Benign prostatic hyperplasia
Benign prostatic hyperplasia, better known as prostate enlargement or BPH, is an incredibly common medical problem in which the prostate grows in size. To treat an enlarged prostate, start with lifestyle changes like exercising more often and lowering your caffeine and alcohol consumption. You can also strengthen your bladder muscles by holding your urine longer every time you have to pee. If you need additional relief, over-the-counter beta-sitosterol tablets can offer short-term BPH Wikipedia, and saw palmetto extract BPH Wikipedia can reduce the size of the glands around your prostate.
To learn our Medical reviewer's advice on common medications and surgeries, keep reading! This BPH Wikipedia was co-authored by Janice Litza, MD. Learn why people trust wikiHow. There are 17 references cited in this article, which can be found at the bottom of the page. Method BPH Wikipedia. Get active BPH Wikipedia exercise frequently. Look for exercises that BPH Wikipedia your waist and legs to work BPH Wikipedia gentle motions, bringing circulation to the area around your pelvis. These can irritate the area around the prostate and make your symptoms worse.
Kegel exerciseslike tightening the muscles around your BPH Wikipedia and anus, can help strengthen your pelvic region and reduce symptoms of BPH.
Lower the amount of caffeine and alcohol you consume. Cut down the amount of caffeine and alcohol you drink, taking particular care to not consume any 3 to 4 hours before bed. Switch to non-caffeinated beverages if you have trouble cutting out sugar. Retrain your bladder by holding your urine longer and double-voiding. The most common effects of BPH involve slow or frequent urination. To combat this, work on retraining your muscles whenever you have to use the BPH Wikipedia.
Some simple ways to do this include:  Hold in your urine for a small period of time whenever you have to pee. Start by holding for 1 to 2 minutes, then add more minutes once you can hold it successfully. Waiting a few minutes after peeing to try and make more urine come out, known as double-voiding. Monitor BPH Wikipedia use of medications. Many common over-the-counter medications contain decongestants, antihistamines, and other elements that can worsen BPH symptoms over time.
Be aware of these risks when taking cold or allergy medications, sleep aids, hypertension medication, antidepressants, and antispasmodics. Talk with your doctor about any adverse effects caused by over-the-counter or prescribed drugs and whether or not it is safe for you to stop using them.
Method 2. Take beta-sitosterol tablets for immediate urinary improvement. Beta-sitosterol is a compound found in BPH Wikipedia that, when absorbed by the body, can lead to short-term urinary improvement. Look for products with doses between and mg per day. Beta-sitosterol it is often used to treat high cholesterol, so expect lower levels during active use.
When taken at recommended doses, beta-sitosterol tablets are generally recognized as safe, having no major side effects or negative interactions aside from a reduction of how many A-carotene, B-carotene, and E vitamins your body can absorb. Take saw palmetto extract pills to help shrink the glands around your prostate. Saw palmettos are a type of fruit found in the Southeastern United States, the extract of which has been found to help those suffering from BPH.
Though it does not shrink the prostate itself, it shrinks the gland around it by preventing the creation of dihydrotestosterone. Saw palmetto pills can be purchased as an over-the-counter dietary supplement. Look for pills with doses of at least mg per day.
Though viewed as safe for most people, side effects of saw palmetto may include nausea, vomiting, BPH Wikipedia, constipation, headaches, dizziness, or impotence. If you are currently on hormone replacement therapy, blood clot medicine such as clopidogrel, dalteparin, and warfarinor an NSAID drug like aspirin or ibuprofen, consult with your BPH Wikipedia before taking saw palmetto extract.
Get a prescription for alpha blockers to help your bladder muscles relax. Alpha blockers are specialty drugs that can help your bladder muscles relax, relieving some symptoms of BPH and making urination easier. Alpha blockers are most effective for BPH Wikipedia with moderate prostate enlargement. Ask your doctor about prescription drugs like terazosin, doxazosin, tamsulosin, and alfuzosin.
