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How Does An Enlarged Prostate Affect Urination?

An enlarged prostate, or benign prostatic hyperplasia (BPH) can affect men in several ways including how and when he urinates. Learn how an enlarged prostate affects urination.

Just The Facts

By the time a man turns 60, he has a 50/50 chance of having an enlarged prostate. Men turning 85 years of age can expect that percentage to rise to 90%.

This tiny gland is important because it expels the semen during ejaculation. It starts out being the size of a walnut, but begins to grow larger around middle age. It can grow to the size of an apricot or even a lemon.

Adult man using a toilet at home

Since it is located just below the bladder where it connects with the urethra, its size begins to interfere with the urethra, which not only carries semen, but also urine. The larger the prostate becomes, it presses against the urethra and the bladder wall thickens. At some point the bladder can weaken, and it can lose the ability to fully empty.

Although many men will have an enlarged prostate, not all men will have the symptoms around urination.

Common Symptoms Of BPH

An enlarged prostate affects urination several ways.

If you notice any of the following symptoms talk to Dr. Steven Gange:

    • Difficulty starting to urinate
    • A weak or interrupted urinary stream
    • Frequent urination sometimes several times an hour and during the night
    • The inability to completely empty the bladder
    • Feeling that you need to urgently “go”

Unless you begin some treatment for BPH symptoms, it can affect your life in significant ways. Many men avoid social situations for fear they may not make it to a bathroom. Urge incontinence can become a constant part of a man’s life causing depression and loneliness.

Although having an enlarged prostate does not increase your risk for prostate cancer, other serious complications can occur, including urinary tract infections, bladder and kidney damage, bladder stones, or a sudden inability to urinate.

There are multiple treatments available for the symptoms of BPH including medications, non-invasive procedures and surgery.

If you are experiencing the symptoms of an enlarged prostate, contact Dr. Steven Gange at (801) 993-1800 to schedule a visit at our Salt Lake City office.



I have seen Dr. Gange for a number of years and developed the typical symptoms associated with an enlarged prostate. During my annual urologist visit, Dr. Gange laid out my options. After doing some personal research, I elected to have the Urolift procedure performed by Dr. Gange on an outpatient basis.

The procedure was uncomfortable but not particularly painful compared to other surgeries I have had. Recovery was relatively quick and I was back at work after two days of rest.

I did experience some significant discomfort associated with urination but was counseled that I was not drinking enough water. Once I increased my consumption of water, most of the discomfort went away and I was back to normal after about two weeks.

In the wake of the surgery, the urgency to urinate has gone away. The interval between trips to the bathroom has lengthened significantly such that I usually get up to urinate only once each night and sometimes not at all.

Having talked with others who have had more drastic prostate surgery, I feel that the Urolift procedure was much less stressful and the results were as hoped for.