Benign Prostatic Hyperplasia

Benign prostatic hyperplasia (BPH) is the enlargement of the prostate gland, which is commonly seen in older men. It causes frequent urination, difficulty starting urination, increased urination at night, weak urine stream, incomplete emptying of the bladder, and dribbling of urine.

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Why do I get heart pain when I get an urge to pass urine?

Query: Hello doctor, I am 39 years old. I feel heart pain at midnight or in the early morning when I wake up. This pain releases when I pass urine. For urine retention and enlarged bladder (my USG detected 500 ml), I am under medication, Silidosin, and Urotone. In the morning, sometimes I feel like ejacul...  Read Full »

Dr. Raveendran Sr

Sexologist, Diabetologist, Andrologist, General Practitioner

Answer: Hello, Welcome to I checked out your reports and prescription (attachment removed to protect patient identity). I can see vitamin D deficiency. Kindly share more details. Do you ejaculate morning or during sleep? Is there any itching or allergy? Are you talking about nocturnal emi...  Read Full »

Why do I have pain in my left testicles?

Query: Hi doctor, I am a 44-year-old male who is 6.2 feet tall and weighs about 82 kg with an athletic body. I like to do physical activities to keep fit and take a balanced diet. I am having mild pain for the past three weeks in my left testicle. Sometimes it subsides for short intervals. However, after ...  Read Full »

Dr. Samer S J Altawil


Answer: Hi, Welcome to Thank you for giving us a lot of details which make our work easy. At this age, it seems to me that you got enlarged prostate hence weaker stream and on-off pain in testis. An enlarged prostate is mainly a male issue at the age of above 40 years. It can cause weaker str...  Read Full »

For a BPH patient, what are the side effects of stopping Veltam plus?

Query: Hello doctor,My father, 74 years of age, has BPH. He had UTI four years ago and was diagnosed with BPH. PSA was 60 and last three years was on Urimax and past few months on Veltamplus. His PSA is 0.9 prostate size 45 cc and PVR is 70 ml. His symptoms have been the urinary frequency of every two hour...  Read Full »

Dr. Shahil Khant

Andrologist, General Surgeon, Urologist

Answer: Hello, Welcome to I would suggest you continue medicines as at present his flow (which is good) and postvoid (which is less, it should be less only) are because of medicines. I think if he stops the medicines then his urinary symptoms may get worse or postvoid may also increase. Ther...  Read Full »

I have low back pain and frequent urination after sex. Why?

Query: Hi doctor, I am 40 years old and have suffered from bouts of prostatitis a few times. I have not had an intimate life for many years. Now, I am having an intimate life with one person, who is clean as well as I am. After vigorous sex, I am having frequent urination, especially at night. I was wonder...  Read Full »

Dr. Anshul Varshney

Criticalcare Physician, Diabetologist, General Medicine Physician, Internal Medicine Physician, Medical Gastroenterologist, Nephrologist, Pulmonologist, Rheumatologist

Answer: Hi, Welcome to We are here to help you. Yes, your symptoms are consistent with either urinary tract infection (UTI) or prostatic enlargement. In fact, you might have benign prostatic hyperplasia (BPH) contributing to UTI. The second reason can be sexually transmitted UTI as also said b...  Read Full »

What is the best remedy for enlarged prostate with weak urine stream?

Query: Hello doctor, I am a 52-year-old male. My height is 5' 10", and weight is 70 kg. I have an enlarged prostate problem since age 43 years. My last scan was done before six years, showing 27 cc in volume and a calculus measuring 6.0 mm is seen in the lower pole. Kidney stone is not giving any trouble...  Read Full »

Dr. Samer S J Altawil


Answer: Hi, Welcome to Benign prostatic hyperplasia (BPH) with lower urinary tract symptoms. Prostate size is not really important some times, people with 20 gm prostate have symptoms and people with 200 gm have no issues. The shape of prostate can cause blockage to urine at any size. Two m...  Read Full »

What causes incomplete emptying of bladder in BPH?

Query: Hello doctor, I am a 60-year-old male diagnosed with BPH for three years now. I have been taking Tamsulosin .4 mg and Dutasteride .5 mg once a day for the entire three years under the supervision of my GP. For the past three months, my symptoms have gotten progressively worse. My bladder does no...  Read Full »

Dr. Saurabh S Pandya


Answer: Hi, Welcome to You will need to see your urologist and get a uroflow test done. If the flow is fair with current medications, and you do not hold much residual urine on sonography, you may consider continuing the same medications and add an anticholinergic to reduce the frequency of u...  Read Full »

Should I consult a specialist regarding my gallbladder issues?

Query: Hello doctor, I had got an abdomen ultrasound done for other reasons but, the radiologist observed the following 'gallbladder is partially distended and showing few small concretions at the GB neck. Chronic patient of the prostate. Size 47 by 41 by 38 mm, volume 39 cc. Pre-void urine 281 cc, post v...  Read Full »

Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hello, Welcome to How old are you? There is no need to worry. Small concretions are commonly found in the gallbladder. Also, the prostate size is enlarged and it is probably due to a benign prostatic hypertrophy. You should get Serum PSA (prostate-specific antigen) levels done, whi...  Read Full »

Can benign prostatic hyperplasia turn into cancer?

Query: Hello doctor, My father aged 54, on USG of whole abdomen shows prostate weight 31 gm. A year back, the prostate weight was 26 gm. He is taking Contiflo Icon 0.4 tablet. The doctor says it is very likely BPH. Can it turn into cancer?  Read Full »

Dr. Devendra


Answer: Hello, Welcome to This prostatic enlargement if suggested to be BPH after examination by an Urologist to be benign then very unlikely to be cancer. Prostate size growth over one year may be falsely positive due to different radiologist performing ultrasound, some variation. And progress...  Read Full »

What are the symptoms of benign prostate hyperplasia and how to treat them?

Query: Hi doctor, My father is 55 years old. Recently, he had done an ultrasound scan where the technician thought that there is an enlargement of the prostate and then he checked my father's prostate. He asked my father to urinate to check for urine retention. He checked my father, and there was no urine...  Read Full »

Dr. Satyajit Jalinder Pawar

Internal Medicine Physician, Medical Oncologist, General Medicine Physician

Answer: Hi, Welcome to Benign prostate hyperplasia is a common problem that happens due to increasing age. Symptoms usually start with difficulty in urinating, repeated nighttime urination, and narrow stream. These symptoms can be managed with oral drugs. USG is not a test to detect malignanc...  Read Full »

I was advised medicines after a routine prostate test, but I have no symptoms. Please suggest.

Query: Hello doctor, I am a 66 year old male. My only medical history is hypertension (controlled) with Norvasc. I went for my routine prostate test a couple of months ago and the result stated: PSA - 9.8 ng/mL. Free PSA - 1.9 ng/mL. Percentage free PSA - 19.4 %. I went back to another doctor a few weeks ...  Read Full »

Dr. Sandhya

Family Physician, General Practitioner

Answer: Hello, Welcome to After analysis of the history provided, I would like to give you a brief idea of the same. Firstly PSA (prostate-specific antigen) varies with age. As the age advances, it keeps increasing. Secondly, in spite of that, the PSA level mentioned in your report is in a hig...  Read Full »

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Disclaimer: All health Q&As published on this website are not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.