In general, this type of surgery is done if you have a large or very large prostate. The surgery is linked with a higher risk of needing donated blood due to bleeding. If your symptoms don’t get in the way of your life, you might decide to put off treatment. Instead, you could wait to see if your symptoms change or get worse. A doctor will help a person with BPH decide on the most appropriate treatment for the condition, depending on the severity of their condition, their overall health, and preferences. However, the most serious side effect of antimuscarinic drugs is acute urinary retention (AUR).
Enlarged prostate, also known as benign prostatic hyperplasia (BPH), is a common condition that affects men as they age. It can cause urinary symptoms such as frequent urination, difficulty starting or maintaining a urine stream, and a weak urine flow. When it comes to treating enlarged prostate, there are several medications available that can help alleviate these symptoms.
Benign prostatic hyperplasia (BPH), also known as an enlarged prostate, affects about 50 percent of men ages 51 to 60 and up to 90 percent of men older than 80. The best ways to reduce your risk of developing BPH are to make lifestyle changes that improve your prostate and heart health and take supplements. One theory is that, as you age, the amount of testosterone in your body decreases (low testosterone). However, people who take supplemental testosterone may develop or worsen BPH. To help detect prostate cancer in its early stages, every person with a prostate should get a prostate screening every year between the ages of 55 and 69.
One-third of men with mild BPH find that their symptoms clear up without treatment. Most men eventually develop some type of prostate problem, and when they do there are usually no easy solutions. This report will provide you with the information you need to understand the current controversies, avoid common pitfalls, and work with your doctor to make informed choices about your prostate health. With PVP the surgeon guides a thin optic fiber through the urethra to the prostate. The fiber conducts laser energy that disintegrates excess prostate tissue, and the remnants leave the body in the urine. Most men stop getting taller around age 18, but after 40, they often begin growing elsewhere — particularly in their prostate gland.
In a study from the Mayo Clinic, urinary symptoms did not worsen over a 3.5-year period in 73% of men with mild BPH. A progressive decrease in the size and force of the urinary stream and the feeling of incomplete bladder emptying are the symptoms most correlated with the eventual need for treatment. Although nocturia is one of the most annoying BPH symptoms, it does not predict the need for future intervention. One advantage to PVP is a lower risk for bleeding, which is ideal for men who take blood thinners. The downside is that since the tissues are destroyed, they can’t be examined for cancer.
The surgeon makes one or two small cuts in the prostate gland. TUIP might be an option if you have a small or slightly enlarged prostate gland. It also may be an option if you have health problems that make other surgeries too risky. Medications can help most men with an enlarged prostate, but for some, they might not always be enough to ease symptoms such as weak urine flow and dribbling.
They can then reduce the risk of urinary retention (being unable to pee) and the need for surgery. Alpha blockers are commonly used in the treatment of enlarged prostate symptoms. They help the bladder to empty properly by relaxing the muscles in the prostate gland and bladder. Because alpha blockers also lower your blood pressure, they are particularly suitable for men who have high blood pressure too.
Alpha-Blockers
Alpha-blockers are a common type of medication used to treat BPH. They work by relaxing the muscles in the prostate and bladder neck, making it easier to urinate. Some commonly prescribed alpha-blockers include doxazosin and terazosin. These medications are typically well-tolerated but may cause side effects such as dizziness and low blood pressure.
5-Alpha Reductase Inhibitors
5-alpha reductase inhibitors are another class of medications used to treat enlarged prostate. They work by reducing the production of dihydrotestosterone (DHT), a hormone that contributes to prostate growth. Examples of 5-alpha reductase inhibitors include finasteride and dutasteride. These medications may take longer to show results compared to alpha-blockers but can be effective in shrinking the prostate over time.
Combination Therapy
In some cases, doctors may recommend combination therapy using both alpha-blockers and 5-alpha reductase inhibitors to maximize symptom relief. This approach can target different aspects of BPH and may be more effective in managing symptoms and reducing the size of the prostate.
Consult Your Doctor
If you are experiencing symptoms of an enlarged prostate, it is important to consult with your doctor to determine the best course of treatment for your individual case. Your doctor will consider factors such as the severity of your symptoms, your overall health, and any other medications you may be taking when prescribing a medication for enlarged prostate.
In conclusion, there are several medications available for treating an enlarged prostate, including alpha-blockers, 5-alpha reductase inhibitors, and combination therapy. Each type of medication works in a different way to alleviate symptoms and improve urinary function. By working closely with your healthcare provider, you can find the best medication for your specific needs and experience relief from the symptoms of BPH.