Materiały źródłowe

• #1 Treatment for enlarged prostate – Mayo Clinic Health System

  https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/treatment-for-enlarged-prostate

  An enlarged prostate, also called benign prostatic hyperplasia, or BPH, is a common condition as men get older. By age 60, about 30% of men show moderate to severe symptoms of BPH; by age 80, it is 50%. An enlarged prostate gland can cause uncomfortable urinary symptoms, such as a weak urine stream, a stream that starts and stops, frequently getting up at night to urinate, or nocturia, and inability to empty the bladder. […] There are multiple treatment options for BPH, ranging from behavior medications to medications and surgery. One minimally invasive options patients may be considering is bipolar enucleation of the prostate, or BipolEP. […] If you are considering BipolEP treatment, here’s what you need to know: […] Using the orange analogy, enucleation aims to remove the fruit, or adenoma, from the inside while leaving the peel (the capsule) behind. This technique results in a wide-open channel for the urine to pass out of the bladder.

• #2 Benign prostatic hyperplasia (BPH) – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/benign-prostatic-hyperplasia/diagnosis-treatment/drc-20370093

  Many treatments are available for enlarged prostate. These include medicines, surgery and procedures that involve smaller, fewer or no cuts. The best treatment choice for you depends on: […] Taking medicine is the most common treatment for mild to moderate symptoms of an enlarged prostate. Options include: […] Surgery or other procedures might help with BPH symptoms if you: […] Any type of prostate procedure can cause side effects. Depending on the procedure you choose, health issues afterward might include: […] There are many types of surgeries and other procedures that can treat an enlarged prostate. […] A thin tool with a light, called a scope, is inserted into the urethra. The surgeon removes all but the outer part of the prostate. TURP often relieves symptoms quickly. […] A lighted scope is inserted into the urethra. The surgeon makes one or two small cuts in the prostate gland. This makes it easier for urine to pass through the urethra.

• #2 Benign prostatic hyperplasia (BPH) – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/benign-prostatic-hyperplasia/diagnosis-treatment/drc-20370093

  A special catheter is placed through the urethra into the prostate area. Microwave energy from the catheter destroys the inner portion of the enlarged prostate gland. […] A high-energy laser destroys or removes overgrown prostate tissue. Laser therapy has a lower risk of side effects than does nonlaser surgery. […] Special tags are used to compress the sides of the prostate. This can improve the flow of urine. […] A device is placed in the urethra. It turns water into steam. This wears away extra prostate tissue. […] This procedure uses imaging tests and robotic tools to guide a device into the urethra. The device releases tiny, powerful jets of water to remove extra prostate tissue. […] One or more cuts are made in the lower stomach area. This lets the surgeon reach the prostate and remove tissue.

• #3 Benign Prostatic Hyperplasia (BPH): Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/9100-benign-prostatic-hyperplasia

  Benign prostatic hyperplasia (BPH) causes your prostate to increase in size. Treatment includes medications, surgery and minimally invasive procedures. […] Treatment options include: […] The most commonly prescribed medications relax the muscle in your prostate, which reduces tension on your urethra. […] Several different types of surgery can remove prostate tissue that blocks your urethra. […] New BPH treatments are less invasive and damaging to healthy tissue than surgery. […] TURP is the most effective treatment for most cases of BPH. […] However, in adults 65 and older, medications and minimally invasive treatments are preferable. […] There isnt a cure for BPH. However, treatment options are available to help alleviate your symptoms. […] If you have mild symptoms, you may not require any treatment.

• #4 Enlarged prostate treatment | Prostate Cancer UK

  https://prostatecanceruk.org/prostate-information-and-support/just-diagnosed/other-prostate-problems/enlarged-prostate-treatment/

  There are three main types of treatment for an enlarged prostate: […] If lifestyle changes dont control your symptoms, medicines may be an option. […] The main types of medicine for an enlarged prostate are: alpha-blockers and 5-alpha-reductase inhibitors. […] Alpha-blockers are usually the first type of medicine you will be offered, unless your prostate is very large. […] 5-alpha-reductase inhibitors usually take at least six months to work fully, but they are effective at improving symptoms in the long term. […] Surgery may be an option if your symptoms dont improve with lifestyle changes or medicines, or if your symptoms are severe. […] Several different types of surgery can be used to treat an enlarged prostate. […] Transurethral resection of the prostate (TURP) is an operation to remove the parts of the prostate that have grown too large and are pressing on the urethra.

• #5 Enlarged Prostate (Benign Prostatic Hyperplasia) – NIDDK

  https://www.niddk.nih.gov/health-information/urologic-diseases/prostate-problems/enlarged-prostate-benign-prostatic-hyperplasia

  Benign prostatic hyperplasia (BPH) is a condition in which the prostate gland grows larger than normal, but the growth is not caused by cancer. […] BPH can be treated with watchful waiting, medicines, or surgery. A health care professional will consider how severe your symptoms are and how they affect your quality of life before discussing treatment options with you. […] A health care professional may recommend medicines to treat your BPH such as alpha blockers, which relax the muscles in the bladder neck and prostate, making it easier to urinate. […] Your health care professional may recommend a medical procedure or device to relieve your BPH symptoms. These minimally invasive surgical therapies (MIST) remove enlarged prostate tissue or widen the urethra so urine flows more easily. […] You may need surgery to remove part or all of your prostate if your medicines do not help. […] After surgery, you may have painful muscle spasms that squeeze urine out of your bladder. […] Researchers have not found a way to prevent BPH, but being physically active may help reduce your risk. […] Changes in eating, diet, and nutrition could help treat or lessen some of your symptoms.

