BENIGN PROSTATIC HYPERPLASIA (BPH)

Common in older men, usually presents at age 60–70 years. The prostate is a gland the size of a walnut. It lies under the bladder, surrounding the urethra, and makes seminal fluid. The prostate tends to enlarge with age. Pressure on the urethra from an enlarging gland can cause partial or complete obstruction of urine flow. Presentation is often with outflow obstruction or retention issues, for which management is medical treatment or a surgical procedure. If symptoms are mild to moderate, management is watchful waiting, with treatment indicated if condition worsens. The International Prostate Symptoms Score is used to assess effect of BPH on quality of life.

Interpretation of IPSS score