{"id":1572,"date":"2020-08-28T08:00:00","date_gmt":"2020-08-28T01:00:00","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=1572"},"modified":"2026-08-15T00:21:24","modified_gmt":"2026-08-14T17:21:24","slug":"prostata-benigna-bph","status":"publish","type":"post","link":"https:\/\/drsoaraweeurology.com\/it\/2020\/08\/28\/benign-prostate-bph\/","title":{"rendered":"Enlarged Prostate (BPH): Why It Happens and What Can Be Done"},"content":{"rendered":"<div class=\"wp-block-columns coblocks-author-columns has-background is-layout-flex wp-container-core-columns-is-layout-52275889 wp-block-columns-is-layout-flex\" style=\"background-color:#8C8C971A;padding-top:2.5rem;padding-right:2.5rem;padding-bottom:2.5rem;padding-left:2.5rem\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<figure class=\"wp-block-image size-full is-style-rounded\"><img data-recalc-dims=\"1\" fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"800\" data-attachment-id=\"7037\" data-permalink=\"https:\/\/drsoaraweeurology.com\/it\/new-photo-2024\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" data-orig-size=\"800,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand&lt;\/p&gt;\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=800%2C800&#038;ssl=1\" alt=\"Dott.ssa Soarawee Weerasopone \u2013 Urologa certificata a Bangkok, Thailandia\" class=\"wp-image-7037\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?w=800&amp;ssl=1 800w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=300%2C300&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=150%2C150&amp;ssl=1 150w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=768%2C768&amp;ssl=1 768w, 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dell'ospedale di Bangkok, Bangkok<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"tel:+66880221445\" target=\"_blank\" rel=\"noreferrer noopener\">Ospedale Samitivej Sriracha \u2014 Reparto di urologia: <strong>088-022-1445<\/strong><\/a><\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button is-style-outline is-style-outline--1\"><a class=\"wp-block-button__link has-background-background-color has-text-color has-background has-link-color has-small-font-size has-custom-font-size wp-element-button\" href=\"\/it\/Prenota una consulenza\/\" style=\"color:#1b4965\" target=\"_blank\" rel=\"noreferrer noopener\">Prenota una consulenza<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<ul class=\"wp-block-social-links aligncenter has-normal-icon-size is-style-default coblocks-animate is-content-justification-center is-layout-flex wp-container-core-social-links-is-layout-3e41869c 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C9.848,7.756,9.389,7.699,9.389,7.699C8.904,7.67,8.961,6.93,9.446,6.958c0,0,1.484,0.114,2.368,0.114 c0.94,0,2.397-0.114,2.397-0.114c0.485-0.028,0.542,0.684,0.057,0.741c0,0-0.488,0.057-1.029,0.085l3.249,9.665l0.897-2.996 C17.841,13.284,18.069,12.316,18.069,11.546z M19.889,7.686c0.039,0.286,0.06,0.593,0.06,0.924c0,0.912-0.171,1.938-0.684,3.22 l-2.746,7.94c2.673-1.558,4.47-4.454,4.47-7.771C20.991,10.436,20.591,8.967,19.889,7.686z M12,22C6.486,22,2,17.514,2,12 C2,6.486,6.486,2,12,2c5.514,0,10,4.486,10,10C22,17.514,17.514,22,12,22z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">WordPress<\/span><\/a><\/li>\n\n<li class=\"wp-social-link wp-social-link-linkedin wp-block-social-link\"><a href=\"https:\/\/www.linkedin.com\/in\/soarawee-weerasopone\/\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewbox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path 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1.732 0 0 1-.064.262c-.13.523-.402.913-.815 1.17-.413.255-.95.382-1.61.382z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/orcid.org\/0009-0004-8387-3559\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"ORCID iD\"\n     aria-label=\"Visualizza Profilo ORCID\"\n     style=\"text-decoration: none; color: #A6CE39; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewbox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M12 0C5.372 0 0 5.372 0 12s5.372 12 12 12 12-5.372 12-12S18.628 0 12 0zM7.369 4.378c.525 0 .947.431.947.947 0 .525-.422.947-.947.947-.525 0-.946-.422-.946-.947 0-.525.421-.947.946-.947zm-.722 3.038h1.444v10.041H6.647V7.416zm3.562 0h3.9c3.712 0 5.344 2.653 5.344 5.025 0 2.578-2.016 5.025-5.325 5.025h-3.919V7.416zm1.444 1.303v7.444h2.297c3.272 0 4.022-2.484 4.022-3.722 0-2.016-1.284-3.722-4.097-3.722h-2.222z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/scholar.google.com\/citations?user=lTgsRMUAAAAJ&#038;hl=en\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"Google Scholar\"\n     aria-label=\"Visualizza il profilo di Google Scholar\"\n     style=\"text-decoration: none; color: #4285F4; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewbox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M5.242 13.769L0.5 9.5 12 1l11.5 8.5-4.742 4.269C17.548 11.249 14.978 9.5 12 9.5c-2.977 0-5.548 1.748-6.758 4.269zM12 10a7 7 0 1 0 0 14 7 7 0 0 0 0-14z\"\/>\n    <\/svg>\n  <\/a>\n  \n<\/div>\n\n\n\n<p class=\"has-drop-cap wp-block-paragraph\">Benign prostatic hyperplasia \u2014 BPH, or simply an enlarged prostate \u2014 is one of the commonest things men come to see me about. It rarely arrives suddenly. The symptoms build so gradually that most men adjust around them for years before mentioning it to anyone, which is a shame, because it is very treatable.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Symptoms that suggest BPH<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>A weak stream, and having to strain to get going<\/li>\n\n\n\n<li>The sense that the bladder never quite empties<\/li>\n\n\n\n<li>Getting up at night to pass urine, and waking tired because of it<\/li>\n\n\n\n<li>Passing urine more often through the day<\/li>\n\n\n\n<li>A sudden, hard-to-defer urge to go<\/li>\n\n\n\n<li>Dribbling at the end, or a stream that splits<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">None of these is dangerous in itself. What they cost is sleep, confidence and the freedom to be far from a toilet \u2014 and that is reason enough to have them assessed rather than tolerated.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Centro di urologia Ospedale di Bangkok Thailandia <a href=\"\/it\/Prenota una consulenza\/\" target=\"_blank\" rel=\"noreferrer noopener\">Prenotazione online<\/a> <a href=\"tel:02-310-3009\">02-310-3009<\/a> <a href=\"mailto:bhquro@bdms.co.th\">bhquro@bdms.co.th<\/a><\/li>\n\n\n\n<li>Ospedale Samitivej Sriracha Chonburi <a href=\"tel:088-022-1445\">088-022-1445<\/a><\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"534\" data-attachment-id=\"1583\" data-permalink=\"https:\/\/drsoaraweeurology.com\/it\/2020\/08\/28\/benign-prostate-bph\/male-pelvis-anatomy-of-the-male-urinary-and-reproductive-systems-cutaway-cross-section-plastic-human-body-model-with-organs-urinary-pelvis-part\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/08\/Prostate-anatomy.jpg?fit=1000%2C667&amp;ssl=1\" data-orig-size=\"1000,667\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;3.2&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;NIKON D750&quot;,&quot;caption&quot;:&quot;Male Pelvis, anatomy of the male urinary and reproductive systems, cutaway cross section. Plastic human body model with organs, urinary, pelvis part.&quot;,&quot;created_timestamp&quot;:&quot;1589882971&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;50&quot;,&quot;iso&quot;:&quot;160&quot;,&quot;shutter_speed&quot;:&quot;0.008&quot;,&quot;title&quot;:&quot;Male pelvis, anatomy of the male urinary and reproductive systems, cutaway cross section. Plastic human body model with organs, urinary, pelvis part&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Prostate gland is located between Bladder and Urethra\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Prostate gland is located between Bladder and Urethra&lt;\/p&gt;\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/08\/Prostate-anatomy.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/08\/Prostate-anatomy.jpg?resize=800%2C534&#038;ssl=1\" alt=\"Anatomy of the prostate gland, sitting between the bladder and the urethra\" class=\"wp-image-1583\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/08\/Prostate-anatomy.jpg?w=1000&amp;ssl=1 1000w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/08\/Prostate-anatomy.