Regency Specialist Hospital +6017 523 3183
Clinic F7, Ground Floor, No 1, Jln Suria, Bandar Seri Alam, 81750 Masai
Singapore Mount Alvernia Hospital +65 9727 3900
Medical Centre A, #02-03, 820 Thomson Road Singapore 574623
Benign Prostatic Hyperplasia (BPH)

What is Benign Prostatic Hyperplasia (BPH)?

Benign Prostatic Hyperplasia (BPH), also known as prostate enlargement, is a common condition affecting older men where the prostate gland grows in size. The prostate is a small, walnut-shaped gland located below the bladder, responsible for producing seminal fluid, which nourishes and transports sperm. As men age, the prostate gland often increases in size, which can lead to the compression of the urethra, the tube responsible for passing urine from the bladder out of the body​.

Benign Prostatic Hyperplasia (BPH) Singapore
Benign Prostatic Hyperplasia (BPH) is a non-cancerous enlargement of the prostate gland that can cause urinary problems by obstructing the flow of urine​.
While BPH is rarely life-threatening, it can significantly impact the quality of life if left untreated. If the condition becomes severe, it can cause complications such as urinary retention, bladder stones, or even kidney damage​. Early diagnosis and treatment are essential to managing the symptoms and preventing further complications. This condition is highly prevalent, affecting roughly 50% of men in their 50s and up to 90% of men aged 80 or older.

What causes Benign Prostatic Hyperplasia (BPH)?

Benign Prostatic Hyperplasia (BPH) develops due to hormonal changes that occur naturally as men age, particularly shifts in testosterone and oestrogen levels. The prostate gland, which produces fluid for semen, is typically regulated by male hormones, primarily testosterone. In older men, testosterone levels gradually decrease, while estrogen levels, though lower, may remain more stable. Research suggests that this imbalance could lead to increased activity of dihydrotestosterone (DHT), a hormone derived from testosterone, within the prostate. DHT accumulates in prostate tissue over time, stimulating the growth of prostate cells and resulting in gland enlargement​.
As this enlargement progresses, the extra prostate tissue can exert pressure on the urethra, causing it to narrow. This restriction affects urine flow from the bladder, which explains the urinary symptoms commonly associated with BPH. Furthermore, BPH may involve a chronic inflammatory response that promotes tissue remodelling, adding to the buildup of cells and increased gland size​.
Enlarged Prostate Gland Singapore
In Benign Prostatic Hyperplasia (BPH), the prostate gland enlarges and compresses the urethra, making it difficult to urinate and causing other urinary symptoms​.

What are the symptoms of Benign Prostatic Hyperplasia (BPH)?

Men experiencing Benign Prostatic Hyperplasia (BPH) often notice urinary changes due to the enlarged prostate pressing on the urethra. Common symptoms include:
  • Frequent urge to urinate, especially at night (nocturia)
  • Difficulty starting urination
  • Weak or interrupted urine stream
  • Feeling that the bladder is not fully emptied after urination
  • Straining to urinate
  • Dribbling at the end of urination
  • Sudden, strong urge to urinate​
These symptoms can vary in severity and impact daily activities and sleep, often leading men to seek treatment for relief.
Benign Prostatic Hyperplasia (BPH) Symptoms Singapore
Benign Prostatic Hyperplasia (BPH) may cause symptoms like frequent urination, difficulty starting urination, a weak stream, and the sensation of incomplete bladder emptying​.

Who is at risk of Benign Prostatic Hyperplasia (BPH) in Singapore?

In Singapore, certain groups of men are at a higher risk of developing Benign Prostatic Hyperplasia (BPH) due to various factors. The risk increases with:
These groups should monitor for symptoms and seek early medical advice for better management of the condition.
Age

Men over the age of 40 are more likely to experience BPH, with prevalence rising sharply after the age of 50​.

Family history

Those with a family history of prostate problems are at a higher risk of developing BPH​.

Health conditions

Men with chronic conditions such as heart disease or diabetes may have a higher likelihood of developing BPH​.

Obesity

Men with higher body mass index (BMI) are more likely to suffer from BPH due to increased inflammatory responses​.

How is Benign Prostatic Hyperplasia (BPH) diagnosed?

