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An enlarged prostate is most common in men over 50 years old. It can affect anyone with a prostate.
The prostate is a small gland below the bladder that makes semen and controls the flow of pee from your bladder to your penis.
If it gets bigger (enlarged) it can put pressure on the tube that carries pee from your bladder (urethra), causing problems with peeing.
The main symptoms of an enlarged prostate are problems with peeing, such as:
The symptoms usually develop slowly, and may gradually get worse as you get older.
Try not to be embarrassed. The GP will be used to talking about these symptoms.
You can call 111 or get help from 111 online.
It's important to get these symptoms checked by a GP because they can sometimes be caused by other more serious conditions, such as prostate cancer.
If they're caused by cancer, finding it early may mean it's easier to treat.
If a GP thinks you could have an enlarged prostate they'll ask about your symptoms, such as how often you pee.
They may ask to examine your tummy (abdomen) and penis, and feel inside your bottom with their finger to check the size of your prostate (rectal examination).
They'll usually ask you to keep a record for at least 3 days of how much you drink, and how often and how much you pee.
Tests the GP might do include:
They may refer you to a specialist in hospital for more tests, such as:
An enlarged prostate does not always need treatment. It depends on your symptoms and how they're affecting you.
If your symptoms are not causing many problems, doctors will usually recommend trying lifestyle changes first.
If your symptoms get worse you may need medicines or surgery.
If you have moderate or severe symptoms you may be offered medicines for an enlarged prostate, including:
These medicines can cause side effects. Your doctor will explain the benefits and possible side effects and help you decide if they are right for you.
You'll have regular check-ups to see how well the medicine is working.
You might be offered surgery if medicines have not helped, or your symptoms are severe.
The most common surgery you may be offered for an enlarged prostate is called transurethral resection of the prostate (TURP). This involves removing part of your prostate through a thin tube that's passed up your penis to your prostate.
Sometimes you may be offered a different procedure, but they may not be suitable for everyone. They include:
The surgeon will explain your options, the risks and benefits of the procedure, and what will happen.
Treatment and support is also available to help with symptoms of an enlarged prostate. This can include:
There are things you can do that may help with symptoms of an enlarged prostate.
cut down on alcohol and caffeine, as they can make you pee more
reduce how much fluid you drink before bed or before going out – but make sure you drink enough during the rest of the day
make sure you eat enough fibre to help prevent constipation, which can put pressure on your bladder
keep to a healthy weight, as being overweight can make symptoms worse
wait a few moments after you pee and then try peeing again, to help you empty your bladder
try putting your fingertips 3 finger widths behind your scrotum after you finish peeing, and gently pressing while moving your fingers forwards and upwards towards the base of your penis, to help push the last few drops out
check with a doctor or pharmacist whether any medicines you take for other conditions could be making your symptoms worse
do not strain or push when peeing – try to relax when you pee
do not cut down too much on fluids, as this can cause problems such as urinary tract infections
It's thought that an enlarged prostate may be caused by changes in your hormone levels as you get older.
An enlarged prostate is very common. You may be more likely to get it if you're over 50, and if others in your family have an enlarged prostate.
An enlarged prostate is not caused by prostate cancer, and does not increase your risk of getting prostate cancer.