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/08\/Prostate-anatomy.jpg?resize=768%2C512&amp;ssl=1 768w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">The prostate sits between the bladder and the urethra \u2014 which is why enlargement obstructs the flow.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Why the prostate enlarges<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">BPH is suspected mainly in men aged 50 and over, and <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28757771\/\">three conditions<\/a> have to be met for it to develop at all:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>A prostate gland.<\/strong> Obvious, but it makes the point \u2014 BPH does not occur without prostatic tissue.<\/li>\n\n\n\n<li><strong>Androgen.<\/strong> The male hormone drives prostatic growth. Men with androgen insufficiency from birth do not develop BPH, which is what established the hormone&#8217;s role.<\/li>\n\n\n\n<li><strong>Age.<\/strong> The consistent finding across the literature is that ageing is the fundamental trigger. The gland gains both more cells and larger ones over time, which is why measuring prostate size is part of the assessment.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">Read those three together and the conclusion follows: <strong>an ageing man with normal hormones will develop some degree of BPH.<\/strong> US data bear that out \u2014 it affects 50% of men aged 50 and over, 70% of those aged 60\u201369, and more than 80% of men aged 70 and above. This is not a disease you catch or bring on yourself; it is closer to a feature of male ageing.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What you can actually influence<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">BPH cannot be prevented outright, since neither ageing nor androgen is optional. Its <em>pace<\/em> is another matter, and two risk factors are within your control:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Sindrome metabolica<\/strong> \u2014 there is strong evidence that hypertension, diabetes and dyslipidaemia increase prostate size.<\/li>\n\n\n\n<li><strong>Obesit\u00e0<\/strong> \u2014 which appears to raise oxidative stress within prostatic tissue and contribute to enlargement.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">Controlling blood pressure and blood sugar, losing excess weight and staying active will not shrink the prostate, but they slow the trajectory \u2014 and they happen to be the same measures that protect the heart and the erections, which makes them an easy recommendation.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Why it is worth treating rather than tolerating<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Left long enough, obstruction has consequences beyond inconvenience: <a href=\"https:\/\/drsoaraweeurology.com\/it\/2020\/07\/11\/infezione-della-vescica-cistite-acuta\/\">infezione della vescica<\/a> from urine that never fully clears, bladder stones, a bladder muscle that thickens and eventually works poorly, and \u2014 in severe, long-standing cases \u2014 damage to the kidneys.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The one that brings men to the emergency department is <a href=\"https:\/\/drsoaraweeurology.com\/it\/2020\/10\/21\/ritenzione-urinaria-maschile\/\">acute urinary retention<\/a> \u2014 suddenly being unable to pass urine at all, with a painfully full bladder. BPH is its commonest cause, and treating the prostate properly reduces the risk of ending up there.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">One thing to be clear about<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>BPH is not prostate cancer, and it does not turn into prostate cancer.<\/strong> It is not a pre-cancerous condition. The two can coexist, and they cause overlapping symptoms, which is exactly why the assessment includes examination and a PSA discussion rather than assuming one or the other.