Treatment FAQ

what are treatment options other than drug therapy for benign prostatic hyperplasia

by Prof. Kara Volkman Sr. Published 3 years ago Updated 2 years ago

Treatment for BPH has long been medications and procedures, such as lasers or an electric loop, which burn the prostate from the inside out. But, now, a relatively new convective water therapy treatment uses steam to make the prostate smaller.

Medication

  • Acute bacterial prostatitis. Often caused by common strains of bacteria, this type of prostatitis generally starts suddenly and causes flu-like signs and symptoms, such as fever, chills, nausea and vomiting.
  • Chronic bacterial prostatitis. ...
  • Chronic prostatitis/chronic pelvic pain syndrome. ...
  • Asymptomatic inflammatory prostatitis. ...

Procedures

  • Dairy: In many cases dairy products act as BPH symptom-triggers; it’s best to avoid blue cheese, Swiss cheese, and aged cheddar cheese. ...
  • Vegetables: Avoid eating squash, white corn, and broad beans.
  • Fermented foods: There aren’t many, but fermented foods, such as pickled herring (fish) and sauerkraut (cabbage family) are BPH stimulants.

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Nutrition

What causes nocturia?

  • Enlarged prostate. ...
  • Bladder dysfunction. ...
  • Diabetes. ...
  • Edema (aka swelling) Seen often in patients with heart disease or congestive heart failure, edema can also be a cause for nocturia, says Dr. ...
  • Interstitial cystitis. ...
  • Pregnancy. ...
  • Neurological disorders. ...
  • Illness. ...
  • Age and Ethnicity. ...
  • Medications. ...

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Which medications can treat BPH?

  • Alpha blockers. Alpha blockers are a group of BPH medications. ...
  • 5-Alpha reductase inhibitors. Medications called 5-alpha reductase inhibitors (ARIs) work by stopping testosterone from changing to dihydrotestosterone (DHT).
  • Anticholinergics. ...
  • Beta-3 agonists. ...
  • Phosphodiesterase-5 inhibitors. ...

Which antibiotics are most effective in the treatment of prostatitis?

What medications should I avoid if I have BPH?

Why does BPH cause nocturia?

How effective is Cialis for BPH?

What are the alternative treatments for BPH?

Herbal Therapies for Benign Prostatic Hyperplasia (BPH)saw palmetto (most commonly used and studied)Pygeum africanum (extract of African plum tree)Hypoxis rooperi (South African star grass)Secale cereale (rye pollen)Urtica dioica (stinging nettle)Curcubita pepo (pumpkin seed)

Can BPH be treated without medication?

If your enlarged prostate symptoms are mild and not bothersome, there's likely no need for treatment. One-third of men with mild BPH find that their symptoms clear up without treatment.

What is the most common treatment for BPH?

Transurethral resection of the prostate (TURP): The most common or "gold standard" surgical treatment for BPH, TURP involves the insertion of an instrument called a resectoscope through the urethra to remove the obstructing tissue, almost like removing the core from an apple, thus widening the channel.

How can I reduce my enlarged prostate without surgery?

You can take alpha-blockers such as terazosin (Hytrin) or tamsulosin (Flomax) to help relax the prostate and bladder muscles. You can also take dutasteride (Avodart) or finasteride (Proscar), a different kind of medication for reducing BPH symptoms. These block the hormones that cause the prostate to grow.

What is the latest treatment for enlarged prostate 2021?

Physicians at UC San Diego Health are now offering prostate artery embolization (PAE) as a new treatment option for men with benign prostatic hyperplasia (BPH), or an enlarged prostate. The minimally invasive procedure is an alternative to surgery, with no hospital stay, little operative pain and lower cost.

Which is better TURP or laser?

There was no difference between the two procedures in terms of hospital stay or complications. However, men in the TURP group achieved a faster urinary flow rate (they could pass higher volumes of urine more quickly). TURP was also slightly more cost-effective and faster to perform than the laser procedure.

Is there an alternative to tamsulosin?

Doctors also prescribe four other drugs in this class to treat the symptoms of BPH: alfuzosin (Uroxatral) doxazosin (Cardura) silodosin (Rapaflo)

What is best treatment for enlarged prostate?

