Does BPH cause prostate cancer?

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    Last Updated: May 16, 2025

    Benign prostatic hyperplasia (BPH) is a noncancerous enlargement of the prostate that shares some risk factors and features with prostate cancer, but the relationship between the two is not fully understood. Although some studies suggest an increased risk of prostate cancer with BPH, a causal link has not been established, and the association may simply be due to the commonality of both conditions in older age.

    Benign prostatic hyperplasia (BPH) refers to a noncancerous enlargement of the prostate gland. The prevalence of BPH and prostate cancer both increase with advancing age, and there are a number of overlapping features between these conditions, including hormone-dependent growth and increased PSA levels. Moreover, inflammation and metabolic syndrome are common risk factors and variants of several genes are associated with an increased risk of both conditions.[1][2]

    The relationship between BPH and prostate cancer is not fully understood. Conflicting findings are common, but meta-analyses of observational studies tend to report an increased risk of prostate cancer with BPH.[3][4] However, a causal link between these conditions is far from established, and the association may be explained by the mere coexistence of two very common conditions,[5] rather than BPH being a risk factor for prostate cancer.