If the urinary symptoms of BPH are mild, you might decide not to have any treatment. It can be helpful to reduce the amount of caffeine (in tea as well as coffee) and alcohol that you drink, and limit your total fluid intake, especially in the evening. Avoiding constipation, losing some excess weight, having good control of diabetes and blood pressure, stopping smoking and increasing your level of exercise may also help.
Retraining your bladder to hold on longer can help some men who have to urinate frequently.
Talk to your doctor about other medications you are taking, including decongestants and antihistamines, as they can affect your symptoms.
Medication taken as tablets is usually the next step for men with moderate to severe BPH symptoms. Three main types of medicines are used:
Some tablets contain a combination of alpha-1 blockers and 5-ARIs. They aim to provide relief of symptoms and also reduce the risk that BPH will get worse.
Anticholinergic tablets can be used to treat the symptoms of overactive bladder. These symptoms include needing to rush to the toilet to urinate without warning, needing to urinate frequently, or wetting yourself because you did not get to the toilet in time. These medications are used only when there are symptoms of bladder overactivity as well as BPH. Your doctor can advise on whether you might benefit from treatment.
All medications have the potential to cause unwanted side effects. Talk with your doctor about the balance between the likely benefits and the possible risks for you.
If BPH and its symptoms are severe, then surgery or newer approaches including laser treatment of the prostate are an option.
Your IPSS score is: 32/35 Mild
We humans need prostate glands, even though they can be troublesome in later life. The prostate is an important part of the male reproductive system, making fluid that supports and protects sperm in semen. `it is common for the prostate to become enlarged as a man ages. The prostate doubles in size between the ages of 21 and 50 years, and almost doubles again between 50 and 80.
As the prostate enlarges, the layers of tissue surrounding it stops it from expanding. causing the gland to press againest the urethra like clamps on a garden hose.
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