Benign prostatic hyperplasia (BPH), or an enlarged prostate, is often determined by moderate-to-severe lower urinary tract symptoms (LUTS). One in four men in their 50s, one-third of men in their 60s, and about half of all men 80 years or older experience BPH. It is a chronic condition requiring care planning as it occurs in the context of common, age-related comorbidities such as cardiovascular disease, hypertension, and erectile dysfunction. This problem may cause backed-up urine (urinary retention), leading to bladder infections or stones, or kidney damage.
Your doctor can diagnose BPH by asking questions about your symptoms and past health and by doing a physical exam. Tests may include a urine test (urinalysis) and a digital rectal exam, which lets your doctor feel the size of your prostate. In some cases, a prostate-specific antigen (PSA) test is done to help rule out prostate cancer.