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Benign prostatic hyperplasia (BPH) also known as Nodular hyperplasia, Benign prostatic hypertrophy or Benign enlargement of the prostate (BEP) refers to the increase in size of the prostate in middle-aged and elderly men
From 40 years of age the prostate increases in volume by 2.4 cm3 per year on average. The process begins in the periurethral (transitional) zone and involves both glandular and stromal tissue to a variable degree. Associated symptoms are common from 60 years of age, and some 50% of men over 80 years will have lower urinary tract symptoms associated with benign prostatic hyperplasia (BPH).


    • hesitancy (difficulty in starting to pass urine,
    • a weak stream,
    • the need to strain to pass urine,
    • the feeling that your bladder isn't empty after urination,
    • the need to pass urine urgently,
    • frequent trips to the toilet, including having to get up several times in the night,
    • feeling a burning sensation or pain when passing urine
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