Treating bacterial prostatitis with antibiotics may improve your symptoms of BPH by reducing the inflammation. Outpatient procedures involve inserting an instrument into your urethra and into the prostate gland. They include:. The symptoms of BPH can be easy to ignore. However, early treatment can help you avoid potentially dangerous complications. Sometimes, urinary obstruction from BPH is so severe that no urine can leave the bladder at all.
This is called bladder outlet obstruction. It can be dangerous because urine trapped in the bladder can cause urinary tract infections and damage your kidneys.
Prostate cancer is almost always asymptomatic and identified by either an elevated PSA or prostate nodule. Learn more about the similarities and differences of BPH and prostate cancer. Sometimes, your doctor will want you to have regular checkups to monitor your symptoms and the size of your prostate. Lifestyle changes, medication, and surgery are all treatment options for symptoms that are affecting your quality of life.
Your doctor will work with you to develop a treatment plan that helps you manage your symptoms and live a healthy life. Prostatitis and benign prostatic hyperplasia BPH are two conditions that affect the prostate. Although both can lead to pain and difficulty….
Acute prostatitis is the sudden onset of inflammation in your prostate. Learn how to recognize and treat this uncomfortable condition. If you have benign prostatic hyperplasia BPH , certain substances may make your condition worse. Learn more here about BPH and medications to avoid…. Learn the connection between caffeine and BPH, and find tips for kicking your coffee addiction.
Flomax is usually used in men to treat benign prostatic hyperplasia BPH. However, sometimes it is used in women. Learn about Flomax side effects for…. Health Conditions Discover Plan Connect. What is BPH? If you use saw palmetto and think it works, ask your doctor if you should still take it. The choice of which surgical procedure is recommended is most often based on the severity of your symptoms and the size and shape of your prostate gland.
Most men who have prostate surgery have improvement in urine flow rates and symptoms. TURP is performed by inserting a scope through the penis and removing the prostate piece by piece. Simple prostatectomy : It is a procedure to remove the inside part of the prostate gland.
It is done through a surgical cut in your lower belly. This treatment is most often done on men who have very large prostate glands. Other less-invasive procedures use heat or a laser to destroy prostate tissue.
Another less-invasive procedure works by "tacking" the prostate open without removing or destroying tissues. None have been proven to be better than TURP. People who receive these procedures are more likely to need surgery again after 5 or 10 years. However, these procedures may be a choice for:. Some men may find it helpful to take part in a BPH support group. Pharmacologic management of lower urinary tract storage and emptying failure.
Campbell-Walsh Urology. Philadelphia, PA: Elsevier; chap Surgical management of lower urinary tract symptoms attributed to benign prostatic hyperplasia: AUA Guideline Amendment J Urol. PMID: www. Evaluation and nonsurgical management of benign prostatic hyperplasia. Prostate enlargement benign prostatic hyperplasia. Updated September Accessed August 7, Terrone C, Billia M. In: Morgia G, ed. Reviewed by: Sovrin M.
Review provided by VeriMed Healthcare Network. Editorial team. Causes The actual cause of prostate enlargement is unknown. Some facts about prostate enlargement: The likelihood of developing an enlarged prostate increases with age.
BPH is so common that it has been said all men will have an enlarged prostate if they live long enough. A small amount of prostate enlargement is present in many men over age No risk factors have been identified, other than having normally-functioning testicles. Symptoms Less than half of all men with BPH have symptoms of the disease. Symptoms may include: Dribbling at the end of urinating Inability to urinate urinary retention Incomplete emptying of your bladder Incontinence Needing to urinate 2 or more times per night Pain with urination or bloody urine these may indicate infection Slowed or delayed start of the urinary stream Straining to urinate Strong and sudden urge to urinate Weak urine stream.
Exams and Tests Your health care provider will ask questions about your medical history. Other tests may include: Urine flow rate Post-void residual urine test to see how much urine is left in your bladder after you urinate Pressure-flow studies to measure the pressure in the bladder as you urinate Urinalysis to check for blood or infection Urine culture to check for infection Prostate-specific antigen PSA blood test to screen for prostate cancer Cystoscopy Blood urea nitrogen BUN and creatinine tests You may be asked to fill out a form to rate how bad your symptoms are and how much they affect your daily life.
Treatment The treatment you choose will be based on how bad your symptoms are and how much they bother you. Treatment options include "watchful waiting," lifestyle changes, medicines, or surgery. Also, go to the bathroom on a timed schedule, even if you don't feel a need to urinate. Avoid alcohol and caffeine, especially after dinner.
DO NOT drink a lot of fluid all at once. Spread out fluids during the day. However, newer studies have found that not only do the drugs appear to pose no extra risk, they may even protect against prostate cancer. A follow-up study of almost 9, men, published in the Nov. See your doctor if you have any of these problems. A digital rectal exam can often confirm an enlarged prostate, and your doctor may take a urine sample to check for a bladder infection that can be treated with antibiotics.
If your prostate is causing symptoms, your doctor will likely offer you medication to improve and manage them. Two main classes of drugs are used: alpha blockers and 5-alpha-reductase inhibitors 5-ARIs. Your doctor may prescribe one or both types, depending on your symptoms and the size of your prostate gland. Alpha blockers. These drugs relax the muscles around the prostate and the opening of the bladder, so urine can flow more easily.
Common BPH symptoms often improve within two days. They are most effective for men with normal to moderately enlarged prostates.
Commonly prescribed drugs in this class include alfuzosin Uroxatral , doxazosin Cardura , silodosin Rapaflo , tamsulosin Flomax , and terazosin Hytrin. Drugs in this class slowly shrink the prostate so it stops pressing on the urethra. Treatment often reduces the prostate's size by one-quarter after six months to a year. The two common drugs are finasteride Proscar and dutasteride Avodart. Men might opt for surgery to remove excess tissue from the prostate if medications do not relieve symptoms sufficiently or cause undesirable side effects, or if there are complications like urinary retention or recurring urinary tract infections, adds Dr.
For men who have both erectile dysfunction and symptoms of BPH, once-daily low-dose tadalafil Cialis is another option. As a service to our readers, Harvard Health Publishing provides access to our library of archived content.
Please note the date of last review or update on all articles. No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician.
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