• #6 Treatment for an enlarged prostate – Harvard Health

  https://www.health.harvard.edu/mens-health/treatment-for-an-enlarged-prostate

  Most men stop getting taller around age 18, but after 40, they often begin growing elsewhere particularly in their prostate gland. Benign prostatic hyperplasia (BPH), also known as an enlarged prostate, affects about 50 percent of men ages 51 to 60 and up to 90 percent of men older than 80. […] A combination of lifestyle changes and medication are the first-line treatments for BPH. […] Three types of drugs are approved to treat BPH: alpha blockers, such as alfuzosin (Uroxatral) and tamsulosin (Flomax); the 5-alpha-reductase inhibitors dutasteride (Avodart) and finasteride (Proscar); and the PDE5 inhibitor tadalafil (Cialis), best known as an erectile dysfunction (ED) drug. […] If the problems persist, the next step is a surgical procedure. Here are two commonly recommended ones. […] Transurethral resection of the prostate (TURP). TURP involves inserting a thin tube through the urethra and up to the prostate.

• #7 Benign prostate enlargement | NHS inform

  https://www.nhsinform.scot/illnesses-and-conditions/kidneys-bladder-and-prostate/benign-prostate-enlargement/

  Treatment for an enlarged prostate is determined by the severity of your symptoms. […] As well as lifestyle changes, medication is usually recommended to treat moderate to severe symptoms of benign prostate enlargement. Finasteride and dutasteride are medications that are commonly used. They block the effects of a hormone called dihydrotestosterone (DHT) on the prostate gland, which can reduce the size of the prostate and improve associated symptoms. […] Alpha blockers may also be prescribed. They help to relax your bladder muscles, making it easier to pass urine. Tamsulosin and alfuzosin are two alpha blockers commonly used to treat benign prostate enlargement. […] Surgery is usually only recommended for moderate to severe symptoms of benign prostate enlargement that have failed to respond to medication.

• #8 Remedies for an Enlarged Prostate: What to Do and When to See a Doctor

  https://www.webmd.com/men/enlarged-prostate-remedies

  Caffeine and alcoholic beverages can irritate the prostate and bladder, leading to more urgency to empty the bladder. […] Some general over-the-counter medications can worsen prostate symptoms, so it’s important to let your doctor know what you’re taking. […] The first higher-level treatment is to begin taking prescription drugs for an enlarged prostate. […] These medications, such as Flomax, Rapaflo, and Cardura, work by relaxing the affected muscles around the prostate to encourage urine flow. […] Another type of medication is a 5-alpha reductase inhibitor. […] For moderate to severe BPH, you may need a medical procedure to relieve your symptoms. […] TURP, or transurethral resection of the prostate, is the standard procedure for symptomatic BPH. […] By removing prostate tissue, TURP helps to reduce symptoms like the frequent need to urinate, a feeling that the bladder hasn’t fully emptied, and urinary tract infections.

• #9 Enlarged prostate: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/000381.htm

  An enlarged prostate is often called benign prostatic hyperplasia (BPH). It is not cancer, and it does not raise your risk for prostate cancer. […] The treatment you choose will be based on how bad your symptoms are and how much they bother you. Your provider will also take into account other medical problems you may have. Treatment options include „watchful waiting,” lifestyle changes, medicines, or surgery. […] If you have BPH, you should have a yearly assessment to monitor your symptoms and see if you need changes in treatment. […] Alpha-1 blockers are a class of medicines, some of which have been used to treat high blood pressure. These medicines relax the muscles of the bladder neck and prostate. This allows easier urination. Most people who take alpha-1 blockers notice improvement in their symptoms, usually within 3 to 7 days after starting the medicine.

• #10 Enlarged prostate

  https://www.nhs.uk/conditions/enlarged-prostate/

  An enlarged prostate does not always need treatment. It depends on your symptoms and how they’re affecting you. […] If your symptoms are not causing many problems, doctors will usually recommend trying lifestyle changes first. […] If your symptoms get worse you may need medicines or surgery. […] If you have moderate or severe symptoms you may be offered medicines for an enlarged prostate, including: medicines that help you to pee, such as tamsulosin, doxazosin or alfuzosin; medicines that help with needing to pee more often or more urgently, such as oxybutynin or tolterodine; medicines that help stop your prostate growing, by reducing hormone levels, if you’re at high risk of your condition getting worse, such as finasteride or dutasteride. […] These medicines can cause side effects. Your doctor will explain the benefits and possible side effects and help you decide if they are right for you.

• #11 Enlarged prostate: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/000381.htm

  Finasteride and dutasteride lower levels of hormones produced by the prostate. These medicines also reduce the size of the gland, increase urine flow rate, and decrease symptoms of BPH. You may need to take these medicines for 3 to 6 months before you notice symptoms getting better. […] Prostate surgery may be recommended if you have: Incontinence, Recurrent blood in the urine, Inability to fully empty the bladder (urinary retention), Recurrent urinary tract infections, Decreasing kidney function, Bladder stones, or bothersome symptoms not responding to medicines. […] Transurethral resection of the prostate (TURP): This is the most common and most proven surgical treatment for BPH. TURP is performed by inserting a scope through the penis and removing the prostate piece by piece. […] The choice of which surgical procedure is recommended is most often based on the severity of your symptoms and the size and shape of your prostate gland. Most men who have prostate surgery have improvement in urine flow rates and symptoms.

• #12 BPH Medication: Pharmaceutical Drugs for an Enlarged Prostate

  https://www.webmd.com/men/prostate-enlargement-bph/enlarged-prostate-types-medication-that-work

  Not too long ago, men who wanted relief from BPH had one main option: surgery. In recent years, thats changed. Drugmakers have come out with a number of medicines that give you more choices to treat your symptoms. […] Medicine is now the most common way to treat men with mild to moderate BPH. Researchers are still learning about long-term effects and when drugs can be most helpful. Talk to your doctor to find out which medicine may be best for you. […] Surgery isn’t your only option if you have BPH. You can ask your doctor about medications, supplements, and even watchful waiting. […] These stop your body from creating one of the hormones that makes your prostate larger. They prevent growth and in some cases even shrink it. This can improve your urine flow and ease other BPH symptoms as well. They seem to be most helpful to men with very large prostates.

