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There are several possible causes of an enlarged prostate, including benign prostatic hyperplasia (BPH), prostatitis, and benign or cancerous tumors. Most men are unaware of their prostate gland, which lies just beneath the bladder, until they reach middle age, when disorders affecting the gland are common. Symptoms include an urgent need to urinate, difficulty passing urine, poor flow, dribbling, erectile dysfunction, or retention of urine. The most common cause of these problems is benign prostatic hyperplasia (BPH), or noncancerous enlargement of the gland. To confirm diagnosis of BPH, and distinguish it from the much rarer prostatic cancer, a physical examination of the prostate, often with an ultrasound scan, biopsy, and PSA test (see below), is done. Urine flow studies and cystoscopy (an internal camera inspection of the bladder) may also be carried out. If the symptoms affect quality of life, medication may be given to relax the smooth muscle of the prostate and bladder neck, or shrink the prostate gland, to improve urine flow. Surgery may be also required to reduce the pressure on the bladder and urethra, or to remove the gland altogether. #BPH #benignprostatichyperplasia #bphsurgery #menhealth #prostategland