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An enlarged prostate is very common in men over the age of 40 years old, with roughly half having symptoms.
The high bladder pressures and mechanical tension seen with BPH activates chemical pathways in the bladder to compensate for the obstruction. Whilst initially COMPENSATORY, left unchecked these become DECOMPENSATORY, with remodelling of the upper and lower urinary tract, fibrous changes in the bladder muscle, and functional impairment.