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Enlarged Prostate Treatment Options: 12 Questions You Should Ask

December 18, 20245 min read

Introduction

If you’ve been diagnosed with an enlarged prostate, also known as Benign Prostatic Hyperplasia (BPH), you’re not alone. This condition affects millions of men, particularly as they age. While BPH is not cancerous, its symptoms – like frequent urination, weak urine flow, and discomfort – can interfere with your daily life.

In this blog, we’ll explore 12 essential questions about treatment options for an enlarged prostate. From lifestyle changes and medications to minimally invasive procedures and surgeries, we’ll help you understand your choices so you can take control of your prostate health.


1. What are the first steps to treat an enlarged prostate?

For many men, BPH treatment starts with monitoring symptoms and making lifestyle changes. If your symptoms are mild, your doctor may recommend:

  • Reducing caffeine and alcohol intake to avoid irritating the bladder.

  • Limiting fluids at night to reduce night-time trips to the bathroom.

  • Pelvic floor exercises (Kegels) to strengthen bladder control.

  • Maintaining a healthy weight and staying active.

These steps can significantly improve early-stage symptoms and may delay the need for medications or procedures.

Learn more about simple ways to manage BPH symptoms.


2. What medications are used to treat BPH?

Several types of medications can help manage BPH symptoms:

  1. Alpha Blockers: These relax muscles in the prostate and bladder neck to improve urine flow. Examples include tamsulosin and alfuzosin.

  2. 5-Alpha Reductase Inhibitors: These shrink the prostate by lowering hormone levels (DHT). Examples include finasteride and dutasteride.

  3. Combination Therapy: Sometimes, a combination of both medications is more effective.

  4. Anticholinergics: These help if you have overactive bladder symptoms alongside BPH.

Read more about how medications help manage BPH.


3. Are there natural remedies or supplements for BPH?

Some men turn to natural remedies to complement medical treatment for BPH. Popular options include:

  • Saw Palmetto: A herbal supplement thought to reduce prostate size.

  • Beta-sitosterol: A plant extract that may improve urinary symptoms.

  • Zinc and Vitamin D: Nutrients that support prostate health.

While these supplements may offer mild benefits, it’s important to discuss them with your doctor to ensure they’re safe and effective.

Explore the evidence on natural BPH remedies.


4. What is minimally invasive treatment for BPH?

If medications aren’t effective, minimally invasive procedures are often the next step. These treatments are less invasive than surgery and have a shorter recovery time. Options include:

  • Transurethral Microwave Therapy (TUMT): Uses heat to shrink prostate tissue.

  • UroLift: Small implants lift and hold the enlarged prostate away from the urethra.

  • Rezum Water Vapor Therapy: Uses steam to destroy prostate cells and reduce size.

Minimally invasive treatments can provide long-lasting relief with fewer side effects compared to surgery.


5. How does TURP surgery treat BPH?

TURP (Transurethral Resection of the Prostate) is a common surgical procedure for BPH. During TURP:

  • A thin instrument is inserted through the urethra.

  • Excess prostate tissue is removed to improve urine flow.

TURP is highly effective for severe symptoms, but it requires a short hospital stay and recovery time.

Learn more about TURP surgery.


6. Are there laser therapies available for BPH?

Yes, laser therapy is a modern option for treating BPH. Types of laser treatments include:

  • Holmium Laser Enucleation of the Prostate (HoLEP): Removes excess tissue using a high-powered laser.

  • Greenlight Laser Therapy: Vaporizes prostate tissue with minimal bleeding.

Laser treatments are less invasive than TURP and may have fewer side effects, making them ideal for some patients.

Discover the differences between laser therapy and traditional surgery.


7. What are the risks and benefits of BPH surgery?

While surgery for BPH can greatly improve symptoms, it’s important to understand the potential risks and benefits:

Benefits:

  • Significant improvement in urine flow and quality of life.

  • Long-term relief for severe symptoms.

Risks:

  • Temporary bleeding or infection.

  • Retrograde ejaculation (semen flowing into the bladder).

  • Rarely, urinary incontinence or erectile dysfunction.

Your doctor will help determine if surgery is right for you.


8. How do lifestyle changes complement medical treatment?

Even if you’re taking medications or considering surgery, lifestyle changes can make a big difference. Try these tips:

  • Stay physically active to reduce pressure on your bladder.

  • Follow a Mediterranean-style diet rich in vegetables, fish, and whole grains.

  • Avoid medications like decongestants, which can worsen symptoms.

Combining medical treatment with healthy habits provides the best outcomes.


9. How long does recovery take after BPH treatment?

Recovery times vary depending on the type of treatment:

  • Medications: No recovery time needed.

  • Minimally Invasive Procedures: 1-2 weeks of limited activity.

  • TURP or Laser Surgery: 4-6 weeks of recovery, with gradual improvement in symptoms.

Your doctor will provide a recovery plan tailored to your procedure.


10. Can BPH come back after treatment?

Yes, in some cases, BPH symptoms can return. While surgery and minimally invasive treatments provide long-term relief, the prostate may continue to grow over time. Regular follow-ups with your doctor will ensure that symptoms are managed effectively.

Learn about long-term management of BPH.


11. What role does exercise play in managing BPH?

Exercise can help manage BPH symptoms by improving bladder control and reducing inflammation. Effective exercises include:

  • Walking or swimming for 30 minutes daily.

  • Kegel exercises to strengthen pelvic muscles.

  • Yoga to reduce stress and tension.

Exercise is an excellent complement to medical treatment.


12. When should you see a specialist about BPH?

If you have persistent symptoms like frequent urination, weak urine flow, or discomfort, it’s time to see a specialist. Early diagnosis and treatment can improve your quality of life and prevent complications.


Conclusion

In conclusion, if you’re dealing with the challenges of an enlarged prostate, understanding your treatment options is the essential first step toward finding relief. Whether it’s through medications, lifestyle changes, or advanced procedures like TURP and laser therapy, there are effective solutions available to help you manage your symptoms and improve your quality of life.

Don’t let Benign Prostatic Hyperplasia (BPH) disrupt your daily activities or diminish your well-being. With the expert guidance of Mr. Angus Campbell, you can receive a thorough diagnosis and personalized care tailored to your unique needs. His commitment to patient-centred treatment ensures that you will find the right approach to regain control over your prostate health.

Take charge of your health today!

Book your appointment with Mr. Campbell


Mr. Angus Campbell is a highly experienced consultant urologist serving patients in Milton Keynes and Oxford. Specializing in prostate health, bladder conditions, and men’s fertility, Mr. Campbell offers personalized care and shares his expertise through informative articles to help patients make informed decisions about their urological health.

Mr Angus Campbell FRCS Urol

Mr. Angus Campbell is a highly experienced consultant urologist serving patients in Milton Keynes and Oxford. Specializing in prostate health, bladder conditions, and men’s fertility, Mr. Campbell offers personalized care and shares his expertise through informative articles to help patients make informed decisions about their urological health.

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