At Allen Sim Urology, we take a personalised approach to diagnosing Benign Prostatic Hyperplasia (BPH). Our process involves the following key diagnostic methods tailored to your specific symptoms and needs:
Digital Rectal Exam (DRE) Singapore
A Digital Rectal Exam (DRE) can help diagnose Benign Prostatic Hyperplasia (BPH) by allowing the doctor to feel for prostate enlargement or irregularities through the rectum.

Common methods for diagnosing bladder cancer include:

During your initial consultation, our healthcare expert will ask detailed questions about your symptoms, such as the frequency of urination, urgency, and whether you have difficulty starting or stopping urination. This helps us understand the impact BPH might be having on your daily life​.

DRE is a quick, simple physical exam where we gently insert a gloved, lubricated finger into the rectum to feel the size and shape of the prostate. This allows us to detect any enlargement or abnormalities in the gland​.

Our healthcare expert may perform a uroflowmetry test to measure how fast your urine flows. This non-invasive test can help identify any obstruction in the urethra caused by an enlarged prostate​.

After you urinate, we use an ultrasound or a catheter to measure how much urine remains in the bladder. This test helps determine if your bladder is fully emptying, which is a common issue with BPH​.

To rule out prostate cancer, we may order a PSA blood test. While elevated PSA levels can indicate BPH, they can also signal other prostate conditions, so this test is important in determining the best treatment pathway​.

What are the treatment options for Benign Prostatic Hyperplasia (BPH) in Singapore?

At Allen Sim Urology, we offer a range of personalised treatment options for Benign Prostatic Hyperplasia (BPH), carefully designed according to your specific symptoms and lifestyle. Our goal is to help relieve your symptoms and improve your quality of life with the most effective and least invasive approach possible.

Lifestyle modifications

For men with mild symptoms, we often recommend simple lifestyle changes. These may include reducing fluid intake before bedtime, avoiding caffeine and alcohol, and maintaining a healthy diet and exercise routine. Such modifications can help manage symptoms without the need for immediate medical intervention​.

Medications

If your symptoms are more bothersome, we may prescribe medications.
  • Alpha Blockers: these drugs help relax the muscles around the prostate and bladder neck, allowing urine to flow more easily.
  • 5-Alpha Reductase Inhibitors: these medications can shrink the prostate by blocking hormonal changes that cause the gland to grow​.

Minimally invasive procedures

For men who need more than medication but want to avoid major surgery, we offer several minimally invasive options:
  • UroLift: a quick procedure that lifts and holds the enlarged prostate tissue out of the way, which helps reduce obstruction without removing prostate tissue.
  • Water Vapour Therapy (Rezum): this uses steam to destroy excess prostate tissue, providing long-term relief with minimal side effects​.

Surgical Options

In more severe cases, surgery may be necessary to relieve symptoms. We offer advanced surgical techniques, including:
  • Transurethral Resection of the Prostate (TURP): a well-established procedure to remove prostate tissue and improve urine flow.
  • Holmium Laser Enucleation of the Prostate (HoLEP) a laser treatment that precisely removes enlarged prostate tissue, offering an effective, minimally invasive option​.
At Allen Sim Urology, we are dedicated to finding the right solution for you, and ensuring each treatment plan is customised based on your health needs and preferences.
If you are experiencing urinary symptoms, schedule a consultation with Allen Sim Urology to identify the cause and find the best path forward for your health.

Frequently Asked Questions (FAQs)

BPH cannot be completely cured, but symptoms can be effectively managed through medication, lifestyle changes, or minimally invasive treatments tailored to the individual’s needs.

Untreated BPH may lead to complications like urinary retention, bladder stones, bladder damage, and in severe cases, kidney damage, due to the strain on the urinary system.

No, BPH is a benign condition and does not increase the risk of prostate cancer. However, both conditions can produce similar urinary symptoms, so regular checkups are advised to rule out any risks.

Depending on the medication, it can take anywhere from a few days to up to six months for noticeable improvement in symptoms. Patients are encouraged to follow their doctor’s instructions and have regular follow-ups to assess effectiveness.

Yes, certain lifestyle adjustments—like reducing fluid intake in the evening, avoiding caffeine and alcohol, and incorporating regular exercise—can help alleviate mild BPH symptoms and improve bladder function.

A diet rich in fruits, vegetables, and healthy fats may support prostate health. Avoiding heavy intake of caffeine and alcohol may also reduce symptoms associated with BPH.