• #13 Benign prostate enlargement | NHS inform

  https://www.nhsinform.scot/illnesses-and-conditions/kidneys-bladder-and-prostate/benign-prostate-enlargement/

  The treatment for an enlarged prostate gland will depend on how severe your symptoms are. […] Medication, in combination with the lifestyle changes above, is usually recommended to treat moderate to severe symptoms of benign prostate enlargement. […] Finasteride and dutasteride are widely used to treat benign prostate enlargement. […] Alpha blockers help relax the muscles of your bladder, making it easier to pass urine. […] Surgery is usually only recommended for moderate to severe symptoms of benign prostate enlargement that have failed to respond to medication. […] Various procedures can be used to reduce the pressure on your bladder. […] Transurethral resection of the prostate (TURP) involves inserting a small instrument called a resectoscope into your urethra, the tube that carries urine from the bladder to the penis.

• #14 BPH Medication: Pharmaceutical Drugs for an Enlarged Prostate

  https://www.webmd.com/men/prostate-enlargement-bph/enlarged-prostate-types-medication-that-work

  5-ARIs may also lower your PSA (prostate-specific antigen), which affects one way that doctors look for prostate cancer. That isnt harmful, but it may help to get a PSA test before starting these drugs. Also, the FDA now requires labels on 5-ARIs to include a warning that they may be linked to an increased chance of high-grade (or aggressive) prostate cancer. […] If one medication on its own doesnt help with symptoms, your doctor may suggest taking two. […] If your symptoms dont bother you much and you don’t have any complications, you may choose to just have you and your doctor keep a regular eye on things. […] Sometimes BPH doesn’t respond enough to lifestyle changes, medications, or supplements. If that’s true for you, there are both minimally invasive procedures and surgical options available.

• #15 What Are Your Treatment Options for an Enlarged Prostate?

  https://www.healthline.com/health/enlarged-prostate/treatment

  Treatment options include medications and surgery. […] Alpha blockers for BPH work by relaxing the bladder neck muscles and the muscle fibers in the prostate. […] 5-alpha reductase inhibitors for BPH reduce the size of the prostate gland by blocking hormones that spur the growth of your prostate gland. […] Taking a combination of an alpha blocker and a 5-alpha reductase inhibitor provides greater symptom relief than taking either one of these drugs alone. […] There are minimally invasive surgery options when drug therapy isn’t enough to relieve BPH symptoms. […] TUNA results in better urine flow and relieves BPH symptoms with fewer complications than invasive surgery. […] Invasive surgery for BPH includes transurethral surgery, which doesn’t require open surgery or an external incision. […] Laser surgery for BPH involves inserting a scope through the penis tip into the urethra. […] Open surgery may be required in complicated cases of a very enlarged prostate, bladder damage, or other problems. […] Not all men with BPH need medication or surgery.

• #16 Benign Prostatic Hyperplasia (BPH) Treatment & Management: Approach Considerations, Alpha-Blockers, 5-Alpha-Reductase Inhibitors

  https://emedicine.medscape.com/article/437359-treatment

  American Urological Association (AUA) guidelines advise that in men with lower urinary tract symptoms (LUTS) and enlarged prostates, 5-ARIs may help prevent progression of LUTS secondary to BPH and reduce the risk of urinary retention and future prostate-related surgery. […] American Urological Association (AUA) guidelines advise that combination therapy with an alpha-blocker and a 5-alpha-reductase inhibitor can be appropriate and effective for patients with lower urinary tract symptoms (LUTS) who have enlarged prostates. […] The Medical Therapy of Prostatic Symptoms (MTOPS) trial demonstrated that combination therapy reduced the risk of progression and produced a greater improvement in IPSS than therapy with finasteride or doxazosin alone. […] The Rezum procedure has been approved by the FDA for treatment of BPH, and the AUA considers the procedure a viable treatment for BPH. […] Open prostatectomy is now reserved for patients with a very large prostate ( 75 g). […] Open prostatectomy usually has an excellent outcome in terms of improvement of urinary flow and urinary symptoms.

• #17

  https://www.southnassau.org/sn/enlarged-prostate

  There are many pharmaceutical options with guidelines and algorithms readily available to help guide your selection. […] The most common combination is dutasteride with tamsulosin. This combination has been shown to not only produce durable improvement in voiding symptoms but significantly reduces the risk of disease progression, and in particular, decreases the risk of retention. […] There are many surgical options available to you that can be classified into three main groups: Compressing the prostate tissue, removing some of the prostate enlargement, or removal of the entire enlargement. […] The Urolift leads to short-medium term improvements in symptoms and emptying of the urinary bladder. […] We have had very good results using Rezum with improvements in symptoms, as well as preservation of ejaculation.

• #18 Enlarged Prostate Treatment Options | UC Irvine Health | Department of Urology

  https://www.urology.uci.edu/enlarged_prostate_treatment_options.shtml

  Enlarged prostate treatment options are vast and variable including: […] Lifestyle modifications to manage enlarged prostate symptoms in general involves adjusting diet and/or fluid intake. […] Medications for enlarged prostate are primarily focused on relaxing the muscles within the prostate gland, though others may decrease the prostate size gradually over time. […] Tadalafil can be used to treat both mild symptoms of erectile dysfunction and urinary symptoms from prostate enlargement. […] In general, surgeries and office-based procedures to treat prostate enlargement and the resultant urinary symptoms are focused on either removing or diminishing the degree of obstruction caused by tissue overgrowth. […] Water vapor thermal therapy is introduced via a small needle into the prostate gland, which injects steam to treat and ultimately shrink the tissue.

