After the age of 40, some men begin to notice that urinating is not as easy as it used to be. It becomes difficult to start the flow. However, when it does finally start, the flow is weak. In addition, they also have to deal with the embarrassment of dribbling. Also, they find themselves waking [...]
Benign Prostatic Hyperplasia (BPH)
An enlarged prostate or benign prostatic hyperplasia (BPH) affects ten percent of men at the age of forty and could reach 100 percent by the age of sixty. As the prostate increases in size, the caliber of the urethra (which lies within the prostate as it leaves the bladder) is narrowed, interfering with the flow of urine. The typical symptoms consist of difficulty in starting the flow of urine, reduced force of urine stream, and dribbling of urine after voiding. Frequency of urination usually increases, especially at night time.
Continued enlargement of the prostate poses several hazards. First, the bladder may not empty completely at the time of voiding, allowing stagnant urine to collect and become infected; second, increasing pressure within the bladder to force urine out may cause back pressure in the ureters, thus damaging the kidneys; and third, sudden and complete blockage may prevent the outflow of urine (acute retention).