Benign Prostate Hypertrophy (BPH), or an enlarged prostate, is a common condition in men, especially as they age. As the tissue in the prostate swells, it can block the flow of urine, causing a number of different symptoms.
One of the most common symptoms of BPH is difficulty beginning urinating, called urinary hesitancy. This occurs because your enlarged prostate is pushing against your urethra, the tube that carries urine from your bladder.
You might also feel the need to urinate frequently. This might happen because your urine stream stops before your bladder has emptied. In a short while, you feel the need to urinate again.
Your urine stream might start and stop, allowing you to urinate a little and then stop. You might feel the need to force the urine out, however, this can strain muscles and cause further problems. This can also cause problems when you think you have finished urinating and then some additional urine leaks out.
Longer urination time
It might take a long time to urinate. If your prostate is pressing against your urethra, you might have a weak urine stream causing it to take much longer to empty your bladder.
You might feel an urgent need to urinate. This is caused when the nerves inside your bladder aren’t properly signaling your brain. The urgent need to urinate can also be a sign of a urinary tract infection or diabetes so it is important to let your doctor know about this symptom.
You might feel that your bladder is still full, even after you have urinated.
Trouble "holding it in"
You might have trouble postponing urination. Once you have the urge to urinate you might need to immediately.
Disruption of routine
You might get up several times a night to urinate, or sometimes feeling like you need to urinate even though you do not, lowering your quantity and quality of sleep. This can cause problems such as fatigue, trouble concentration and irritability during the daytime.
Urinary tract infections
You might develop urinary tract infections (UTI). Retention, which occurs when you have a difficult time urinating, can cause bacteria to grow in your bladder, which leads to more frequent UTIs. Some of the symptoms of UTI include pain while urinating, cloudy urine or bloody urine. You might have a fever. You should consult your doctor if you have these symptoms.
In addition to UTIs, urine retention in your bladder can cause bladder stones. These occur when urine becomes concentrated and crystallizes. They can be very painful and can further block the flow of urine. They can sometimes cause damage to your kidneys. Sometimes drinking plenty of water can help you pass the stones; if not your doctor will discuss medical interventions that can help.