Prostate Cancer vs Enlarged Prostate (BPH): How to Know the Difference?

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Dr. Kumar Prabhu

Verified By:

Dr. Kumar Prabhu

Sr. Consultant Urologist – Head of Department of Urology, NU Hospitals

Prostate Cancer vs Enlarged Prostate (BPH): How to Know the Difference?

As men age, one common health concern is prostate-related problems. The two most common prostate problems are prostate enlargement (BPH - Benign Prostate Hyperplasia) and prostate cancer.

Both conditions affect the overall health of the patient and cause urinary problems. But their causes, risks, and treatment options are completely different. 

Most men confuse both of these conditions; this is why understanding the difference between an enlarged prostate and prostate cancer is important.

Knowing about your condition helps you make an informed decision and receive timely treatment.

Read on as we uncover the differences between prostate enlargement and prostate cancer.

What Causes Enlarged Prostate (BPH) and Prostate Cancer?

BPH (enlarged Prostate)

This is a non-cancerous (benign) growth of the prostate gland. Usually occurs in men above 50 years of age.

Prostate Cancer

Abnormal and uncontrollable growth of prostate cells, which spreads to surrounding organs if left untreated.

 

Enlarged Prostate

Prostate Cancer

Cause

Grows with age

Genetics

Age

Diet

Lifestyle

Risk factors

Age

Family history

Obesity

Sedentary lifestyle

Hormonal changes

Age

Family history

High-fat diet

Smoking

 

BPH cannot increase the risk of cancer, but it can cause similar urinary problems. Prostate cancer can spread to the bones, lymph nodes, and surrounding organs.

Enlarged Prostate vs Prostate Cancer: Symptom Comparison

The symptoms of an enlarged prostate and prostate cancer can be similar as they involve the urinary tract.

Here is an easy comparison

Symptom

Enlarged Prostate (BPH)

Prostate Cancer

Frequent urination, especially at night

Common symptom

It can occur rarely

Weak urine stream

Very common

It is possible, but not common

Trouble starting urination

Common

Occasional

Cannot empty bladder

Common

Occasional

Blood in urine

Very rare

More likely to occur

Blood in semen

Uncommon

Common in advanced cases

Pelvic pain

Very rare

Common in advanced cases

Erectile dysfunction

Uncommon

May occur

Weight loss

No

Yes

Fatigue

No

Yes

 

It is important to note that BPH causes discomfort, while prostate cancer is life-threatening if not diagnosed early. Visit NU Hospitals to get tested.

How Are Enlarged Prostates and Prostate Cancer Treated?

Enlarged Prostate treatment options:

  • Medication

Alpha blockers

5 alpha-reductase inhibitors

  • Lifestyle Changes

Reduce alcohol

Drinking fluids at night

  • Minimally invasive procedures

TURP

Enucleation of prostate (HOLEP or Bipolar)

  • Open Surgery

Prostate cancer treatment options:

  • Active surveillance

For the low-grade cancer

  • Surgery

Radical or partial prostatectomy (Open, Laparoscopic, or Robotic)

  • Chemotherapy

  • Immunotherapy

  • Radiation therapy

  • Hormone therapy

Types of Treatment Options for Enlarged Prostate and Prostate Cancer

Treatment

Enlarged Prostate

Prostate Cancer

Lifestyle modification

Yes

It can support the main treatment

Medication

Alpha blocker

5-ARI

Hormone therapy

Minimally invasive procedures

TURP

HoLEP

Radical and partial prostatectomy (robotic)

Radiation therapy

Not used

It is a common treatment option

Chemotherapy

Not used

For advanced cancer

Immunotherapy

Not used

For advanced cancer

 

Who Is at Higher Risk for BPH or Prostate Cancer?

BPH

  • Men above the age of 50

  • Men with a family history of an enlarged prostate

  • Obese men

  • Sedentary lifestyle

  • Men with chronic health conditions like diabetes and heart disease.

Prostate Cancer

  • Men over the age of 65

  • Family history of prostate cancer 

  • African and Asian men

  • A diet containing red meat and processed food

  • Smoking

  • Alcohol consumption

Make sure you get an annual checkup for prostate issues after the age of 50 or 45 if there is a family history. This helps in early detection, ensuring timely treatment

Why Choose NU Hospitals Bengaluru for the Best Prostate Treatment?

  • Pioneers in Prostate-related Surgery

  • Legacy of Innovation and Trusted by Millions

Frequently Asked Questions On BPH & Prostate Cancer:

1. What is the difference between an enlarged prostate and prostate cancer?

An enlarged prostate is a non-cancerous growth, while prostate cancer is a tumour that spreads to other organs.

2. Can a prostate be enlarged without cancer?

Yes, prostate glands can have non-cancerous growth, which is called prostate enlargement or benign prostate hyperplasia (BPH).

3. Will an enlarged prostate turn into cancer?

Both BPH and prostate cancer can occur together.

4. What test is done to differentiate between BPH and prostate cancer?

A series of tests is performed to confirm BPH and prostate cancer, including:

  • Prostate-Specific Antigen blood test (PSA)

  • Digital rectal exam (DRE)

  • MRI

  • Prostate Biopsy

5. What is the main cause of prostate enlargement?

Age-related hormonal changes cause prostate enlargement. Dihydrotestosterone buildup causes the growth of prostate cells.

6. What are the 5 warning signs of prostate cancer?

  • Blood in urine or semen

  • Erectile dysfunction

  • Pain in the pelvis, hips or bones

  • Unexplained weight loss

  • Trouble urinating and weak flow of urine

If you or your loved one is suspected of any prostate-related conditions, do not worry. Visit your nearest NU Hospitals for compassionate and holistic care. Book your consultation today!

Reference Links:

https://www.mayoclinic.org/diseases-conditions/prostate-cancer/symptoms-causes/syc-20353087

https://www.niddk.nih.gov/health-information/urologic-diseases/prostate-problems/enlarged-prostate-benign-prostatic-hyperplasia

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