What is the best treatment for enlarged prostate?

The treatment for enlarged prostate is widely variable. It can range from changing your lifestyle, or taking some drugs to performing surgery.

Your treatment of choice depends mainly on the severity of your symptoms, their impact on your daily life, and the degree of your prostate enlargement.

Also your age, your general medical condition, your personal desires are other factors which influence the choice of your treatments for enlarged prostate.

I - When your symptoms are mild, achieving some changes to your lifestyle plus following some self-care measures can help to relief of your symptoms or at least maintain your condition stable. Among these are:

  • When you feel the urge, always urinate at once. If you waited a long time to urinate, your bladder muscles will be eventually overstretched and destroyed.

    Do you know what is double voiding?

    Double voiding is to be accustomed to urinate, and then after few minutes you start urinating again.

    It is always better to go to the bathroom whenever possible, don’t wait until you are desperately in need to urinate.

  • Try to eliminate your drinking of caffeine (coffee and tea) as well as alcohols, because these drinks can increase urine production, aggravate your symptoms, and cause irritation of your bladder.

  • Generally, avoid drinking beverages before you go to bed by 1-2 hours. Divide your fluid intake throughout the 24 hours, and stop drinking big amount of fluids at the same time.

  • Be aware that decongestants or antihistamines medications (sinus and counter cold treatments) can worse your BPH symptoms.

    These medications cause the muscular band surrounding your urethra to be stiffer, thus increase the difficulty of urination.

  • Try always to stay warm, feeling cold make you retain urine and increases your need to urinate urgently.

  • Be active, lack of physical exercise will make your symptoms worse.

  • Understand how to do Kegel exercises; this is an exercise performed by you to strengthen your pelvis.

  • Try to relieve tension and stress, because anxiety can result in the increase of the frequency of urination.

    II - Prescribed medications are the most famous way of treatment for enlarged prostate.

    Alpha 1-blockers

    These drugs are used generally to treat hypertension, meanwhile, they are proved to make the muscles of your bladder neck as well as the muscles of your prostate relaxed.

    This helps you to urinate easier and reliefs a lot of your symptoms quickly. These drugs include:

    Genericname

    Brandname

    terazosin

    Hytrin

    doxazosin

    Cardura

    tamsulosin

    Flomax

    alfuzosin

    Uroxatral

    silodosin

    Rapaflo

    But unfortunately, these drugs have their side effects. The most common one is the retrograde ejaculation (it occurs when semen return back to your bladder instead of going to the top of the penis).

    Anyway your doctor will help you how to manage that.

    5 alpha reductase inhibitors

    Finasteride (Proscar) and dutasteride (Avodart) can reduce the hormones secreted by the prostate, causing the enlarged prostate to shrink, improve the flow of urine, and relief BPH symptoms.

    Their main side effect is that they lower the sexual desire and cause impotence.

    Antibiotics

    They are usually described for the treatment of chronic inflammation of the prostate. But they are used as a treatment for enlarged prostate, because they relief symptoms of BPH as well.



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