How is benign prostatic hyperplasia treated?

An enlarged prostate can narrow the outlet from the bladder, causing a weak stream, hesitancy, dribbling, frequent urination, urgency, or difficulty passing urine. Symptoms do not always match the size of the prostate, so assessment considers your pattern, examination, medicines, and bladder function.

A clinician may suggest watchful monitoring when symptoms are mild. Reducing evening drinks, limiting caffeine or alcohol if they worsen urgency, and avoiding constipation may help. Medicines can relax prostate muscle or reduce prostate tissue over time; a clinician will explain side effects and interactions. Procedures are considered when symptoms remain troublesome, urine cannot drain properly, or repeated problems affect the bladder or kidneys.

Keep a short record of drinking, daytime and night-time urination, urgency, leakage, stream strength, and any pain. Book a GP Consultation for persistent or changing symptoms. Do not stop prescribed medicines without advice, and tell the clinician about decongestants, antihistamines, supplements, and medicines that may affect urination. A Urine Test may help check for infection or another explanation.

Seek urgent help if you cannot pass urine, have severe lower-abdominal pain, fever with urinary symptoms, or feel acutely unwell. Blood in urine needs medical assessment, especially when it is new or recurring. Get prompt advice for worsening leakage, burning, or pain rather than assuming the change is from an enlarged prostate.

Ask what may be causing your symptoms, whether you need a urine test or prostate examination, how long a medicine may take to help, and which side effects require contact. Discuss the effect on sleep and daily activities, and ask when a procedure would be considered.