07/05/2023
Bladder problems men shouldn't ignore
Urinary problems in middle-aged men can be frustrating and embarrassing, and are often caused by an enlarged prostate. However, they may also be indicative of something more serious such as prostate cancer. Our two experts explain why vigilance is important and share their self-help tips.
Last updated by Julian Turner Peer reviewed by Dr Sarah Jarvis MBE
Last updated 22 Jun 2018
5 mins read
Wisdom, understanding, perspective. Getting older can offer many unexpected benefits for men - an enlarged prostate is most definitely not one of them.
Located underneath the bladder, this unassuming little gland may only be the size of a walnut, yet it plays a big role in a man's sexual and urinary health, producing seminal fluid and, as he gets older, impacting urinary functionality.
Obstructing the flow
Enlargement of the prostate, also known as benign prostatic hypertrophy (BPH), begins in puberty. Once a man reaches 50 it can gradually become so large that it obstructs the flow of urine out of the bladder.
To compensate, the bladder becomes more muscular and sensitive, or 'overactive', leading to issues including poor flow of urine; frequent but incomplete bladder emptying; the need to urinate more often (which can be particularly frustrating during the night); leakage of urine in between; and even incontinence and bladder discomfort.
"Because the bladder isn't fully emptied, men with an enlarged prostate are more prone to urinary tract infections," explains GP Dr Clare Morrison. "These can cause lower abdominal pain, frequent passing of urine, and sometimes a fever and blood in the urine. In elderly men, infections can also cause confusion and shaking."
Men also suffer from kidney stones, which can cause severe pain anywhere from the loin to the groin, and sometimes blood in the urine. Similarly, an inflamed prostate (prostatitis) causes pain in the p***s, testicles, a**s and lower abdomen, combined with a frequent urge to pass urine.
