The growing problem of an enlarged prostate gland
Why Your Prostate Grows with Age—and What That Means for Your Health
Aging affects many parts of the body—but for men, one of the most common (and often overlooked) changes happens in the prostate. By the time most men reach their 50s or 60s, their prostate may grow from the size of a walnut to something closer to a lemon.
This natural growth can affect how you urinate, your risk of infection, and your overall urinary health. If you've noticed changes in how often—or how easily—you’re able to go to the bathroom, your prostate could be the reason why.
What Causes Prostate Enlargement?
The exact cause of prostate enlargement isn’t fully understood, but one major factor appears to be hormonal changes. Specifically, a male hormone called dihydrotestosterone (DHT) plays a key role. As men age, DHT levels may act more aggressively on the prostate, stimulating its growth even as testosterone levels decline.
Why Prostate Growth Affects Urination
The prostate is located just below the bladder and surrounds the urethra—the narrow tube that carries urine out of the body. As the prostate enlarges, it can squeeze or press against the urethra, leading to a range of lower urinary tract symptoms (LUTS).
Common symptoms include:
Difficulty starting urination
Weak or interrupted urine stream
Frequent urination, especially at night (nocturia)
Dribbling after urination
Feeling like your bladder isn’t completely empty
These symptoms can gradually worsen over time and may significantly affect your quality of life.
The Risk of Urinary Tract Infections (UTIs)
When urine isn’t fully expelled from the bladder, it can become a breeding ground for bacteria. This increases your risk of developing urinary tract infections, which can cause:
Pain or burning during urination
Cloudy or strong-smelling urine
Increased urgency or frequency of urination
If left untreated, a UTI can progress into a kidney infection, which may require antibiotics or even hospitalization.
When to See a Doctor
While some prostate growth is normal with age, that doesn’t mean you should ignore symptoms. If you're experiencing urinary problems—whether mild or disruptive—it's important to talk to a healthcare provider.
Treatment options range from lifestyle changes and medications to minimally invasive procedures, depending on the severity of your symptoms and how much they interfere with your daily life.
Take Control of Your Urinary Health
At Bastion Health, we specialize in evidence-based care for men’s health concerns—including prostate conditions like benign prostatic hyperplasia (BPH). If you’re noticing changes in how you urinate or have questions about prostate health, we’re here to help.
Get expert guidance, virtual care, and tools to help improve your overall health—all covered through your employer.
