Condition
Prostate enlargement (BPH)
Prostate enlargement is very common as men get older and highly treatable. Modern options mean most men can significantly improve their urinary symptoms and quality of life.
Overview
What is this condition?
Benign prostatic hyperplasia (BPH) is a non-cancerous enlargement of the prostate that can obstruct urinary flow.
It is one of the most common conditions we see in men over 50, and the range of modern treatments has expanded dramatically — from tablets to precise, tissue-preserving minimally invasive surgery.
Common symptoms
Symptoms to be aware of
Symptoms vary from person to person. Specialist assessment helps determine the underlying cause.
Weak urinary stream
Waking at night to urinate
Urinary urgency
Hesitancy starting
Feeling of incomplete emptying
Post-void dribbling
Possible causes
What can cause it
Age-related growth
The prostate naturally enlarges with age, driven partly by hormonal changes.
Family history
A family history of BPH increases your likelihood.
Cardiometabolic factors
Diabetes and cardiovascular disease can influence prostate growth and symptoms.
Many causes are benign and highly treatable. A structured consultant-led assessment is the fastest way to reach a clear diagnosis and a personalised plan.
When to seek medical advice
Some symptoms should always prompt prompt specialist review. Please seek urgent medical advice — through your GP, NHS 111 or A&E — if you notice any of the following.
- Inability to pass urine (acute urinary retention)
- Blood in the urine
- Recurrent urinary infections
- New kidney impairment
- Bladder stones
Diagnosis
How the diagnosis is made
Diagnosis follows a clear, patient-centred pathway — often completed within one or two visits.
- 01
Medical history
Detailed symptom score (IPSS) and quality-of-life assessment.
- 02
Examination
Abdominal and prostate examination.
- 03
Urine tests
To exclude infection and check for blood.
- 04
Blood tests
Kidney function and PSA where appropriate.
- 05
Flow rate and residual
Measures the strength of your stream and how well the bladder empties.
- 06
Imaging or cystoscopy
Ultrasound or flexible cystoscopy where indicated.
Treatment options
Treatments tailored to you
Treatment is tailored to your symptoms, prostate size, anatomy, general health and preferences — including sexual function.
Frequently asked questions
Your questions, answered
Why patients choose Mr Teleb
Consultant-led urology care you can trust.
Consultant-led care
Every consultation, investigation and follow-up is with Mr Teleb personally.
NHS Consultant
Substantive Consultant Urologist at University Hospital of Wales.
Evidence-based treatment
Modern, guideline-based care delivered to a high standard.
Rapid access
Most new patients are seen within a few days.
Personalised management
Treatment plans tailored to your anatomy, health and priorities.
Clear communication
Unhurried explanations, written summaries and shared decision-making.
Related conditions
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Patient information
Concerned about your symptoms?
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Mr Teleb personally reviews every enquiry. If your symptoms are worrying you, a consultation is the fastest way to a clear diagnosis and a personalised plan.
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Arrange your private consultation.
I see most new private patients within a few days. Send me a confidential enquiry or book directly into my clinic online — I'll personally review your concerns and guide you from there.
FRCS (Urol)
Fellowship-trained consultant
5.0 patient rating
Verified private reviews
Seen within days
Same-week appointments
All major insurers
BUPA · AXA · Aviva · Vitality · WPA