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Enlarged Prostate (cont.)

Enlarged Prostate Treatment

Once the diagnosis of prostate enlargement is made, your doctor may not recommend immediate treatment if symptoms are mild. Likely, one or more exams will be conducted per year to be sure that you are not developing any complications from prostate enlargement. Should your symptoms become more severe, both medical and surgical treatments are available.

Enlarged Prostate Self-Care at Home

Some precautions can help to avoid worsening of symptoms of prostate enlargement and complications.

Do not delay urination once you experience an urge. Urinate as soon as you feel the urge, and empty the bladder completely.

Enlarged Prostate Medical Treatment

Watchful waiting: This conservative and often wise program of care is used because, for many men, symptoms can lessen without treatment. On the other hand, medications should be started early for moderate symptoms. Also, if there are complications or if symptoms are severe, your doctor may recommend surgery. For most men, the decision to treat the symptoms of an enlarged prostate is based on the patient's desire to improve his quality of life.

Enlarged Prostate Medications

Several types of medications have been approved for treatment of prostate enlargement. Men with severe symptoms may require treatment with a combination of these medications:

  • Alpha-blockers, such as terazosin (Hytrin), prazosin (Minipress), or doxazosin (Cardura), relax the muscles in the prostate and thus may relieve symptoms. Newer alpha blockers, such as tamsulosin (Flomax) and alfuzosin (UroXatral), silodosin(Rapaflo) are more commonly prescribed because they may have fewer side effects.
  • Drugs known as 5-alpha reductase inhibitors such as finasteride (Proscar) or dutasteride (Avodart) can cause the prostate to shrink. As a result, the urinary symptoms may improve. These drugs are most helpful in men who have at least moderate enlargement of the prostate.
  • The phosphodiesterase-5 inhibitor tadalafil (Cialis for daily use) has recently been approved for the treatment of BPH.
Medically Reviewed by a Doctor on 2/5/2016
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Read What Your Physician is Reading on Medscape

Prostate Hyperplasia, Benign »

Benign prostatic hyperplasia (BPH) is a noncancerous enlargement of the prostate gland that may restrict the flow of urine from the bladder.

Read More on Medscape Reference »


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