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How does benign prostatic hyperplasia (BPH) relate to lower urinary tract symptoms (LUTSs)?

Benign prostatic hyperplasia (BPH) often leads to lower urinary tract symptoms (LUTSs) because the enlarged prostate gland compresses the urethra, causing urinary issues. These symptoms can include urinary frequency, hesitancy, nocturia, weak stream, urgency, incomplete bladder emptying, and incontinence or dribbling.

Benign prostatic hyperplasia (BPH) is characterized by the enlargement of the prostate gland, primarily in the transition zone surrounding the urethra. As the prostate enlarges, it presses against the urethra, leading to a narrowing that results in lower urinary tract symptoms (LUTSs). These symptoms may include increased urinary frequency, difficulty starting urination (hesitancy), the need to urinate frequently at night (nocturia), a weak urinary stream, a sudden urge to urinate, a sensation of incomplete bladder emptying, and urinary incontinence or dribbling. While BPH is a common cause of LUTSs, not all individuals with BPH will experience these symptoms. Additionally, severe cases of BPH can lead to urinary retention and potentially affect kidney function if left untreated.

Key points

  • BPH causes prostate enlargement, compressing the urethra.
  • This compression leads to LUTSs such as frequency and hesitancy.
  • Symptoms include nocturia, weak stream, urgency, and incontinence.
  • Not all individuals with BPH exhibit LUTSs.
  • Severe BPH can lead to urinary retention and kidney issues.
Source:Collins-Bride & Saxe’s Clinical Guidelines for Advanced Practice Nursing· Benign Prostatic Hyperplasia· p. 421–433
Cover of Collins-Bride & Saxe’s Clinical Guidelines for Advanced Practice Nursing

Collins-Bride & Saxe’s Clinical Guidelines for Advanced Practice Nursing

Joo, Yoonmee;Gatewood, J. V.;Israel, Mary Anne M.;Wong McGrath, Kelly;

FOURTH EDITION · Jones & Bartlett Learning

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