For other uses of the acronym BPH, see
BPH (disambiguation). 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. To be accurate, the process is one of
hyperplasia rather than
hypertrophy, but the nomenclature is often interchangeable, even amongst urologists. It is characterized by hyperplasia of prostatic
stromal and epithelial cells, resulting in the formation of large, fairly discrete nodules in the periurethral region of the prostate. When sufficiently large, the nodules compress the urethral canal to cause partial, or sometimes virtually complete, obstruction of the
urethra which interferes the normal flow of
urine. It leads to symptoms of urinary hesitancy, frequent
urination, increased risk of
urinary tract infections and
urinary retention. Although
prostate specific antigen levels may be elevated in these patients, because of increased organ volume and inflammation due to urinary tract infections, BPH is not considered to be a premalignant lesion.
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