View source for Benign prostatic hyperplasia

==Background==
*Benign, noncancerous increase in the size of the prostate

==Clinical Features==
*May be asymptomatic
*Urinary frequency
*Nocturia
*Difficulty starting urination
*Weak stream
*[[Acute urinary retention]] (BPH is most common cause)

===Complications===
*[[UTI]]
*Bladder stones
*[[Acute kidney injury|CKD]]

==Differential Diagnosis==
{{Urinary retention DDX}}

==Evaluation==
===Workup===

===Diagnosis===

==Management==
*May require urinary catheterization for [[acute urinary retention]]
**If difficult to place standard foley, consider placing [[Coude catheter]], which navigates the S-shaped curve of the bulbous urethra; this curve is exaggerated in BPH
*Lifestyle modifications (limiting fluid/diuretic intake, avoiding constipation, increasing activity/weight loss), timed-voiding/double-voiding, Kegels
*Alpha-1-receptor antagonists (e.g. [[tamsulosin]] 0.4mg nightly) most commonly used for lower urinary tract symptoms
*Depending on symptoms, PCP/urologist may also treat with PDE-5 inhibitor, 5-alpha-reductase inhibitors, Beta-3 adrenergics, anticholinergics
	
==Disposition==
*Discharge

==See Also==
*[[Acute urinary retention]]

==External Links==


==References==
<references/>
[[Category:Urology]]