How should benign prostatic hyperplasia (BPH) be treated most effectively?

Aug 12, 2024 Source: Cainiu Health
Disease description:

I have recently experienced frequent and urgent urination, and my doctor diagnosed it as benign prostatic hyperplasia (BPH). What is the best way to treat prostate enlargement?

Doctor's answer (1)
Dr. Cao Zhiqiang

Prostate hyperplasia, also known as benign prostatic hyperplasia, is a common urological condition in middle-aged and elderly men. The following are some common treatment options:

1. Watchful waiting: Patients with mild symptoms that do not affect their quality of life may choose to monitor their condition while making lifestyle adjustments, such as reducing caffeine and alcohol intake and avoiding prolonged sitting.

2. Medication: Drug therapy is an important treatment for prostate hyperplasia. Commonly used medications include alpha-blockers (such as tamsulosin) and 5-alpha-reductase inhibitors (such as finasteride), which can relieve symptoms such as frequent urination, urgency, and difficulty urinating.

3. Surgical treatment: Transurethral resection of the prostate (TURP) is the most common surgical procedure. It involves removing part of the prostate tissue through the urethra and is suitable for patients with moderate to severe symptoms or those who do not respond to medication. Other minimally invasive procedures, such as laser therapy and transurethral needle ablation, offer less trauma and faster recovery.

4. Lifestyle modifications: Perform regular bladder training, try waiting a few minutes before urinating to enhance bladder control. Increasing physical activity and maintaining a healthy weight can help improve symptoms.