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The prostate gets larger in most men as they get older. For a symptom-free man of 46 years, the risk of developing BPH over the next 30 years is 45%. Incidence rates increase from 3 cases per 1000 man-years at age 45–49
Prostate cancer is common, ... In fact, about half of men have BPH by age 60, and over three-quarters after 70. And for some of these men, the enlarging prostate tissue becomes cancerous.
The International Prostate Symptom Score (IPSS) is an eight-question written screening tool used to screen for, rapidly diagnose, track the symptoms of, and suggest management of the lower urinary tract symptoms of benign prostatic hyperplasia (BPH).
In a study of young adults in Greece (aged 21–50, mean age 40.9 years), the prevalence was found to be 7.35%. [4] While among urologic patients in South Korea (aged 29–89, mean age 61.9 years), the prevalence was 40.7%. [5] The prevalence is notably higher in patients with benign prostatic hyperplasia, ranging from 68.8% to 70%. [3]
The average age of those who die from prostate cancer is 77. [93] Only a minority of prostate cancer cases are diagnosed. Autopsies of men who died at various ages have shown cancer in the prostates of over 40% of men over age 50. Incidence rises with age, and nearly 70% of men autopsied at age 80–89 had cancer in their prostates. [94]
Prevalence increases with age. The prevalence of nocturia in older men is about 78%. Older men have a higher incidence of LUTS than older women. [25] Around one third of men will develop urinary tract (outflow) symptoms, of which the principal underlying cause is benign prostatic hyperplasia. [26]
The most common cause of urinary retention is BPH. This disorder starts around age 50 and symptoms may appear after 10–15 years. BPH is a progressive disorder and narrows the neck of the bladder leading to urinary retention. By the age of 70, almost 10 percent of males have some degree of BPH and 33% have it by the eighth decade of life.
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