• #19 Enlarged Prostate – Diagnosis & Treatment Options | IU Health

  https://iuhealth.org/find-medical-services/enlarged-prostate

  IU Health physicians often begin treatment conservatively to minimize the impact on you. Treatments may include: […] Different oral medicines available by prescription can ease the effects of an enlarged prostate without any other treatments or therapies. […] Alpha blockers often effectively allow urine to flow freely through the urethra. These medicines relax the muscles around the prostate and bladder, making it easier to urinate completely. You may begin to see the effects of alpha blockers within just a few days. […] 5-alpha-reductase inhibitor medicines affect the hormones that cause prostate enlargement and work by shrinking the prostate. They may take several months to work effectively and can possibly cause sexual side effects such as impotence. […] Tadalafil is commonly used for erectile dysfunction, but can also benefit an enlarged prostate. You cannot take it with alpha blockers or nitrates used for chest pain.

• #20 Current Treatment for Benign Prostatic Hyperplasia

  https://pmc.ncbi.nlm.nih.gov/articles/PMC8021971/

  The care of patients with BPH should be interdisciplinary. The efficacy and safety of many new developments in the area of pharmacological and minimally invasive treatment remain to be demonstrated in randomized trials. […] Drug therapy should be considered if the patients symptom burden requires it or if initial watchful waiting has not led to satisfactory improvement in symptoms. The choice of drug therapy depends on the symptoms. […] In patients with predominantly storage symptoms, muscarinic receptor antagonists and 3-adrenoceptor agonists may be used. […] Treatment with alpha1-receptor inhibitors (alpha-blockers), phosphodiesterase 5 (PDE5) inhibitors, or 5-alpha-reductase inhibitors may be considered in patients with predominantly voiding dysfunction. […] Alpha-blockers + 5-alpha-reductase inhibitors can further increase improvement in LUTS and Qmax, so long as increased rates of adverse effects are accepted, and can also reduce the risk of acute urinary retention and the need for surgery.

• #21 Enlarged prostate

  https://www.nhs.uk/conditions/enlarged-prostate/

  You’ll have regular check-ups to see how well the medicine is working. […] You might be offered surgery if medicines have not helped, or your symptoms are severe. […] The most common surgery you may be offered for an enlarged prostate is called transurethral resection of the prostate (TURP). This involves removing part of your prostate through a thin tube that’s passed up your penis to your prostate. […] Sometimes you may be offered a different procedure, but they may not be suitable for everyone. […] Treatment and support is also available to help with symptoms of an enlarged prostate. This can include: products such as pads, pants or sheaths to help with leaks or dribbling pee; a urinary catheter a flexible tube that’s put into your bladder to drain pee, if you cannot empty your bladder; help with bladder training, where you try holding on for a short time when you need to pee, and gradually increase the time over a few weeks; pelvic floor muscle training exercises to strengthen muscles that help control your bladder.

• #22 Current Treatment for Benign Prostatic Hyperplasia

  https://pmc.ncbi.nlm.nih.gov/articles/PMC8021971/

  Invasive treatment should be considered if medical therapy fails to provide adequate symptom relief or is refused by the patient (relative indication for surgery), or if any of the following are present: recurrent or refractory urinary retention, overflow incontinence, refractory macrohematuria, dilatation of the upper urinary tract with or without renal insufficiency, recurrent urinary tract infections, or bladder stones or diverticula (absolute indications for surgery). […] Transurethral resection of the prostate (TURP) and suprapubic enucleation procedures have become established as the gold standard of practice. […] Recently, several new surgical technologies have been developed to give patients effective treatment on an outpatient basis, without general anesthesia and with short recovery times, minimal morbidity rates, preservation of sexual function, and a good safety profile.

• #23 Remedies for an Enlarged Prostate: What to Do and When to See a Doctor

  https://www.webmd.com/men/enlarged-prostate-remedies

  TUIP, or transurethral incision of the prostate (TUIP), is a series of small cuts in the prostate to reduce the gland’s pressure on the urethra and make urinating easier. […] Other minimally invasive techniques to kill excess prostate tissue include water vaporization and transurethral microwave therapy.

• #24 Enlarged prostate treatment | Prostate Cancer UK

  https://prostatecanceruk.org/prostate-information-and-support/just-diagnosed/other-prostate-problems/enlarged-prostate-treatment/

  Holmium laser enucleation of the prostate (HoLEP) is similar to TURP but uses a high-powered laser to remove the parts of the prostate that are blocking the urethra. […] Transurethral water vapour therapy (Rezm) uses steam to destroy the prostate tissue that is blocking the urethra. […] GreenLight laser surgery uses a high-energy laser to heat up and destroy the prostate tissue that is blocking the urethra. […] Prostatic urethral lift (UroLift) involves putting small implants into the prostate to improve symptoms without actually removing any tissue from the prostate. […] Possible side effects of surgery include needing to urinate more often or urgently, leaking urine, blood in your urine, urine infection, a weak flow when you urinate, retrograde ejaculation, and problems getting or keeping an erection.

• #25 Benign Prostatic Hyperplasia (BPH) – Enlarged Prostate – Urology | UCLA Health

  https://www.uclahealth.org/medical-services/urology/conditions-treated/male-conditions/benign-prostatic-hyperplasia-bph

  For patients with more severe symptoms and those who cannot tolerate or have failed medications, surgeries and minimally invasive procedures are excellent choices to relieve the symptoms of BPH. […] Transurethral resection of the prostate (TURP) has long been the mainstay of enlarged prostate surgery. […] An alternative to TURP is laser prostate surgery. […] One of the newest BPH surgeries offered at UCLA is Aquablation. […] Holmium laser enucleation of prostate (HoLEP) is an endoscopic surgery that is ideal for patients with very enlarged prostates. […] The UroLift System, approved by the U.S. Food and Drug Administration in 2013, is a minimally invasive approach to treating BPH and symptoms caused by an enlarged prostate. […] Rezum is a minimally invasive procedure that employs steam injected directly into the prostate to heat the prostatic tissue, ultimately leading to its destruction. […] The iTIND (Temporary Implanted Nitinol Device) procedure is geared toward patients with smaller prostates, iTIND places a device in the urethra for 5-7 days to gently reshape it so that the opening is wider.

