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Signs and Symptoms of BPH

Signs and Symptoms of Benign Prostatic Hyperplasia (BPH), Enlarged Prostate

Common symptoms of benign prostatic hyperplasia include the following:


  • Blood in the urine (i.e., hematuria), caused by straining to void
  • Dribbling after voiding
  • Feeling that the bladder has not emptied completely after urination
  • Frequent urination, particularly at night (i.e., nocturia)
  • Hesitant, interrupted, or weak urine stream caused by decreased force
  • Leakage of urine (i.e., overflow incontinence)
  • Pushing or straining to begin urination
  • Recurrent, sudden, urgent need to urinate

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In severe cases of BPH, acute urinary retention (the inability to urinate) can result from holding urine in for a long period of time, alcohol consumption, a long period of inactivity, cold temperatures, allergy or cold medications containing decongestants or antihistamines, and some prescription drugs (e.g., ipratropium bromide, albuterol, epinephrine).

Any of these factors can prevent the urinary sphincter from relaxing and allowing urine to flow out of the bladder. Acute urinary retention causes severe pain and discomfort. In some cases, catheterization may be necessary to drain urine from the bladder.


  • « Risk Factor for BPH, BPH Causes
  • Diagnosis of BPH »

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    Original Date of Publication: 10 Jun 1998
    Reviewed by: Stanley J. Swierzewski, III, M.D.
    Last Reviewed:

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    Benign Prostatic Hyperplasia (BPH)/Enlarged Prostate
    BPH Overview, Anatomy of the Prostate
    Risk Factor for BPH, BPH Causes
    Signs and Symptoms of BPH
    Diagnosis of BPH
    Treatment Options for BPH
    Medical Treatment for BPH
    Minimally Invasive Therapy for BPH
    Thermal Treatments for BPH
    Surgical Treatment for BPH, Complications of BPH Surgery
    Alternative Treatment for BPH
    Prostate Interior (Surgery Images)
    Patient Information about Benign Prostatic Hyperplasia
    One Person Story: My BPH and recent TURP
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    This page last modified: 30 Jun 2010

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