BPH vs. Overactive Bladder: How to Tell the Difference

If you're like many people, you may see BPH and overactive bladder (OAB) as similar conditions due to some of the symptom overlap that exists, as well as the fact that both are urologic issues that can affect patients around the same time of life in many cases. However, there are some distinct differences between BPH vs. OAB, which may help you identify which is most likely causing your symptoms. In a general sense, some of the primary differences in BPH vs. overactive bladder syndrome are that BPH involves the prostate primarily, while OAB impacts the bladder. 

Additionally, the symptoms of BPH are typically more obstructive and restrictive — like difficulty urinating — vs. OAB symptoms, which are usually characterized by urgency and frequent urination. Again, however, there is certainly some overlap and/or similarity between the two. Here, our board-certified urologists from Kasraeian Urology in Jacksonville, FL — Dr. Ahmad Kasraeian and Dr. Ali Kasraeian — outline some of the key differences between BPH and overactive bladder to help you better understand which condition may be the source of your symptoms, and what options are available to help you feel more in control once again. 

Does BPH cause bladder problems?  

BPH can certainly cause urinary symptoms, though BPH is actually a benign condition affecting the prostate gland. In men with BPH, or benign prostatic hyperplasia, the prostate becomes enlarged. As a result, the extra prostatic tissue can place undue pressure on the urethra and bladder, leading to noticeable changes in urinary habits and more. Some of the most common symptoms of BPH related to the bladder and urination include:  

• Difficulty voiding 
• Trouble starting urination (or stopping) 
• Burning with urination 
• Frequent urination at night 
• Pushing or straining to void 
• Feeling of incomplete bladder emptying 
• Dribbling or spraying urinary stream 

How do I know if I have overactive bladder vs. BPH?  

Both overactive bladder and BPH can lead to changes in urination, though they are usually fairly distinct, depending on which condition is responsible. While everyone's case is unique, the most common OAB symptoms usually include things like:  

• Frequent urination 
• Urgency 
• Incontinence 
• Can't stop urinary stream once it starts 
• Sudden sense of needing to void 
• Bladder spasms 

BPH, on the other hand, usually involves more restrictive or obstructive urinary symptoms, like dribbling urinary stream and the need to push to urinate. If you aren't sure whether your urinary issues may be related to BPH or overactive bladder, scheduling an appointment with one of our board-certified urologists is a fantastic place to start. 

Which treatment for BPH or OAB do I need?  

Before recommending treatment, Dr. Kasraeian will first perform a thorough exam and consultation to determine whether BPH vs. overactive bladder may be causing your symptoms. Based on the findings of this evaluation, Dr. Kasraeian will recommend an appropriate course of action, which may include: 

Overactive bladder treatment options:  

• InterStim™ therapy 
• Axonics therapy 
• Oral medications 
• Lifestyle and dietary adjustments 

BPH treatment options:  

• UroLift BPH surgery 
• Aquablation for BPH 
• Oral medications 
• Lifestyle adjustments 

Once you begin therapy for OAB or BPH — or another urologic condition if identified — Dr. Kasraeian and our team will continue to monitor your progress and symptom improvement over time, making necessary adjustments to ensure you have better bladder control, relief from your symptoms, and the day-to-day confidence you deserve. 

Stay dry and confident with urinary symptom relief in Jacksonville, FL  

Whether your urinary symptoms are being caused by BPH or overactive bladder, they are likely impacting your daily life, which can include everything from work to personal relationships and even physical comfort. If you're frustrated by changes in urination, we are here to help. Take the first step toward getting an OAB vs. BPH diagnosis today by contacting our friendly team at Kasraeian Urology to schedule your private consultation for male urology care in Jacksonville, FL with our board-certified urologists, Drs. Ahmad and Ali Kasraeian.