• #26 Enlarged Prostate – Diagnosis & Treatment Options | IU Health

  https://iuhealth.org/find-medical-services/enlarged-prostate

  IU Health physicians were the first in the U.S. to use holmium laser therapy. Often patients go home the same or following day of the procedure with immediate improvement. It permanently removes the enlarged prostate tissue with minimal sexual side effects. […] HoLEP is an innovative, minimally invasive procedure for treatment of an enlarged prostate.

• #27 Enlarged Prostate (BPH) – Diagnosis and Treatment

  https://www.radiologyinfo.org/en/info/bph

  For surgery, there are many procedures to choose from, and the choice depends largely on your specific prostate anatomy, and surgeon preference and training. These procedures all have a common goal of widening the urethral channel as it passes through the prostate. […] Transurethral resection of the prostate (TURP): One of the more common surgical treatments for BPH, TURP involves the insertion of an instrument called a resectoscope through the urethra to remove the obstructing tissue, almost like removing the core from an apple, thus widening the channel. […] Laser surgery: When a TURP procedure is done with a laser instead of traditional removal of part of the prostate, the procedures are similar although differently named, depending on the type of laser used. […] Transurethral incision of the prostate (TUIP): In this procedure, the surgeon widens the urethra by making a few small incisions in the prostate gland and the neck of the bladder where it joins the urethra.

• #28

  https://www.rezum.com/what-is-rezum/treating-bph.html

  Alpha blockers relax the muscles in the bladder and prostate, making it easier to urinate. And alpha reductase inhibitors help shrink the prostate gland by blocking hormones. […] Non-surgical, outpatient therapy that uses the natural energy stored in water vapor to shrink excess prostate tissue. […] Non-surgical, outpatient procedure that utilizes permanent implants to lift and hold the enlarged prostate tissue out of the way, so it no longer blocks the urethra. […] This treatment uses a high-energy laser to rapidly heat and vaporize the excess prostate tissue, resulting in a larger channel for urine to pass through. […] This non-surgical procedure uses microwave antennae mounted on a urethral catheter to heat the prostate and relieve BPH symptoms. […] TURP employs a superheated thin metal band to cut and remove prostate tissue. […] This is a surgical procedure in which a surgeon removes all or part of the prostate gland through small incision(s) in the lower abdomen. […] Use our Doctor Finder to get in direct contact with urologists who specialize in using Rezm Water Vapor Therapy to treat BPH.

• #29 Treatment for an enlarged prostate – Harvard Health

  https://www.health.harvard.edu/mens-health/treatment-for-an-enlarged-prostate

  Photoselective vaporization of the prostate (PVP). With PVP the surgeon guides a thin optic fiber through the urethra to the prostate. […] If you have a large prostate gland or you are interested in the most definitive therapy, your doctor may recommend a prostatectomy, in which the inner part of the gland is removed. […] There are minimally-invasive options available for BPH, as long as your prostate gland is not too large (weighing less than 80 grams). […] In the prostatic urethral lift procedure, a device called a UroLift is inserted through the urethra to the prostate. […] With Rezum, a thin tube is guided through the urethra to the prostate, where it shoots brief blasts of steam that kill prostate cells.

• #30 Mayo Clinic Minute: Steam treatment for enlarged prostate

  https://www.mayoclinic.org/diseases-conditions/benign-prostatic-hyperplasia/multimedia/steam-treatment-for-enlarged-prostate/vid-20431779

  It’s a common problem for older men: benign prostatic hyperplasia, or BPH. […] BPH is a fancy way of saying the prostate is getting larger, and we don’t want it to. […] Treatment for BPH has long been medications and procedures, such as lasers or an electric loop, which burn the prostate from the inside out. […] But, now, a relatively new convective water therapy treatment uses steam to make the prostate smaller. […] For nine seconds, a steam ball is produced and that kills all that prostate tissue that we don’t want or that has grown out of control. […] Dr. Kohler says the procedure, performed right in the doctor’s office, has a very low risk for complications or sexual side effects. […] It does not carry heat outside the prostate, and it does not carry heat to areas we don’t want it. […] He says this next generation of BPH treatment may soon replace the need for costly medications.

• #31 Enlarged Prostate (BPH) | UC San Diego Health

  https://health.ucsd.edu/care/urology/enlarged-prostate/

  Aquablation therapy is an advanced, minimally invasive treatment for BPH that provides long-lasting relief with few complications. […] Transurethral resection of the prostate is a traditional surgery that uses a scope to remove excess prostate tissue. […] HoLEP is a minimally invasive treatment option that is highly effective for large prostates (over 80 grams). […] Robotic prostatectomy is ideal for removing extra tissue in very large prostates (over 100 grams). […] Laser energy is used to vaporize the prostate tissue. […] In this minimally invasive treatment, your urologist injects steam into the enlarged portions of the prostate to shrink the tissue surrounding the urethra. […] Instead of removing excess prostate tissue, your urologist uses the UroLift system to implant permanent sutures in the prostate. […] Prostate artery embolization is a minimally invasive alternative to surgery performed by an interventional radiologist.