Alpha blockers. These medications relax bladder neck muscles and muscle fibers in the prostate, making urination easier. Alpha blockers — which include alfuzosin (Uroxatral), doxazosin (Cardura), tamsulosin (Flomax) and silodosin (Rapaflo) — usually work quickly in men with relatively small prostates.

What is the most common surgical procedure for BPH?

Transurethral resection of the prostate (TURP): This is the most frequently used surgical procedure, making up roughly 90 percent of all prostate surgeries for BPH. During TURP, an instrument called a resectoscope is inserted into the urethra and guided to the prostate.

Why is prostatectomy performed?

Simple prostatectomy: An open prostatectomy is often performed when a transurethral procedure is unable to be done because either the prostate is too large, or the bladder has been impaired or contains stones.

How is the prostate cut?

Using general or spinal anesthesia, a cut is made through the abdomen or the area behind the scrotum, and only the inner portion of the prostate gland is extracted, while the outer segment is left intact. Laser surgery: This surgical technique uses a high-energy laser to vaporize and destroy prostate tissue.

Does self care help with BPH?

Although self-care measures e ase BPH symptoms , they do not reduce the size of the prostate or prevent it from swelling further, meaning other treatments are often required. Medication can improves urinary flow and reduce the prostate size, but it may not be a long-term solution.

Can BPH cause urination?

Benign prostatic hyperplasia (BPH) treatment varies depending on the seriousness of the enlarged prostate symptoms, how much those symptoms impact daily life, and the presence of other medical conditions. Having an enlarged prostate can cause changes in urinary function —from urinating too frequently to not urinating at all.

What are the three classes of drugs for enlarged prostate?

Each works differently in the body, and each has its own side effects. The three classes of drugs for an enlarged prostate are: Alpha blockers, which relax muscles ...

How to treat prostate problems?

Avoid some over-the-counter medications. Take a pass on cold and sinus medicines that have decongestants or certain antihistamines, such as diphenhydramine ( Benadryl ), that can make a prostate problem worse. Read labels on these products before you buy them.

How to get better with mild BPH?

Some men with mild BPH symptoms find they get better without treatment. If you choose to monitor or observe there are a couple of things you can do to ease things: Make simple changes in your habits. Drinking fewer liquids before bedtime. Drink less caffeine and alcohol generally.

Does a prostate supplement help with urinary problems?

Some small studies have shown benefit. However, several large studies do not show that it reduces the size of the prostate or eases urinary symptoms. Talk to your doctor before you start any supplement. They may cause problems with prescription medicines, treatments, or tests you might need.

Can you take 5-ARIs with prostate cancer?

However, men taking both might also get hit with the side effects of both drugs. The FDA requires labels on the 5-ARIs to include a warning that they may be linked to an increased chance of high-grade (or aggressive) prostate cancer.

Is Saw Palmetto a one size fits all prostate?

BPH and Saw Palmetto. There’s no one-size-fits-all approach when you have an enlarged prostate and you’re trying to decide what to do next. People react in their own way to the symptoms of benign prostatic hyperplasia ( BPH ), a common condition for men as they age. You can talk about your symptoms with your doctor, ...

What is benign prostatic hyperplasia?

Benign prostatic hyperplasia, also called BPH, benign prostatic hypertrophy, or benign prostatic obstruction, is a condition in men in which the prostate gland is enlarged and not cancerous. As the prostate enlarges, the gland presses against and pinches the urethra. The bladder wall becomes thicker. In time, the bladder may deteriorate and lose the ability to empty fully, leaving some urine in the bladder. The narrowing of the urethra and urinary retention produce many of the problems associated with benign prostatic hyperplasia. The National Institute of Diabetes and Digestive and Kidney Diseases asserts BPH is, “the most common prostate problem for men older than age 50.”

What is the best herbal treatment for BPH?

The extracts from the berries of saw palmetto are the most popular herbal product used to treat symptomatic BPH. While the evidence is mixed, multiple studies have shown an improvement in symptoms. Studies have shown use of saw palmetto can reduce the need to urinate during the night and improve urinary flow and symptoms, including painful urination. In fact, a large analysis of multiple studies concluded that saw palmetto produced a benefit similar to finasteride, a drug for enlarged prostate, and was better tolerated. Saw palmetto may also boost the general quality of life for men with BPH.

