What is the cause of benign prostatic hyperplasia?

Patient's question:

When I went to the bathroom yesterday, it felt a bit uncomfortable, like I wasn't fully emptying my bladder. Also, I think my hemorrhoids are getting worse. Could this be my benign prostatic hyperplasia (BPH) coming back, causing pressure?
May I ask: What exactly is benign prostatic hyperplasia?

Doctor's answer:

Hello. In the early stages of benign prostatic hyperplasia (BPH), its etiology is often influenced by factors such as frequent sexual activity, chronic prostatitis, prostate hyperplasia, smoking and alcohol consumption, medications, endocrine imbalances, and increased male hormone levels, among others. The early clinical manifestations are commonly seen as:
1. Frequent urination, especially increased nocturia, where patients may urinate 2 to 5 times or more per night, with increased urine volume.
2. Difficulty urinating, hesitancy, weak urine stream, and intermittent urination.
3. Hematuria (blood in urine).
4. Hypersexuality (increased libido).
If the condition progresses, it may lead to acute urinary retention, where the patient is completely unable to urinate. It is recommended to seek early medical evaluation, including prostate and endocrine-related tests. Additionally, it is advisable to avoid alcohol and irritating foods, prevent exposure to colds or flu, reduce sexual activity, and manage the condition to prevent further worsening.

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