• #32 Enlarged Prostate? This Treatment Can Help You Avoid Sexual Side Effects | University Hospitals

  https://www.uhhospitals.org/blog/articles/2018/12/enlarged-prostate-this-treatment-can-help-you-avoid-sexual-side-effects

  This procedure is a nice alternative, because the side effects are very minimal, it can be done in the doctors office in 15 minutes or less and very little sedation is required, she says. And the results are pretty instant. […] UroLift has been in use for six years. Studies have shown that the procedure is safe, effectively relieves symptoms and does not affect sexual function.

• #33

  https://www.gehealthcare.com/insights/article/the-latest-treatment-for-enlarged-prostate-takes-place-in-a-radiology-suite?srsltid=AfmBOopQboFl7SlNg8vGqC2Nejv30L9jhAt-v1s71cZwTo_uXfDnSvQ1

  As men age, the vast majority develop an enlarged prostate and, with it, benign prostatic hyperplasia (BPH), a noncancerous condition that can nevertheless seriously impact quality of life and potentially lead to dangerous health outcomes. […] But an emerging minimally invasive technique called prostate artery embolization (PAE) is offering relief and providing men with an alternative approach to treating this condition and helping them return to normal life. […] PAE helps relieve troubling BPH symptoms without any cutting, use of a laser, or tissue removal. The procedure involves targeted release of microscopic particles into the arteries that feed the prostate. The particles stop blood flow into the gland and, over the course of several weeks, decrease its size. […] Prostate artery embolization, or PAE, is a minimally invasive procedure that is all done as an outpatient procedure with nothing inserted into the rectum or penis, explains Dr. Nutting.

• #34 Enlarged prostate or benign prostatic hyperplasia (BPH) can be treated by interventional radiologists. | Society of Interventional Radiology

  https://www.sirweb.org/for-patients/conditions-and-treatments/enlarged-prostate/

  More than 20 studies including over 2,000 patients with moderate to severe LUTS due to BPH show that PAE has shorter recovery and fewer complications than traditional surgery and improves symptoms and quality of life to a greater degree than medical therapy. […] PAE is also recommended in the American Urological Association treatment guidelines for enlarged prostate.

• #35 ‘Life-Changing’ New Treatment for Enlarged Prostate

  https://www.cedars-sinai.org/newsroom/a-life-changing-treatment-for-enlarged-prostate/

  Because prostate artery embolization is a relatively new treatment for BPH, long-term research data is not yet available. However, clinical trials have shown the procedure to be highly effective. […] Complications are rare, there is virtually no risk of the incontinence or impotence that can accompany traditional surgery, and recovery time is minimal, Lipshutz said. […] Some of my patients are almost in tears because they are so happy with the results, Lipshutz said. […] Lipshutz partners with urologists to ensure that patients with enlarged prostate are informed of all treatment options and are treated optimally, based on each persons individual needs. […] This procedure was a godsend, he said. Im back to where I was over 20 years ago. Its changed my life.

• #36 Water jet therapy offered at Ingalls Memorial provides relief for enlarged prostate – UChicago Medicine

  https://www.uchicagomedicine.org/forefront/surgery-articles/water-jet-therapy-provides-relief-for-enlarged-prostate

  Call Us At 1-888-824-0200 University of Chicago Medicine urologist Mahmoud Khalil, MBBCh, shows patient Guillermo Arellano-Garcia scans with successful results from his recent water jet therapy to treat his enlarged prostate. […] But there was also another option: Aquablation, or water jet therapy, a relatively new technology that can remove problematic tissue without impacting the nearby anatomy tied to urinary control and sexual function. […] The therapy uses robot-assisted, image-guided water jets to blast out excess prostate tissue. No incision is made in the abdomen, as the prostate is reached through the urethra. […] Because the water is kept at room temperature, it doesn’t damage the nerves that are important for sexual function, Khalil said. […] Aquablation, which is offered at UChicago Medicine Ingalls Memorial Hospital, only takes about an hour.

• #37 Enlarged Prostate Treatment at Emory Healthcare Urology Services

  https://www.emoryhealthcare.org/services/urology/treatments/enlarged-prostate-treatments

  Some research shows that saw palmetto, an over-the-counter herbal medication, can help relieve some symptoms. These include difficulty urinating, frequency and getting up at night to urinate. Always talk with your doctor before taking any herbal medication. They may interfere with other prescription medications. […] If medication isnt enough to control your symptoms, you need surgery. Our urologists offer the full range of procedures to help you. […] Our urologists offer REZUM. This sterile water vapor therapy uses an endoscope (a long, thin tube). The endoscope delivers several nine-second steam injections. The energy from the steam destroys diseased prostate tissue. Urologists perform this minimally invasive procedure in the office with local anesthesia. […] If you have a larger prostate, you may need a transurethral procedure. These surgeries are done under general anesthesia in the operating room. During this operation, our urologists pass a cystoscope through your urethra with no incision on the skin. Then, they use special tools to remove diseased prostate tissue.

• #38 Treatment Options for Enlarged Prostate (BPH) | Brown University Health

  https://www.brownhealth.org/be-well/treatment-options-enlarged-prostate-bph

  When a man is diagnosed with BPH, treatment options include medications, minimally invasive procedures, and surgery. Treatment is based on an individuals symptoms, prostate size, age, and tolerance of potential side effects of treatment. […] Medications are often the first treatment for BPH. There are two types of medications that may be prescribed. […] While medications can be effective in treating an enlarged prostate, some individuals may not be able to tolerate their side effects. […] Beyond medications, there are several minimally invasive procedures that can treat the symptoms of BPH. […] When medications or minimally invasive procedures are not effective in relieving a mans BPH symptoms, surgical options are also available. […] You dont have to live with an enlarged prostate and its symptoms. Selecting the most appropriate treatment for BPH involves careful consideration of individual symptoms, overall health, and personal preferences. Whether opting for medications, minimally invasive procedures, or surgery, the goal is to improve a mans quality of life by addressing urinary symptoms and restoring normal function.