Why is zinc important for prostate cancer?

The human prostate gland contains a higher level of zinc than most other tissues. There is a decrease in zinc levels in the plasma and prostate tissue of men with BPH, as well as prostate cancer, when compared to those with normal prostate function.

Is Cialis a phosphodiesterase inhibitor?

Cialis belongs to a specific class of drugs, Phosphodiesterase-5 inhibitors, which urologists prescribe mainly for erectile dysfunction. Tadalafil (Cialis) belongs to this class of medications and is used regularly to manage BPH. It can reduce lower urinary tract symptoms by relaxing smooth muscles in the lower urinary tract, leading to fewer BPH symptoms. Researchers are working to determine the role of erectile dysfunction drugs in the long-term treatment of benign prostatic hyperplasia.

What is the least invasive procedure?

The least invasive options may be done in your provider's office and don't require an incision, which also are known as transurethral procedures. One of these is prostate ablation, which uses sterile steam to shrink the excess prostate tissue.

Can you urinate with benign prostatic hyperplasia?

If you've been diagnosed with benign prostatic hyperplasia (BPH) — noncancerous tissue growth within the prostate — it's time for you and your provider to talk about treatment options. These options depend on the severity of your symptoms, which can range from having a weak urine stream to not being able to urinate at all. Most treatments are done in the outpatient setting, including your provider's office, while others may require a hospital stay.

Does flomax help with prostate?

These drugs relax muscles in the bladder and prostate and open up the urinary channel to reduce blockage. There are multiple types of alpha blockers, but Flomax (tamsulosin) specifically targets the prostate. Side effects include decrease in blood pressure, dizziness and lightheadedness.

What is the best medication for prostate cancer?

This class of medications works by relaxing the bladder neck muscles and the muscle fibers in the prostate. The muscle relaxation makes it easier to urinate. You can expect an increase in urine flow and a less frequent need to urinate within a day or two if you take an alpha blocker for BPH. Alpha blockers include: 1 alfuzosin (Uroxatral) 2 doxazosin (Cardura) 3 silodosin (Rapaflo) 4 tamsulosin (Flomax) 5 terazosin (Hytrin)

How does laser surgery work for BPH?

Laser surgery for BPH involves inserting a scope through the penis tip into the urethra. A laser passed through the scope removes prostate tissue by ablation (melting) or enucleation (cutting). The laser melts excess prostate tissue in photoselective vaporization of the prostate (PVP).

What is holmium laser ablation?

The surgeon uses two instruments for Holmium laser enucleation of the prostate (HoLEP): a laser to cut and remove excess tissue and a morcellator to slice extra tissue into small segments that are removed.

How does a prostatectomy work?

In open simple prostatectomy, the surgeon makes an incision below the navel or several small incisions in the abdomen via laparoscopy. Unlike prostatectomy for prostate cancer when the entire prostate gland is removed, in open simple prostatectomy the surgeon removes only the portion of the prostate blocking urine flow.

How does hot water work on prostate?

Hot water is delivered through a catheter to a treatment balloon that sits in the center of the prostate in water-induced thermotherapy. This computer-controlled procedure heats a defined area of the prostate while neighboring tissues are protected. The heat destroys the problematic tissue.

What is the best combination for alpha blockers?

Common combinations that doctors prescribe are finasteride and doxazosin or dutasteride and tamsulosin ( Jalyn).

What is the name of the condition that blocks the urethra from urinating out of the pen

An enlarged prostate, or benign prostatic hyperplasia (BPH), can block the urethra from transporting urine from the bladder and out of the penis. Keep reading to learn about traditional treatments for BPH.

Drugs used to treat Benign Prostatic Hyperplasia

The following list of medications are in some way related to, or used in the treatment of this condition.

Alternative treatments for Benign Prostatic Hyperplasia

The following products are considered to be alternative treatments or natural remedies for Benign Prostatic Hyperplasia. Their efficacy may not have been scientifically tested to the same degree as the drugs listed in the table above.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

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