Enlarged Prostate T reatment  

The treatment depends mainly on the symptoms of the disease. In general, enlarged prostate treatment consists of drugs and surgery. Surgery is used in more severe cases. If you have an enlarged prostate with no complications, your urologist will prescribe medications that are capable of reducing the volume of the prostate; approximately 70% of patients found relief with a non-surgical treatment. The most prescribed medications are primarily 5-alpha-reductase inhibitors and alpha-blockers. 

5-alpha-reductase inhibitors - 5-alpha-reductase inhibitors, also called 5α-reductase inhibitors, work by blocking the conversion of testosterone to dihydrotestosterone in the prostate. The treatment aims at reducing the prostate volume and relieves the symptoms of BPH. However, it may take up to a year before seeing the effectiveness of the medications. In addition, certain 5-alpha-reductase inhibitors may cause erectile dysfunction.  

Six 5-alpha-reductase inhibitors that are currently approved by the FDA in the treatment of enlarged prostate are:  

·         Finasteride (Proscar) 

·         Dutasteride (Avodart) 

·         Terazosin (Hytrin) 

·         Doxazosin (Cardura) 

·         Tamsulosin (Flomax)  

·         Alfuzosin (Uroxatral). 

Alpha blockers (or adrenergic alpha-antagonists) - Alpha-blockers are a group of drugs that block alpha-adrenergic receptors of smooth muscle of the prostate. The benefic effects against the symptoms of enlarged prostate may notice a few weeks for people who adopt a healthy lifestyle and diet along with the treatment. It is recommended to take alpha-blockers along with a healthy balanced diet, as they can cause fatigue. The most common alpha-blockers include: 

·         Tamsulosin (Flomax) 

·         Terazosin (Hytrin) 

·         Doxazosin (Cardura)  

·         Alfuzosin.  

Surgery 

Usually, enlarged is treated with medications; surgery is performed in severe cases of BPH, or when the drugs do not work. In addition, the chance of having a surgery increases with age; approximately 30% of patients aged 60 years or more will have a surgical treatment to reduce the discomfort of urination. The most common types of surgery used in enlarged prostate treatment include transurethral resection of the prostate (TURP), total prostatectomy, transurethral incision of the prostate (TUIP), and holmium laser enucleation of the prostate (HoLEP).

Alternative treatment

Beta-sitosterol - to alternatively treat symptoms of enlarged prostate, some men take extracts of beta-sitosterol daily. However, this alternative treatment must be used with a good diet and exercise. In addition, you should not drink alcohol neither smoke cigarette. 

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