prostate, is considered one of the most common conditions to affect men over the age of sixty. Because it is so common, it’s a good idea to know what the symptoms are so that you can seek treatment if needed. If you suspect you have Benign Prostatic Hyperplasia please consult your urologist.

Symptoms of Benign Prostatic Hyperplasia can range in severity, but here is a general questionnaire: Do you lose sleep at night for frequent urinating? Do you limit your daytime activities to stay near a restroom? Are you unable to delay urination? Do you still feel the need to continue urinating even when you are finished? Do you have a week urine flow?

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Late symptoms and signs of prostate enlargement

If the disease is neglected, there will be a marked retention of urine, and the back pressure of the urine increases more and more, resulting in dilation of the ureters (called hydroureters), as well as of the kidneys (called hydronephrosis). An enormous growth of bacteria will occur in the entire urinary tract, leading to pus formation, and the kidneys will be grossly infected. This is called pyonephrosis (‘pyo’ means pus, ‘nephros’ means kidney). Patients can hardly pass urine, and repeated catheterization may be required. Hence, the value of early diagnosis and treatment may be stressed again.

How to establish the diagnosis of benign enlargement of the prostate?

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55 white male psa level .o5
psa and exam show no cancer

The prostate is a walnut-sized gland in males, located below the urinary bladder, and it encircles the upper part of the urethra. This part of the urethra is called the prostatic urethra. Urine from the urinary bladder passes out through this urethra.

Hence it is clear that whenever the prostate becomes enlarged, it is likely to put pressure on this part of the urethra, i.e., the prostatic urethra, causing obstruction when the patient passes urine. In very early cases, there may not be any symptom or there may be negligible/minimal symptoms, since the force of the contraction of the urinary bladder may be able to overcome the small initial obstruction cause.d by the enlargement of the prostate gland.

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As men get older the vast majority of them will experience a disorder of the prostate known as benign prostate hyperplasia. BPH, while distressing, is a non-malignant enlargement of the prostate gland. This gland is very small at birth and doesn’t really begin to grow until the onset of puberty. It reaches full size at around twenty years of age.

As the male reaches forty to forty-five years benign hyperplasia, which is an increase in the number of cells, will begin to occur and will continue slowly for the rest of their life. Symptoms normally won’t appear until around the age of 55 with about one-fourth of all men experiencing them. By the age of 75 nearly half of all men will begin to experiencing the problems associated with BPH and most men learn they have this condition upon visiting their doctor with complaints of some form of urinary problems.

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This question is basically for Physicians and Surgeons or anyone who has gone through this ailment. I have a benign enlarged prostate. Is there a laser treatment that would shrink the enlarged prostate, without open surgery?