• #39 What Is Enlarged Prostate or Benign Prostatic Hyperplasia (BHP)?

  https://upmc.ie/services/urology/conditions/enlarged-prostate

  A urologist may help to relieve symptoms of an enlarged prostate through the following treatment options. […] If your symptoms are mild, your consultant may recommend watchful waiting. That means getting annual checkups, rectal exams, and other tests. […] Your consultant may prescribe medicine to shrink or slow the growth of the prostate. Sometimes a combination of medicines works best. […] Urology consultants at UPMC specialise in the following minimally invasive treatments for BPH: […] Doctors insert a small implant into the prostate that compresses the tissue, allowing better urine flow. […] If you have questions about your urologic health or are experiencing symptoms associated with an enlarged prostate or BPH, visit your GP and ask for a referral to one of our urology consultants at:

• #40 10 natural remedies for enlarged prostate and lifestyle tips

  https://www.medicalnewstoday.com/articles/321231

  Natural remedies and lifestyle changes, such as double voiding, maintaining a moderate weight, and exercising regularly, can slow or stop prostate growth. […] If prostate gland enlargement causes symptoms, people can try certain home remedies, such as saw palmetto, or changes in behavior, such as limiting fluid intake before bed, to ease urinary symptoms. […] The severity of BPH symptoms will determine a persons treatment options. If it adversely affects their quality of life, doctors may prescribe medications, such as alpha-blockers and 5-alpha reductase inhibitors, or recommend surgical intervention. […] Alpha-blockers help reduce BPH symptoms by relaxing muscles in the urethra and the neck of the bladder, which can improve urine flow. […] DHT is an androgen that prevents the death of prostate cells and promotes their proliferation, increasing the size of the prostate gland. Inhibiting DHT production can help slow or stop prostate growth.

• #41 Remedies for an Enlarged Prostate: What to Do and When to See a Doctor

  https://www.webmd.com/men/enlarged-prostate-remedies

  An enlarged prostate is a condition that most commonly affects men over 50, but it can begin once you reach your 30s. […] BPH is believed to be the result of natural cell growth and hormone changes from testosterone and dihydrotestosterone. […] Common symptoms of an enlarged prostate include frequent and urgent urination, troubles with urine stream, incontinence and dribbling, pain after urination, and urine remaining in the bladder. […] Your doctor might advise one of several approaches to coping with BPH, including lifestyle changes, medication changes, and other treatments. […] Exercise can improve with your overall fitness, as well as benefit your prostate health. […] You can also try Kegel exercises to strengthen your pelvic muscles and reduce urine dribbling. […] When you head to the bathroom, make sure you slow down.

• #42

  http://hospitals.aku.edu/nairobi/AboutUs/News/Pages/Treatment-for-enlarged-prostate.aspx

  New treatment for men with enlarged prostate […] If I have symptoms, what are my treatment options? […] Treatment is only necessary if symptoms become bothersome. Several treatment options are available depending on the severity of symptoms: […] Lifestyle changes is appropriate for those with mild symptoms. This includes changes such as limiting fluid intake in the evenings, limiting caffeine intake, healthy eating and undertaking exercise. […] Prescription drugs is an option for men with symptoms which are relatively more troublesome and not relieved with lifestyle changes. These includes medications such as alpha blockers and 5-alpha reductase inhibitors which relax the muscles of the prostate/bladder and reduce the volume of the prostate, respectively. […] Surgery is reserved for men in whom medical therapy has not resulted in significant symptom improvement. There are many surgical options available which vary in their indications, invasiveness, effectiveness, and side-effect profile. Examples of surgical options include:

• #43 10 natural remedies for enlarged prostate and lifestyle tips

  https://www.medicalnewstoday.com/articles/321231

  However, some people may wish to try natural remedies for BPH. Those wishing to try these remedies should speak with a healthcare professional first, if possible. […] Saw palmetto inhibits 5-alpha-reductase. It also has anti-inflammatory properties and can reduce the number of estrogen and androgen (DHT) receptors. […] Research in a 2018 review links daily consumption of saw palmetto extract with a reduction in BPH symptoms. The plant extract likely has this effect because it inhibits the production of DHT. […] A 2019 review found that nettle root extracts can effectively reduce BPH symptoms and improve the overall quality of life of people with the condition. […] A 2021 review comments that older research highlights the potential benefits of using pygeum to help treat BPH. However, further research is necessary to determine its efficacy.

• #44 10 natural remedies for enlarged prostate and lifestyle tips

  https://www.medicalnewstoday.com/articles/321231

  A 2019 study of 120 people found that lycopene suggests that lycopene may improve the quality of life of people with BPH, although it does not cause a significant change in prostate volume. […] A 2022 study suggests that a combination of natural products, including green tea, may help to reduce the development and progression of BPH. […] Taking zinc supplements or increasing dietary zinc intake can lower a persons risk of a zinc deficiency. Zinc can also decrease the production of DHT and inhibit this androgen from binding to receptors, potentially reducing BPH symptoms. […] The Nutrition Guide for Clinicians suggests that including soy in a dietary plan can help reduce the risk of BPH. […] A 2020 rat study suggests that cranberry powder could be effective for BPH by inhibiting 5-alpha-reductase.

• #45 Benign Prostatic Hyperplasia (BPH) | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.benign-prostatic-hyperplasia-bph.hw30200

  You may need surgery for BPH if you: Can’t urinate. Have a partial blockage in your urethra. Keep having blood in your urine. Have kidney damage. […] Surgery often greatly improves the quality of life for those with severe symptoms. But surgery may cause erection problems or ejaculation problems. It may also make it hard to control urination (urinary incontinence).

