Photo: Anouk Doe

Can an enlarged prostate get smaller?

Shrinking an enlarged prostate There are medications, such as 5-alpha reductase inhibitors and alpha-inhibitors, to help shrink the prostate and relieve symptoms. There are also procedures, such as the UroLift, to keep an enlarged prostate from pressing on the urethra.

sharp.com - How Can I Shrink My Enlarged Prostate? | Sharp Health News

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The prostate — a chestnut-sized gland located at the base of the penis, below the bladder and surrounding the urethra — is part of the male reproductive system. It helps make semen, the fluid that contains sperm, which is expelled from the penis during ejaculation. As men age, it’s typical for the prostate to grow bigger. This noncancerous condition is called benign prostatic hyperplasia, or BPH. According to the National Institutes of Health (NIH), BPH is the most common prostate issue in men over age 50.

Persistent need to urinate and other symptoms

An enlarged prostate can press against the urethra — the tube where urine travels from the bladder to the penis — and other nearby organs, causing a variety of symptoms, including:

Urge to urinate often

Urinating often (eight or more times a day)

Difficulty urinating or delay in starting urination

Feeling like you cannot completely empty your bladder

Dribbling of urine at the end of urination

Accidentally urinating

Pain while urinating or during ejaculation

Urine has a strange color or smell

Most men with an enlarged prostate may not develop any serious complications. But if symptoms are present, it’s best to see a primary care doctor to ensure they are not due to more serious issues, such as bladder or kidney damage, prostate cancer or inflammation.

Shrinking an enlarged prostate

Even without serious complications, BPH symptoms can be bothersome. There are medications, such as 5-alpha reductase inhibitors and alpha-inhibitors, to help shrink the prostate and relieve symptoms. There are also procedures, such as the UroLift, to keep an enlarged prostate from pressing on the urethra. Aquablation therapy, another treatment option, uses water to remove prostate tissue, thereby reducing the size of the prostate.

Lifestyle changes can help

To ease symptoms and prevent BPH from worsening, research shows that diet and exercise might be helpful. According to a Harvard University study, men who reported being more physically active were less likely to have BPH. Even low to moderate activity, such as walking daily, was beneficial. Avoiding red meat and following a low-fat diet is also recommended. A study in the journal Nutrients suggests that consuming a Mediterranean diet rich in vegetables, fruits, fish, nuts and legumes can also improve BPH symptoms. While an enlarged prostate is part of the male aging process, it doesn’t have to be uncomfortable. With the help of a doctor to expertly address symptoms through treatment and healthy lifestyle habits, people can enjoy life’s journey without always having to look for a rest stop.

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Do prostate issues go away?

If your enlarged prostate symptoms are mild and not bothersome, there's likely no need for treatment. One-third of men with mild BPH find that their symptoms clear up without treatment.

webmd.com - Enlarged Prostate Treatments - WebMD

Symptoms and the need for treatment vary with each man's enlarged prostate , also called benign prostatic hyperplasia ( BPH ). And every treatment has its own benefits and risks. These factors must be weighed as you decide how to treat your BPH symptoms.

Your Quality of Life With an Enlarged Prostate

If your enlarged prostate symptoms are mild and not bothersome, there's likely no need for treatment. One-third of men with mild BPH find that their symptoms clear up without treatment. They may just watch and wait. However, when enlarged prostate symptoms are bothersome or are affecting your quality of life or overall health, it's time to talk to your doctor about the treatment options. Together you will determine if you would benefit most from medication, a minimally invasive procedure, or surgery. It's important to talk with a doctor when you begin noticing changes in urinary function. You need to find out what's going on so you can be treated for enlarged prostate if necessary. For many men, especially those who are young when the prostate starts growing, getting early treatment can head off complications later on.

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