Because alpha blockers were originally used for people BPH Wikipedia high blood pressure, the most common symptom experienced is decreased blood pressure.
Alpha blockers can lead to decreased ejaculation and should not be BPH Wikipedia with erectile BPH Wikipedia medication. Use 5-alpha reductase inhibitors to help shrink your prostate over time. Though they are not fast acting, these enzyme inhibitors can shrink the prostate over time.
Ask your doctor about finasteride, dutasteride, botulinum toxin, and similar prescription medicines. Be aware that 5-alpha reductase inhibitors can artificially BPH Wikipedia PSA levels, making it difficult to screen for prostate cancer. Try PDE5 inhibitors to relax the muscles around your bladder.
Though typically used for erectile dysfunction, PED5 inhibitors can relax the muscles around your urinary tract, reducing symptoms of BPH and making it easier to urinate.
Ask your doctor about drugs like Cialis, Levitra, and Viagra. Common side effects of BDE5 inhibitors include headaches, nausea, muscle pain, sleep problems, blurry vision, and stuffy noses. Ask your doctor before combining multiple drugs. In some cases, two specialty BPH Wikipedia may be more effective at treating BPH when combined. Ask your doctor about mixing finasteride and doxazosin, dutasteride and tamsulosin, or alpha blockers and antimuscarinics.
Method 3. Ask your doctor about TURP if you have experienced medium prostate growth. During the procedure, your doctor will place a resectoscope inside your urethra and use light and electricity to remove BPH Wikipedia inner section of the prostate.
In most cases, BPH symptoms are relieved very quickly after the procedure. After undergoing TURP, BPH Wikipedia will be limited to light activities, may need to use a catheter, and will stay BPH Wikipedia the hospital for up to 48 hours. Try HoLEP if you have a particularly large prostate.
During a Holmium Laser Enucleation of Prostate procedure, a resectoscope laser is placed inside the urethra. A surgeon uses the laser to destroy and cauterize prostate tissue, causing little bleeding.
Seek out TUIP if you have extreme blockage. Transurethral Incision of the Prostate procedures are designed to treat small prostate glands BPH Wikipedia are causing major urinary blockage. During this surgery, small incisions are made along the bladder neck to make the urethra larger. Expect BPH Wikipedia hospital stay of up to three days to recover. Ask about TUMT if you have small prostate glands.
During a Transurethral Microwave Thermotherapy procedure, your doctor will insert a small electrode into your urethra. Using microwaves, the electrode will destroy the inside of the prostate, allowing it to shrink back down. Recovery generally takes 2 to BPH Wikipedia days, and you can expect to see results 6 to 12 weeks after the procedure.
Try TUNA if you have heavy bleeding issues. During a Transurethral Needle Ablation procedure, a small scope is run through your urethra, allowing needles to reach the prostate. These needles BPH Wikipedia the prostate using radio waves, destroying enlarged muscle tissue. Expect to take between 2 and 3 days for recovery. Seek out a simple prostatectomy as a last resort. In some cases, the only effective way to deal with an enlarged prostate is through a more traditional surgical procedure.
During a prostatectomy, the surgeon makes a cut through the perineal area or abdomen. This cut is used to remove part of the prostate. Simple prostatectomies can be performed open or using robotics. Include your email address to get a message when this question is answered.
Already answered Not a question Bad question Other. Warnings You may be suffering from an enlarged prostate if you find it difficult BPH Wikipedia urinate, need to urinate frequently throughout the day and night, feel sudden urges BPH Wikipedia urinate, or are experiencing bloody urine, bladder stones, or bladder infections. Though prostate enlargement does not lead to prostate cancer, the symptoms are very similar, so make sure to get tested annually.
Related BPH Wikipedia. Article Summary X To treat an enlarged prostate, start with lifestyle changes like BPH Wikipedia more often and lowering your caffeine and alcohol consumption.
Co-Authored By:. Janice Litza, MD. Co-authors: 8. Updated: March 29, Related Articles.