• #46 Treatment for enlarged prostate – Mayo Clinic Health System

  https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/treatment-for-enlarged-prostate

  Finally, enucleation completely removes the adenoma, providing longer-lasting results compared to other surgical options. […] Patients need to limit strenuous physical activity for two weeks and drink plenty of fluids. Most people can resume normal activities after two weeks but may still see occasional bits of tissue or bleeding in their urine after heavy activity. […] Talk with your primary care provider and make an appointment if you’re having trouble urinating and are looking for treatment strategies.

• #47

  http://hospitals.aku.edu/nairobi/AboutUs/News/Pages/Treatment-for-enlarged-prostate.aspx

  Infections. There is a small risk of urinary tract infection developing after the procedure, even though antibiotics are routinely given before the procedure. […] Will my sexual function be affected? […] Based on studies to date, we know that patients treated with PAE for BPH have not experienced a decline in sexual function (including retrograde ejaculation and erectile dysfunction). […] Are there any patients who cannot have PAE? […] The presence of urological cancer e.g., prostate or bladder is a contraindication for PAE.

• #48 BPH Treatment: Enlarged Prostate Meds, Surgery, Therapy

  https://www.verywellhealth.com/bph-treatment-8417932

  Fortunately, newer and less invasive procedures like HoLEP, PUL, WVTT, or PAE have greatly reduced the risk of postoperative complications even among older adults with extremely large prostate glands. […] Speak with your urologist about any concerns you have about BPH treatments. There may be alternatives to explore that are more appropriate for you as an individual. […] Drug therapies for BPH vary in their effectiveness. Studies have shown that the combination of an alpha-blocker and 5-ARI in people with moderate LUTS reduces the risk of BPH progression by 66% compared to having no treatment. […] To date, surgery mainly in the form of TURP remains the gold standard of BPH treatment. Compared to medications, TURP is better able to sustain symptom relief, increase urinary flow, and reduce the need for retreatment.

• #49 Benign Prostatic Hyperplasia (BPH): Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/9100-benign-prostatic-hyperplasia

  After you start a medication, it may take between one and eight weeks for your symptoms to improve. […] After a surgical procedure, you should be able to resume normal activities within a few days or a week. […] After a minimally invasive procedure, you should be able to return to your normal activities in a few days. […] The outlook for people with BPH is very good. BPH doesnt have a cure, but treatments can help alleviate your symptoms. Mild symptoms may not require treatment. Medications, surgery and minimally invasive treatments can treat more severe cases.

• #50 You Can Treat Your Enlarged Prostate Without Having Surgery: Alex Lesani, MD: Robotic Surgeon

  https://www.drlesani.com/blog/you-can-treat-your-enlarged-prostate-without-having-surgery

  The 5-alpha reductase inhibitors actually shrink your prostate by preventing hormone changes that trigger prostate growth. […] Known popularly by its brand name Cialis, tadalafil was developed to treat ED. However, it also seems to shrink the prostate, giving relief to men who use the drug. […] Dr. Lesanis preferred method of actively treating an enlarged prostate is GreenLight laser therapy. The GreenLight laser vaporizes excess prostate tissue during a simple, in-office procedure. […] GreenLight laser therapy relieves symptoms for up to five years.

• #51 Enlarged Prostate – BPH Treatment Options | Kansas City Urology Care

  https://www.kcuc.com/enlarged-prostate-bph-treatment-options/

  For severe cases of BPH, surgical intervention may be necessary: Aquablation Therapy: A heat-free water jet removes the excess prostate tissue precisely and more safely than with other methods that use heat. Aquablation provides long-lasting relief with low rates of complications. […] While an enlarged prostate can be bothersome, effective treatments are available. Deciding on the best treatment for BPH depends on multiple factors, including symptom severity, prostate size, overall health, and personal preferences. […] Kansas City Urology Oncology (KCUC) is dedicated to providing expert care for mens health issues, from enlarged prostate to prostate cancer treatment.

• #52 BPH Treatment: Enlarged Prostate Meds, Surgery, Therapy

  https://www.verywellhealth.com/bph-treatment-8417932

  According to the American Urological Society, there are circumstances in which surgery may be a reasonable early option for BPH treatment. This includes treating people who want to avoid taking drugs daily or those who have experienced intolerable side effects. […] Surgical options include: Transurethral resection of the prostate (TURP), Simple prostatectomy, Transurethral incision of the prostate (TUIP), Transurethral vaporization of the prostate (TUVP), Holmium laser enucleation of the prostate (HoLEP), Prostatic urethral lift (PUL), Water vapor thermal therapy (WVTT), Prostate artery embolization (PAE). […] The choice between medications or surgery for the treatment of BPH is a highly personal one. While upfront surgery offers better relief of LUTS, it is also more risky and has a higher rate of sexual side effects.

• #53 Enlarged Prostate Hyperplasia Treatment in Atlanta | Advanced Urology

  https://www.advancedurology.com/conditions/enlarged-prostate-bph

  At Advanced Urology, we always evaluate the root cause of BPH to provide targeted treatment. […] Medications are the cornerstone of BPH management. They are chosen based on the severity of symptoms and the patient’s overall health. […] The best approach often involves a combination of lifestyle changes, supplements, and medications tailored to the patient’s symptoms, prostate size, and overall health. Regular follow-up with a healthcare provider is crucial to monitor effectiveness and adjust the treatment plan as needed. […] An enlarged prostate, or benign prostatic hyperplasia (BPH), affects many men, but modern treatments offer effective relief tailored to your needs. […] Treatment options for an enlarged prostate depend on the severity of symptoms and may include lifestyle changes, medications such as alpha-blockers and 5-alpha reductase inhibitors to relax or shrink the prostate, and minimally invasive procedures like UroLift or laser therapy. In more severe cases, surgical procedures such as transurethral resection of the prostate (TURP) may be recommended to relieve symptoms.

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