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Opzioni di trattamento<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Mild symptoms that do not bother you may need nothing more than monitoring. Where they do bother you, medication is the usual first step and works well for most men. For those who want to come off long-term tablets or who have not responded to them, <a href=\"https:\/\/drsoaraweeurology.com\/it\/2022\/09\/29\/terapia-del-vapore-acqueo-bph\/\">water vapour therapy (Rezum)<\/a> is a minimally invasive day-care procedure available at Bangkok Hospital Headquarters \u2014 there are also <a href=\"https:\/\/drsoaraweeurology.com\/it\/2023\/10\/30\/paziente-in-terapia-con-vapore-acqueo\/\">patient instructions for what the procedure involves<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Se hai riscontrato sintomi urinari correlati all'IPB o desideri esplorare opzioni di trattamento, inclusa la terapia con vapore acqueo, la Dottoressa Soarawee Weerasopone offre consultazioni specialistiche presso Bangkok Hospital Headquarters. <a href=\"\/it\/Prenota una consulenza\/\">Prenota una consulenza<\/a>. \u00c8 possibile fissare un appuntamento presso l'Ospedale Samitivej Sriracha chiamando il reparto di urologia al numero <a href=\"tel:0880221445\">088-022-1445<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Domande Frequenti sull'Iperplasia Prostatica Benigna (IPB)<\/h2>\n\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1\"><strong class=\"schema-faq-question\">Cos'\u00e8 l'Iperplasia Prostatica Benigna (IPB)?<\/strong> <p class=\"schema-faq-answer\">L&#x27;iperplasia prostatica benigna (IPB) \u00e8 un ingrossamento non canceroso della ghiandola prostatica che colpisce comunemente gli uomini di et\u00e0 pari o superiore ai 50 anni. Man mano che la prostata cresce, comprime l\u2019uretra, causando sintomi urinari quali getto debole, minzione frequente, urgenza e svuotamento incompleto della vescica. L\u2019IPB colpisce circa il 50% degli uomini tra i 50 e i 60 anni e oltre l\u201980% degli uomini tra i 70 e gli 80 anni.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-2\"><strong class=\"schema-faq-question\">Le cause esatte del BPH non sono completamente comprese, ma si ritiene che siano legate all'invecchiamento e ai cambiamenti ormonali associati all'avanzare dell'et\u00e0 negli uomini. In particolare, si pensa che i cambiamenti nei livelli di ormoni sessuali, come il testosterone e gli estrogeni, giochino un ruolo importante.<\/strong> <p class=\"schema-faq-answer\">L'IPB richiede tre condizioni: la presenza della ghiandola prostatica, l'attivit\u00e0 androgenica (ormoni maschili) e il processo di invecchiamento. Gli androgeni stimolano la crescita delle cellule prostatiche e l'invecchiamento cumulativo porta a un ingrossamento progressivo. Condizioni metaboliche come ipertensione, diabete, dislipidemia e obesit\u00e0 sono fattori di rischio modificabili che possono accelerare l'ingrossamento della prostata.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-3\"><strong class=\"schema-faq-question\">La BPH \u00e8 la stessa cosa del cancro alla prostata?<\/strong> <p class=\"schema-faq-answer\">No. L'IPB \u00e8 una condizione benigna (non cancerosa) che comporta l'ingrossamento della prostata. Non si trasforma in cancro alla prostata e non \u00e8 una lesione precancerosa. Tuttavia, entrambe le condizioni possono coesistere ed avere sintomi urinari simili, pertanto una corretta valutazione urologica, che includa il dosaggio del PSA e l'esame fisico, \u00e8 importante per distinguerle.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-4\"><strong class=\"schema-faq-question\">La BPH pu\u00f2 essere curata o prevenuta?<\/strong> <p class=\"schema-faq-answer\">La BPH non pu\u00f2 essere completamente prevenuta poich\u00e9 l'invecchiamento e l'esposizione agli androgeni sono inevitabili, ma la progressione pu\u00f2 essere ritardata. Gestire la sindrome metabolica, mantenere un peso sano, controllare la pressione sanguigna e la glicemia e rimanere fisicamente attivi riducono tutti il rischio di crescita accelerata della prostata. Il trattamento medico e la chirurgia possono gestire efficacemente i sintomi e prevenire le complicanze.