Symptoms of Prostatic Adenoma

The actual size of the prostate gland does not correlate with the severity of symptoms. Men with minimal prostatic enlargement may experience severe symptoms while men with very large prostates may experience less or no symptoms.
Collectively the symptoms of prostatic adenoma are known as lower urinary tract symptoms (LUTS). They are divided into primary (obstructive) and secondary (storage or irritative) symptoms.
The primary symptoms are as a direct result of the prostate compressing the urethra and causing obstruction.
The secondary symptoms are as a result of ineffective urination, bladder irritation or muscle dysfunction. Patients can also present to the doctor when complications of prostatic adenoma has already occurred.

Primary urinary Symptoms:

    Prolonged urinary flow

    Primary urinary symptom – prolonged urinary flow

  1. Poor or prolonged urinary flow
  2. Men will notice that their urine stream is no longer as strong as what it used to be. Instead of urine flowing with pressure, the urine tends to dribble through the urethra. If the urine flows out with decreased pressure, the time it takes to empty the bladder will be longer and therefore urinary flow is also prolonged.

  3. Hesitancy to urinate
  4. The patient has difficulty in initiating urination although a strong sensation to urinate is felt. The patient waits a long time before the urine flow starts.

  5. Sensation of incomplete emptying.
  6. Although no more urine can be passed, the bladder does not feel empty. The patient reports to the doctor that he cannot empty his bladder properly.


Secondary Urinary Symptoms:

  1. Urinary frequency
  2. This is when the patient has the need to urinate more often than usual without drinking more fluids. He will feel as if he needs to urinate so regularly that it interferes with daily activities.

  3. Urinary urgency
  4. When urinary urgency occurs, the patient all of a sudden feels the need to urinate immediately. This feeling occurs regularly and can become an annoyance and embarrassment to the patient. It is often, although not always, accompanied by urge incontinence.

  5. Urge incontinence
  6. Urge incontinence is when the patient feels a strong, sudden need to urinate with unintended and uncontrolled urine release. Having this symptom can make a patient isolate themselves from social activities and can contribute to the development of depression.