Letters

Benign prostatic hyperplasia has precise meaning

BMJ 2001; 322 doi: https://doi.org/10.1136/bmj.322.7278.106 (Published 13 January 2001) Cite this as: BMJ 2001;322:106
  1. Paul Abrams (paul_abrams@bui.ac.uk), consultant urologist
  1. Bristol Urological Institute, Southmead Hospital, Bristol BS10 5NB

    EDITOR—Kirby's editorial on benign prostatic hyperplasia presented a simplistic view of medical treatment for suspected benign prostatic obstruction.1

    Benign prostatic hyperplasia is a specific histological term often misused in general parlance. The importance of distinguishing between benign prostatic hyperplasia and benign prostatic enlargement and bladder outlet obstruction is fundamental. If men live long enough they will all develop histological benign prostatic hyperplasia, but only around half of them will develop benign prostatic enlargement; only around half of these will become obstructed and require treatment. It may suit those wishing to capture more patients in the treatment …

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