TURP is the most effective treatment for most cases of BPH. However, in adults 65 and older, medications and minimally invasive treatments are preferable.
5-alpha reductase inhibitors.
These medicines shrink the prostate. They do this by preventing hormone changes that cause the prostate to grow. Examples include finasteride (Proscar) and dutasteride (Avodart).
What are the latest treatments for an enlarged prostate? The latest treatments for an enlarged prostate may help reduce prostate size or reduce symptoms. Treatments include water vapor thermal therapy, prostatic urethral lift, and prostate artery embolization.
Transurethral resection of the prostate (TURP).
This is the most common surgery to treat BPH. Your doctor removes portions of the prostate that are affecting your urine flow. There is no cutting and no external scars are seen since a scope is inserted through the urethra to remove the excess tissue.
HoLEP is the only procedure that is AUA guideline-endorsed for all prostate sizes for the surgical treatment of BPH. Given these considerations, HoLEP has become the new gold- standard for the surgical treatment of BPH. What is a gold standard?
Rezūm therapy is a new minimally invasive treatment for benign prostate enlargement. Rezūm therapy uses the thermal energy from water vapour to ablate prostate tissue, resulting in a reduction in the size of the prostate.
Surgical treatment
TURP is the most common surgical procedure for an enlarged prostate. It is performed under anaesthetic and involves a hospital stay of several days; Transurethral incision of the prostate (TUIP) – This procedure also relieves the pressure on the urethra but without removing any of the prostate.
That's why I generally don't recommend this surgery for a man whose life expectancy is less than 10 years, or for a man who is older than 75, depending on his personal and family health history.
Limit caffeine and alcohol as these may stimulate the urge to urinate. Eat a low-fat diet. Eat a large variety of vegetables each day. Eat a few servings of fruit daily, and be sure to include citrus fruits.
UroLift is a permanently placed implant used to lift and hold the enlarged prostate tissue out of the way so it no longer blocks the urethra. The procedure to implant the Urolift typically takes less than one hour. The treatment does not affect sexual function.
Laser surgery.
With this surgery, a urologist uses a high-energy laser to destroy prostate tissue. The urologist uses a cystoscope to pass a laser fiber through the urethra into the prostate. The laser destroys the enlarged tissue.
BPH doesn't 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.
Can an Enlarged Prostate Be Cured? For most patients, BPH (enlarged prostate) is curable. Some people see a significant reduction in symptoms with medication alone. If medicine does not work, or your prostate is too large, surgery will often remove enough of the prostate to provide you with relief.
Drink tea. Both green tea and hibiscus tea are among the top drinks for prostate health. Both types of tea contain potent antioxidants. Studies show that green tea can help prevent prostate cancer from forming and may also slow the growth of aggressive prostate cancer.
Drinking water is essential for prostate and overall health. On average, it is recommended to consume at least eight cups of water daily. Be sure to drink water during and after exercise.
Try NOT to take over-the-counter cold and sinus medicines that contain decongestants or antihistamines. These drugs can increase BPH symptoms. Keep warm and exercise regularly. Cold weather and lack of physical activity may worsen symptoms.
These include caffeine-containing drinks such as coffee, green tea, black tea and soft drinks or sodas. Alcohol can also dehydrate you. Hence, limit its intake or consider avoiding it completely. People who avoid alcohol have seen improvements in their prostate problems.
When you have a radical prostatectomy, you have surgery to remove your prostate gland. These nerves, blood vessels, and muscles may be weakened when you have surgery for your prostate cancer. For a period of time after surgery, many men are not able to get an erection. This time is different for each man.
Removing the prostate does not shorten life expectancy.
Rezūm Therapy for BPH
The Rezum treatment for BPH, or an enlarged prostate, is the first of its kind. Using water vapor therapy, this minimally invasive procedure has shown to significantly reduce the symptoms of BPH.
5-Alpha Reducatase Inhibitors
5-alpha reductase inhibitors are pills that can increase urine flow and shrink the prostate by blocking DHT. DHT is a male hormone that can build up in the prostate and may cause prostate growth. These drugs may lower the risk of BPH problems and the need for surgery.