The prostate gland (just called prostate from now on) is only found in men.
It lies just beneath the bladder. It is normally about the size of a chestnut.

The tube which passes urine from the bladder (the urethra) runs
through the middle of the prostate. The prostate's main function is to
produce fluid which protects and enriches sperm.

The prostate gets bigger (enlarges) gradually after the age of about 50.

By the age of 90, about 9 in 10 men have an enlarged prostate.


What are the symptoms of prostate enlargement?
The symptoms of prostate enlargement are called lower urinary tract symptoms (LUTS). See separate leaflet called Lower Urinary Tract Symptoms in Men for more details. LUTS can also be caused by other conditions.

As the prostate enlarges it may cause narrowing of the urethra. This may partially obstruct the flow of urine. This can lead to obstructive symptoms such as:

Poor stream. The flow of urine is weaker and it takes longer to empty your bladder.
Hesitancy. You may have to wait at the toilet for a while before urine starts to flow.
Dribbling. Towards the end of passing urine, the flow becomes a slow dribble.
Poor emptying. You may have a feeling of not quite emptying your bladder.
The enlarged prostate may also make the bladder irritable, which may cause:

Frequency. You may pass urine more often than normal. This can be most irritating if it happens at night. Getting up several times a night to pass urine is a common symptom and is called nocturia.
Urgency. This means you have to get to the toilet quickly when you need to go.
Usually the symptoms are mild to begin with - perhaps a slightly reduced urine flow,
or having to wait a few seconds to start passing urine. Over months or years the
symptoms may become more troublesome and severe. Complications develop in some cases.

Note 1: an enlarged prostate does not always cause symptoms. Only a quarter
to a half of men with an enlarged prostate will have symptoms.
Also, the severity of the symptoms is not always related to the size of the prostate.
It depends on how much the prostate obstructs the urethra.

Note 2: not all urinary symptoms in men are due to an enlarged prostate. In particular,
if you pass blood, become incontinent, or have pain, it may be due to bladder,

kidney or other prostate conditions.


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