Benign prostate hyperplasia: a clinical review

Benign prostatic hyperplasia (BPH) has a profound impact on the quality of life of the aging male, with as many as 80% to 90% of men showing histological changes by age 80. Medical history and physical examination are essential for diagnosing and grading BPH. Symptoms often encountered include weak urinary stream, straining, urinary hesitancy, urgency, and frequency. It is important for the primary care physician to be aware of these symptoms and the appropriate treatment to not only enhance the quality of life but to be able to screen for other diseases such as prostate cancer. This article reviews the diagnostic workup and treatment modalities for BPH.