The Urology Blog Logo

How to Manage an Enlarged Prostate: 12 Key Questions Answered

December 17, 20245 min read

Introduction

An enlarged prostate, also called Benign Prostatic Hyperplasia (BPH), can affect men’s daily lives as they age. Symptoms like frequent urination, weak urine flow, or trouble emptying the bladder can be frustrating and concerning. But what can you do about it?

In this blog, we’ll answer 12 essential questions to help you understand how to manage an enlarged prostate, what treatment options are available, and how lifestyle changes can make a difference. If you’re experiencing symptoms, don’t wait to take control of your health.


1. How is an enlarged prostate diagnosed?

Doctors use a combination of methods to diagnose BPH and rule out other prostate conditions like cancer. These include:

  • Digital Rectal Exam (DRE): The doctor feels the size of your prostate.

  • Prostate-Specific Antigen (PSA) Test: Measures PSA levels in your blood.

  • Urinary Flow Test: Checks how fast urine flows.

  • Ultrasound or MRI: Provides detailed images of the prostate.

If you have symptoms of BPH, it’s important to consult a specialist for accurate diagnosis.

Learn more about prostate diagnosis tests.


2. How is an enlarged prostate treated?

Treatment depends on the severity of your symptoms. Options include:

  1. Lifestyle Changes: Small changes like reducing caffeine, drinking less fluid at night, and staying active can help.

  2. Medications:

    • Alpha Blockers relax the muscles in your prostate and bladder (e.g., tamsulosin).

    • 5-alpha Reductase Inhibitors shrink the prostate (e.g., finasteride).

  3. Surgery: For severe cases, procedures like TURP (Transurethral Resection of the Prostate) or laser therapy can relieve symptoms.

Find out why surgery is sometimes needed for an enlarged prostate.


3. Can lifestyle changes help manage BPH symptoms?

Yes! Lifestyle changes can improve symptoms and support prostate health. Try these tips:

  • Limit caffeine and alcohol, as they can irritate the bladder.

  • Avoid drinking fluids close to bedtime.

  • Stay physically active to improve bladder control.

  • Practice pelvic floor exercises (Kegels) to strengthen bladder muscles.

  • Maintain a healthy weight.

Small adjustments can make a big difference in managing BPH.

Explore more lifestyle tips for prostate health.


4. Which medications are commonly used for enlarged prostate?

Doctors may prescribe two main types of medications for BPH:

  • Alpha Blockers: Relax muscles in the prostate and bladder neck to improve urine flow (e.g., Tamsulosin, Alfuzosin).

  • 5-alpha Reductase Inhibitors: Reduce prostate size by lowering hormone levels (e.g., finasteride, dutasteride).

In some cases, a combination of both medications is recommended for better results. Always consult your doctor for the right treatment.


5. When should you consider surgery for BPH?

Surgery is usually recommended when symptoms are severe or when other treatments haven’t worked. You might need surgery if you experience:

  • Persistent urinary retention (inability to empty the bladder)

  • Recurrent urinary tract infections (UTIs)

  • Bladder stones

Common surgical options include:

  • TURP: Removes part of the prostate to improve urine flow.

  • Laser Therapy: Uses laser energy to remove excess prostate tissue.

Learn more about TURP surgery for enlarged prostate.


6. What foods can improve prostate health?

A healthy diet plays an important role in managing BPH. Focus on:

  • Fruits and Vegetables: Rich in antioxidants and nutrients (e.g., tomatoes, spinach, broccoli).

  • Healthy Fats: Omega-3 fatty acids found in fish like salmon and sardines.

  • Nuts and Seeds: High in zinc, which supports prostate health (e.g., pumpkin seeds, almonds).

  • Whole Grains: Brown rice, quinoa, and oats for overall health.

Avoid processed foods, red meat, and excessive salt.


7. Can an enlarged prostate cause erectile dysfunction (ED)?

Yes, an enlarged prostate can indirectly cause erectile dysfunction. The reasons include:

  • Pressure from the enlarged prostate affecting nerves and blood flow.

  • Certain medications for BPH (like alpha blockers) may cause side effects like ED.

  • The stress of dealing with BPH symptoms can affect sexual health.

Talk to your doctor if you’re experiencing ED alongside BPH symptoms.

Learn more about how BPH affects urination and sexual function.


8. Does an enlarged prostate increase the risk of prostate cancer?

No, BPH is not cancer, and having an enlarged prostate does not increase your risk of prostate cancer. However, the symptoms of BPH and prostate cancer can be similar, so it’s important to get checked regularly.

Understand the differences between BPH and prostate cancer here.


9. How can exercise improve BPH symptoms?

Regular physical activity can help reduce BPH symptoms by:

  • Improving bladder control

  • Reducing inflammation

  • Supporting a healthy weight

Try exercises like:

  • Walking or jogging for 30 minutes daily

  • Pelvic floor exercises to strengthen bladder muscles

  • Yoga to reduce stress and tension

Exercise is one of the best natural ways to improve prostate health.


10. Can BPH symptoms go away on their own?

Mild BPH symptoms might improve with lifestyle changes, but the condition does not go away on its own. Without treatment, symptoms can worsen over time and lead to complications like bladder damage or infections.

If you’re experiencing symptoms, don’t delay getting help.


11. Why is regular monitoring important for BPH?

Even if your symptoms are mild, regular check-ups help monitor the condition and prevent complications. Your doctor can:

  • Track prostate size

  • Check PSA levels

  • Adjust treatment plans as needed

Regular monitoring ensures you’re managing BPH effectively and staying healthy.


12. When should you see a prostate specialist?

If you experience any symptoms of BPH, such as trouble urinating, weak flow, or frequent trips to the bathroom, it’s important to see a specialist. Early intervention can help prevent complications and improve your quality of life.


Conclusion

An enlarged prostate can significantly impact your daily life, but it doesn’t have to control it. By staying informed, adopting healthy lifestyle habits, and exploring the range of treatment options available, you can take proactive steps toward managing your prostate health effectively. Early action and the right support are key to improving your comfort, confidence, and overall well-being.

If you’re experiencing symptoms such as frequent urination, difficulty emptying your bladder, or disrupted sleep, it’s important not to ignore them. Mr. Angus Campbell is here to provide expert, personalized care designed to address your unique needs. With years of experience and a patient-centred approach, he will guide you through the best options for relief and recovery.

Don’t let an enlarged prostate hold you back from living your best life.

Book your appointment today and take the first step toward long-term comfort and peace of mind. Your journey to better prostate health starts now.


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.

Back to Blog