Benign Prostatic Hyperplasia

Benign Prostatic Hyperplasia (BPH) is a common, non-cancerous enlargement of the prostate gland that affects many men as they grow older. In Sri Lanka, where life expectancy has steadily increased, BPH has become an important men’s health concern, particularly among those over the age of 50. The prostate surrounds the urethra, and as it enlarges, it can interfere with normal urine flow, leading to symptoms that affect daily comfort and quality of life.

Men with BPH commonly experience urinary symptoms such as frequent urination, especially at night (nocturia), a weak or interrupted urine stream, difficulty starting urination, and a feeling of incomplete bladder emptying. In the Sri Lankan setting, these symptoms are often underreported due to cultural attitudes, embarrassment, or the belief that urinary problems are a normal part of ageing. As a result, many men delay seeking medical attention until symptoms become severe, sometimes leading to complications such as urinary retention or recurrent urinary tract infections.

Diagnosis of BPH in Sri Lanka is typically carried out by general practitioners or urologists in government hospitals, private hospitals, and increasingly through well-equipped regional healthcare centres. Assessment usually includes a medical history, physical examination, urine tests, and ultrasound scans. Blood tests may also be used to rule out other prostate-related conditions. Early diagnosis is encouraged, as it allows symptoms to be managed effectively and helps maintain a good quality of life.

Treatment options for BPH in Sri Lanka vary depending on symptom severity and patient preference. Mild cases may be managed through lifestyle adjustments such as reducing evening fluid intake, limiting caffeine, and maintaining regular physical activity. Medications are commonly prescribed and are widely available in both public and private healthcare systems. In more advanced cases, surgical procedures may be recommended, and Sri Lanka has skilled urologists and modern facilities capable of providing effective surgical care.

Alongside modern medicine, some Sri Lankan men explore traditional or Ayurvedic approaches to support urinary health. While these practices are culturally valued, they are best used alongside proper medical evaluation. Increasing public awareness, open discussion, and routine health check-ups are essential to ensure that BPH is detected early and managed safely, allowing ageing Sri Lankan men to remain active and comfortable in their daily lives.