Written by Dr.Albana Greca Sejdini, Md, MMedSc

About the BPH Treatment of choice

bph treatment

As benign prostatic Hypertrophy gets detected you anxiously start searching for the bph treatment and especially what is best treatment available so that you can opt for.

For better understanding purposes, we're going to categorize the BPH treatments into 2 main groups

1- Non-surgical BPH treatment  2- Surgery


When deciding for the best option of treatment of BPH, your doctor will take into account:

a – your prostate size

b – how much fastidious the bph symptoms are to you

c – your age

d – if you are currently suffering from any other disease or conditions

e – of course your doctor will ask your opinion when deciding for the treatment.

Now, let's see the options for the treatment of bph and how to select the best one.

Actually, the general tendency of all of us to avoid the surgery so long it is permissible and you are also not an exception and expectantly, may be searching for some effective solution in medicinal category.

We are here to help but, it is wise to take adequate information and do not employ any medicine without expert’s consultations because, side effect of a drug may be lethal for some body and it varies with inter individual idiosyncrasy.

I - Lifestyle recommendations is another scale of advices given along to the bph treatment. Simple steps in order to relieve your fastidious condition will be nothing compare to the benefits you will get.

II - Natural home remedies as bph treatment include some herbs extracts are shown very effective to reduce the fastidious bph symptoms. Saw palmetto, rye grass extract, stinging nettle, etc are some of natural alternative bph treatments.

III - The most accepted therapy is the Alpha-1-adrenoreceptor antagonists along with enzyme inhibitor as the former will tackle the symptomatic conditions or the immediate short term problems and the latter may exert some regressive effect on the tumor on long term treatment module.

These drugs may be prescribed alone, or in combination therapy depending on the severity of tumor condition.

IV – Since many times, pathogenic bacteria and protozoa and fungi are taking advantage of the body weakness, and produce opportunistic infections in the vulnerable area of the body.

In this case antibiotics are prescribed together with anti-protozoa and fungal drugs. Sometimes, these drugs are given alone. Some other times, they are given in a combination therapy for better results according to the gravity of the infection and condition.

V – At least, we come to Surgery. It is something undesirable, but when it comes to resolving our problems, it is a must. Various methods and applications of Surgery are used to definitely or partially resolve BPH problems. Click here to find out more.

At the end, I want to remind you that Prevention is better than Curing. If you follow regular scheduled check-ups when you reach your 50s, especially when you have family history of Benign Prostate Hyperplasia, and follow the right lifestyle changes, then you will not end up to surgery or cancer either.

In the following paragraphs you have some guideline of procedures used to diagnose BPH. When you approach to a clinician, the prime focus in the mind of the doctor is to differentiate BPH from Prostate cancer.

Physical examination

Doctors do Digital Rectal Examination (DRE) to palpate the growth and surface smoothness of the tumor to distinguish BPH with its inflammatory character unlike nodular character of carcinoma.

PSA Immnostaining:

Secondly, there is an antigen in the body called prostate specific antigen which is found to be elevated generally (not always) during cancer.

Gradation scale Questionnaire

There is a Gradation scale Questionnaire, comprises of various symptoms related to BPH with seven questions and graded answer that you are to fulfill to know where you stand or in other words, are you a case of medicinal treatment or you are to be referred to surgery.

This questionnaire is universally accepted in the level of Urologists.


It is a device that measures the volume of urine and the jet flow of the urine coming out from urethra to know the percentage of blockade already occurred and whether your case can be tackled medicinally or surgical intervention is needed .

Ultrasonography and Magnetic Resonance Image and CT scan (MRI / CT scan – selectively used in BPH)

This is more required for the carcinoma purpose but it gives more accurate diagnosis in terms of blockade of urethra or urine outflow.


This device is intervened through urethra into the urinary bladder especially when blood is present with urine to get it confirmed for some other additional complications such as renal stone or infections.

Talk to your doctor to see what diagnostic procedures you need to undergo.

Related topics:

  1. Are the BPH Drugs the best choice for you?
  1. Recognize the BPH Symptoms for the adequate BPH Treatment.
  1. About BPH Surgery.
  1. Return to enlarged prostate symptoms