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-5\"><strong class=\"schema-faq-question\">Le complicazioni che la BPH pu\u00f2 causare se non trattata includono:\n\n*   **Infezioni del tratto urinario (IVU):** Il ristagno di urina nella vescica a causa dell'ostruzione pu\u00f2 favorire la crescita batterica, portando a infezioni frequenti.\n*   **Calcoli vescicali:** L'incapacit\u00e0 di svuotare completamente la vescica pu\u00f2 portare alla formazione di calcoli.\n*   **Danni alla vescica:** L'accumulo di urina e la pressione costante possono indebolire e danneggiare il muscolo della vescica, rendendola meno efficiente nel contrarsi.\n*   **Danni ai reni:** Se l'ostruzione \u00e8 grave e prolungata, pu\u00f2 causare un aumento della pressione nei reni, compromettendone la funzionalit\u00e0 e portando a insufficienza renale.\n*   **Incontinenza da rigurgito:** In casi avanzati, la vescica pu\u00f2 diventare cos\u00ec dilatata e indebolita che l'urina fuoriesce involontariamente.\n*   **Emorragia:** La prostata ingrossata pu\u00f2 sanguinare, causando la presenza di sangue nelle urine.<\/strong> <p class=\"schema-faq-answer\">La IPB non trattata pu\u00f2 portare a complicazioni significative tra cui ritenzione urinaria acuta (improvvisa incapacit\u00e0 di urinare), infezioni ricorrenti della vescica dovute a svuotamento incompleto, formazione di calcoli vescicali, ispessimento e disfunzione della parete vescicale e, nei casi pi\u00f9 gravi, danni renali dovuti all'ostruzione urinaria cronica. La consulenza precoce con un urologo aiuta a prevenire queste complicazioni.<\/p><\/div><\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Disclaimer:<\/strong> Questo contenuto \u00e8 stato scritto e revisionato dal Dr. Soarawee Weerasopone, urologo certificato presso la sede centrale del Bangkok Hospital. \u00c8 destinato unicamente a scopi educativi e non costituisce un parere medico. Nessun parere medico, diagnosi o prescrizione viene fornito tramite canali di messaggistica personale. Consultare sempre un professionista sanitario qualificato prima di iniziare qualsiasi trattamento medico.<\/p>\n\n\n\n<script type=\"application\/ld+json\">{\n    \"@context\": \"https:\\\/\\\/schema.org\",\n    \"@type\": \"MedicalWebPage\",\n    \"headline\": \"Enlarged Prostate (BPH): Why It Happens and What Can Be Done\",\n    \"description\": \"Why the prostate enlarges with age, the three conditions required for BPH to develop, the metabolic risk factors that accelerate it, the complications of leaving it untreated, and the treatment options including water vapour therapy.\",\n    \"datePublished\": \"2020-08-28\",\n    \"dateModified\": \"2026-08-12\",\n    \"inLanguage\": \"en\",\n    \"author\": {\n        \"@type\": \"Physician\",\n        \"name\": \"Dr. Soarawee Weerasopone\",\n        \"medicalSpecialty\": \"Urology\",\n        \"url\": \"https:\\\/\\\/drsoaraweeurology.com\\\/\"\n    },\n    \"reviewedBy\": {\n        \"@type\": \"Physician\",\n        \"name\": \"Dr. Soarawee Weerasopone\",\n        \"medicalSpecialty\": \"Urology\"\n    },\n    \"about\": {\n        \"@type\": \"MedicalCondition\",\n        \"name\": \"Benign Prostatic Hyperplasia\",\n        \"alternateName\": \"Enlarged prostate\"\n    },\n    \"audience\": {\n        \"@type\": \"PeopleAudience\",\n        \"suggestedGender\": \"male\",\n        \"suggestedMinAge\": 50\n    }\n}<\/script>","protected":false},"excerpt":{"rendered":"<p>By 70, more than 80% of men have an enlarged prostate \u2014 and the symptoms creep up so gradually that most put up with them for years. Dr. Soarawee Weerasopone, urologist at Bangkok Hospital, explains why BPH happens, what raises the risk, and when it needs treating.<\/p>","protected":false},"author":185281453,"featured_media":10130,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"Benign prostatic hyperplasia (BPH) explained: the three conditions required for it to develop, the symptoms, the metabolic risk factors you can change, the complications of leaving it, and the treatment options. 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