Prostate Enlargement (BPH): Causes, Symptoms & Modern Treatment Options

The prostate gland is a small, walnut-shaped organ located below the bladder in men. Its primary role is to produce fluid that nourishes and transports sperm. As men age, the prostate naturally tends to grow larger — a condition known as Benign Prostatic Hyperplasia (BPH) or prostate enlargement.

BPH is not cancerous, but it can cause uncomfortable urinary problems and affect daily life. It is one of the most common urological conditions among men over 40 in Bangladesh. Early recognition and proper medical attention can prevent serious complications such as bladder stones, infections, or even kidney damage.

Common Symptoms After Age 40

The symptoms of prostate enlargement develop gradually. Many men ignore them at first, thinking it’s just a part of aging — but these signs can indicate that the prostate is pressing against the urethra and blocking urine flow.

Typical symptoms include:

• Weak or interrupted urine flow
• Difficulty starting urination
• Frequent urge to urinate, especially at night (nocturia)
• Feeling of incomplete bladder emptying
• Urine leakage or dribbling after urination
• Urgent need to urinate but difficulty controlling it

If you notice these symptoms, it’s essential to consult a urologist in Dhaka to determine whether it’s BPH or another underlying issue such as infection or prostate cancer.

Causes and Risk Factors

The exact cause of BPH isn’t fully understood, but several factors contribute to its development:

• Age: Most common in men above 40, and nearly 50% of men over 60 show signs of BPH.
• Hormonal changes: Fluctuations in testosterone and estrogen levels can lead to prostate growth.
• Genetics: Family history of prostate issues increases risk.
• Lifestyle factors: Obesity, lack of exercise, and poor diet contribute to prostate enlargement.
• Medical conditions: Diabetes and heart disease are associated with higher BPH risk.

Being aware of these factors helps men in Bangladesh take preventive steps early — including regular health check-ups and lifestyle improvements.

Medical vs Surgical Treatments

The treatment of prostate enlargement depends on the severity of symptoms and how much the condition affects daily life.

1. Medical Treatments:
In early or mild cases, medication can effectively manage symptoms. Common drugs include:

• Alpha-blockers: Help relax prostate and bladder muscles, improving urine flow.
• 5-alpha-reductase inhibitors: Reduce the size of the prostate over time.
• Combination therapy: In some cases, both types are used for better results.

Lifestyle modifications — like reducing caffeine and alcohol intake, limiting evening fluids, and urinating regularly — can also help reduce discomfort.

2. Surgical Treatments:
When medications no longer work or symptoms become severe, surgery may be needed. Traditional surgical options include TURP (Transurethral Resection of the Prostate), which removes part of the enlarged prostate to relieve blockage.

Modern Minimally Invasive Methods

Today, many modern urologists in Dhaka like Dr. Md. Nasir Uddin use advanced, minimally invasive techniques that offer faster recovery, less bleeding, and fewer complications compared to traditional surgery.

Some of the most effective options include:

• Laser Prostate Surgery (HoLEP or GreenLight Laser): Uses laser energy to remove prostate tissue safely and precisely.
• UroLift System: Small implants hold the enlarged tissue away from the urethra to improve urine flow without cutting.
• Rezum Therapy: Steam (water vapor) is used to shrink prostate tissue naturally.
• Bipolar TURP: An advanced version of traditional surgery that minimizes bleeding and recovery time.

These procedures allow patients to return home quickly — often the same or next day — and resume normal activities within a short period.

Why Men in Bangladesh Should Seek Early Treatment

In Bangladesh, many men hesitate to discuss urinary or prostate-related issues due to embarrassment or social stigma. Unfortunately, delaying treatment often leads to serious complications such as:

• Chronic urinary retention
• Bladder infections or stones
• Kidney damage due to backflow of urine
• Recurrent pain or bleeding during urination

Seeking early prostate treatment in Bangladesh not only relieves discomfort but also prevents long-term health damage. Regular prostate check-ups after age 40 can make a life-changing difference.

Consultation Options with Dr. Md. Nasir Uddin

Dr. Md. Nasir Uddin, MBBS, BCS, FCPS, is a highly experienced Urology Specialist & Surgeon and Assistant Professor at the National Institute of Kidney Diseases & Urology, Dhaka. He specializes in the diagnosis and treatment of urological problems including prostate enlargement, kidney diseases, urinary tract disorders, and male reproductive health.

Patients trust Dr. Nasir Uddin for his expertise in modern minimally invasive BPH surgeries and patient-centered approach. His goal is to ensure safe, effective, and long-lasting relief for men suffering from prostate issues.

Whether you’re experiencing weak urine flow, frequent nighttime urination, or discomfort, a timely consultation with Dr. Nasir Uddin can help you regain confidence and restore your urinary health.

Final Thoughts

Prostate enlargement (BPH) is a common but manageable condition — especially when diagnosed early. With modern laser and minimally invasive techniques now available in Dhaka, men no longer need to live with discomfort or fear.

If you’re searching for the best urologist for prostate treatment in Bangladesh, consider consulting Dr. Md. Nasir Uddin, who offers expert guidance, advanced surgical care, and personalized treatment plans for lasting recovery and improved quality of life.