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What should all men know about Benign Prostatic Hyperplasia?

If a man notices any of the following symptoms, it could be related to benign prostatic hyperplasia:

  • Frequent urination: urinating eight or more times each day
  • Urinary urgency: cannot delay urination
  • Urine with a foul smell or unusual odor
  • Pain after ejaculating or during urination
  • Urinary retention: still having urine in the bladder after using the bathroom
  • Dribbling at the end of urination
  • A weak urine stream
  • Nocturia: frequent urination during sleep
  • Trouble beginning to urinate
  • Urinary incontinence: accidentally losing urine

BPH Treatment Options

There are a variety of ways that benign prostatic hyperplasia can be treated. A healthcare provider who treats benign prostatic hyperplasia will base treatments off of the severity of symptoms, how the symptoms affect a man’s life and what the man decides he would prefer to do.

A doctor may recommend a man observes some lifestyle changes to make the symptoms of BPH less bothersome. By reducing fluid intake particularly before going out in public a man can enjoy more bladder control and lessen the chances of an accident. Avoiding caffeine and caffeinated beverages can help reduce urination and may lessen the likelihood of an overactive bladder. 

Other things a physician may recommend for a male with BHP include exercising the pelvic floor muscles, training the bladder to hold more urine for longer time periods and preventing or treating constipation.

Medications To Treat BHP

In addition to adhering to certain lifestyle modifications, an urologist or healthcare provider may recommend medications to help alleviate the symptoms of benign prostatic hyperplasia. Some of the medications that can shrink the prostate or reduce the symptoms of BHP include:

  • Terazosin
  • Doxazosin
  • Tamsulosin
  • Alfuzosin
  • Silodosin
  • Alpha blockers
  • Phosphodiesterase-5 inhibitors
  • Combination medications
  • Finasteride
  • Dutasteride

Procedures For Benign Prostatic Hyperplasia

Medical researchers have developed a number of minimally invasive procedures which may alleviate the symptoms of BHP, especially in cases where medications and lifestyle changes prove ineffective. These procedures include:

  • Prostatic stent insertion
  • Transurethral needle ablation
  • Transurethral microwave thermotherapy
  • High-intensity focused ultrasound
  • Transurethral electrovaporization
  • Water-induced thermotherapy

Prognosis

There is ongoing research surrounding benign prostatic hyperplasia and it is aimed at finding treatments for urinary tract disorders. While BHP cannot be cured, treatment can help reduce the symptoms. The type of treatment a person receives will depend on the symptoms being experienced, their severity and whether or not the individual has complications.

Coming up with a treatment plan for benign prostatic hyperplasia will be influenced by how the symptoms affect a person’s life. The more a person’s symptoms bother him, the more aggressive your physician will wish treatment to be.

Sometimes if the symptoms of BHP are mild and do not bother a ma, a doctor may wish to watch the condition and take a “wait and see” approach to treatment. What this means is that a man might want to make some small lifestyle changes here and there in order to control the symptoms of benign prostatic hyperplasia. With regular checkups and the right medical care, the symptoms of BHP can be controlled and a man can have a relatively normal quality of life.

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