Enlarged prostate (BPH)

Modern treatment for an enlarged prostate.

Nightly bathroom trips, weak stream, incomplete emptying? BPH is common after 50 and highly treatable — from medical therapy to laser enucleation.

PMDC Registered

Neurospinal and Cancer Care Institute (NCCI)

Consultation

Mon – Sat, Evenings

Introduction

What happens to the prostate with age?

The prostate gradually enlarges after age 40 and can squeeze the urethra, blocking urine flow. Left untreated, it can cause infections, bladder damage and kidney problems — but modern treatment restores flow with minimal downtime.

IPSS score guides the choice of treatment
Medical therapy relieves symptoms in most mild cases
TURP is the historical surgical standard
Laser enucleation (HoLEP/ThuLEP) is the modern option for larger glands

Causes

Why the prostate enlarges

BPH is a natural, hormone-driven change — not a disease of lifestyle — but several factors influence how severe symptoms become.

Cause 01

Age

Over half of men above 50 and 80% above 80 have some degree of BPH.

Cause 02

Hormonal shifts

Rising DHT (a testosterone by-product) drives glandular growth.

Cause 03

Genetics

A family history of BPH increases risk and often the severity.

Cause 04

Metabolic syndrome

Obesity, diabetes and high blood pressure worsen urinary symptoms.

Cause 05

Sedentary lifestyle

Low physical activity is linked to faster progression of BPH.

Cause 06

Diet

Diets high in red meat and low in vegetables correlate with worse symptoms.

Symptoms to watch

When to see a urologist

Any one of the following symptoms is worth a consultation — especially if it has been ongoing for more than a few weeks.

!Frequent urination, especially at night

!Weak or interrupted stream

!Straining to start urination

!Feeling of incomplete emptying

!Sudden urgency or leakage

Diagnosis

How the diagnosis is made

A structured evaluation separates BPH from other prostate conditions, including cancer, and picks the right treatment.

1
IPSS symptom score
A short questionnaire that quantifies severity and impact on quality of life.
2
Digital rectal exam (DRE)
Quick, essential step to assess prostate size and rule out abnormal areas.
3
PSA blood test
Screens for prostate cancer whenever symptoms are being evaluated.
4
Uroflowmetry & residual urine
Objective measurement of stream and how much urine is left after voiding.
5
Trans-rectal ultrasound
Accurate prostate volume — critical when choosing between TURP and laser enucleation.

Why patients choose us

A modern approach, delivered with warmth

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Medical therapy

α-blockers and 5-ARIs — mainstay for mild to moderate cases.

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TURP

Trans-urethral resection — the classic surgical benchmark.

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HoLEP / ThuLEP

Laser enucleation — best for very large prostates.

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Long-term follow-up

Uroflow, PSA and symptom scores at set intervals.

Prevention & lifestyle

What you can do every day

BPH itself can't be fully prevented, but symptoms and progression respond strongly to daily habits.

✓Reduce fluid intake in the 2 hours before bed to cut night trips

✓Cut back on caffeine and alcohol — both irritate the bladder

✓Stay physically active — brisk walking 30 minutes a day helps

✓Maintain a healthy weight and control blood sugar

✓Never 'hold on' — empty the bladder as soon as the urge arrives

✓Have a yearly PSA and DRE from age 50 (or 45 with a family history)

Inside the practice

A day at the clinic

Real moments from consultations, imaging, surgery and follow-up — the standard of care patients can expect.

Frequently asked

Questions patients often ask

BPH itself is benign. However, symptoms overlap with prostate cancer, so a PSA test and examination are done at every evaluation to be safe.

Erectile function is usually preserved. Retrograde ejaculation (where semen goes into the bladder) is common after TURP and HoLEP — this is discussed in detail before surgery.

Most patients notice a stronger stream within days of catheter removal. IPSS scores continue to improve for 2–3 months.

Book a consultation

Ready to talk it through?

A single consultation usually clarifies the diagnosis and the treatment path. Book yours today, or contact the doctor for a quick question.

Dr. Shahid H. Baloch

Consultant Urologist & Sexologist in Karachi — providing modern, evidence-based urological care with a focus on kidney stones, prostate disease, male infertility and men’s sexual health.

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