|All about benign prostatic hyperplasia (BPH) causes of benign prostatic hyperplasia benign prostatic hyperplasia symptoms diagnosis of benign prostate hyperplasia benign prostatic hyperplasia risk factors treatment of benign prostate hyperplasia lifestyle for benign prostate hyperplasia benign prostatic hyperplasia medications BPH alternative medicines BPH surgery BPH gentle surgical treatments when to treat benign prostatic hyperplasia BPH surgery and medication
What're lifestyle measures for managing benign prostate hyperplasia?
Daily ActivitiesCertain lifestyle changes can help relieve symptoms and are particularly important for men who choose to avoid surgery or drug therapy. Men should take the time to urinate when it is convenient even if there is no urge. They should take aisle seats in theaters and when traveling. Cold weather and immobility may increase the risk for urine retention. Keeping warm and exercising [see below] may be useful. Stress reduction techniques may also help.
Dietary FactorsSome small studies have suggested the following:
- Avoiding alcohol, coffee, and other fluids after the evening meal is helpful.
- There is some indication that drinking green tea, which contains plant chemicals called flavonoids, may benefit the prostate.
- Genistein, a chemical found in soy, reduced the growth of benign prostatic hyperplasia tissue in the laboratory. Although Asians have a low incidence of benign prostatic hyperplasia and prostate cancer and also have diets rich in soy, it is not yet known if eating soy products will reduce the risk of benign prostatic hyperplasia or improve any symptoms.
- One recent well-publicized study found an association between a lower risk for benign prostatic hyperplasia and high intake of fruits and a higher risk for benign prostatic hyperplasia with a high intake of butter and margarine.
- Zinc is of interest because it accumulates in the prostate, regardless of whether it is a normal prostate or one enlarged from benign prostate hyperplasia. It may have some protective properties against prostate cancer.
Avoiding Medications that Aggravate SymptomsDecongestants and Antihistamines. Men with benign prostatic hyperplasia should avoid, if possible, the many medications for colds and allergy that contain decongestants, such as pseudoephedrine (Sudafed). Such drugs, known as adrenergics, can exacerbate urinary symptoms by preventing muscles in the prostate and bladder neck from relaxing to allow urine to flow freely. Antihistamines, such as diphenhydramine (Benadryl), can also slow urine flow in some men with benign prostatic hyperplasia.
Diuretics. Men who are taking diuretics, which increase urination, may discuss reducing the dosage or switching to another drug. These are important drugs for many people with high blood pressure, with a proven track record for saving lives; no one should go off these medications without medical supervision.
Other Drugs. Other drugs that may exacerbate symptoms are certain antidepressants and drugs used to treat spasticity.
ExerciseA recent study reported that even moderate exercise can reduce urinary tract problems associated with benign prostatic hyperplasia. According to a 2001 study, physical activity does not seem to protect against developing benign prostatic hyperplasia.
Kegel ExercisesKegel (pelvic floor muscle) exercises, which were first developed to assist women with childbirth, are also useful for men in helping to prevent urine leakage. They strengthen the muscles of the pelvic floor that both support the bladder and close the sphincter. Performing the Exercises. Since the muscle is internal and is sometimes difficult to isolate, doctors often recommend practicing while urinating:
- The patient is asked to contract the muscle until the flow of urine is slowed or stopped. He attempts to hold each contraction for ten seconds.
- He then releases it.
- In general, patients should perform five to 15 contractions, three to five times daily.
- Kegel exercises should not be regularly performed while urinating; this practice may eventually weaken the muscles.
More information on benign prostatic hyperplasia (BPH)What is benign prostatic hyperplasia (BPH)? - Benign prostatic hyperplasia (BPH), also known as benign prostatic hypertrophy, is a noncancerous enlargement of the prostate gland that occurs in almost all men as they age.
What causes benign prostatic hyperplasia (BPH)? - Benign prostatic hyperplasia (BPH) is probably a normal part of the aging process in men, caused by changes in hormone balance and cell-growth factors.
What are the symptoms of benign prostatic hyperplasia? - Initial symptoms of BPH include difficulty starting to urinate and a feeling of incomplete urination. Urinary tract infections cause burning or pain during urination, and possibly fever.
How does the doctor diagnose benign prostate hyperplasia? - Patients will be asked about their symptoms and may also be asked to fill out a symptom questionnaire to let the doctor know the nature of the symptoms and how troublesome they are.
Who is associated with benign prostatic hyperplasia? - Age is the major risk factor. A family history of BPH appears to increase a man's chance of developing the condition. Diabetes, in any case, worsens urinary tract symptoms in men with BPH.
How is benign prostate hyperplasia treated? - Treatment for benign prostatic hyperplasia (BPH) focuses on reducing your symptoms. Treatment is based on how severe your symptoms are, how much they bother you, and whether complications are present.
What're lifestyle measures for managing benign prostate hyperplasia? - Certain lifestyle changes can help relieve symptoms and are particularly important for men who choose to avoid surgery or drug therapy. Men with BPH should avoid, if possible, the many medications for colds and allergy that contain decongestants, such as pseudoephedrine (Sudafed).
What kinds of medicines are used for benign prostatic hyperplasia (BPH) treatment? - Alpha-blockers relax smooth muscles, especially in the urinary tract and prostate. They include terazosin (Hytrin), doxazosin (Cardura), tamsulosin (Flomax), and alfuzosin (Xatral). 5-alpha-reductate inhibitors are a group of anti-androgens. In other words, they block male hormones, particularly dihydrotestosterone.
What are alternative medicines for benign prostatic hyperplasia (BPH) treatment? - Some herbal medicines may be helpful, but no one should take any herbal medication or attempt to treat BPH without first consulting a physician.
What kind of surgery is available for benign prostatic hyperplasia (BPH) treatment? - An operation on the prostate will involve the removal of parts of the enlarged tissue. The most effective surgical procedures, transurethral resection of the prostate (TURP) and open prostatectomy, are also the most invasive.
Are there other more gentle surgical treatments for benign prostatic hyperplasia (BPH)? - Microwave thermotherapy reduces the size of the prostate by causing cells in the centre of the prostate to die. Another endoscopic treatment, in which part of the prostate tissue is removed with laser energy.
How to choose between treatment and watchful waiting for benign prostatic hyperplasia (BPH)? - The choice between watchful waiting and treatment usually depends on a number of factors, such as urine flow rates, prostate size, and PSA levels.
How to decide between surgery and medication for benign prostatic hyperplasia (BPH)? - If a man opts for treatment, there are a number of choices. Medications are the best choice for patients with mild symptoms who decide to have their condition treated. Men with moderate to severe symptoms still have good choices among drugs and surgeries.