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Can you shrink your prostate without medication?

Aquablation therapy, another treatment option, uses water to remove prostate tissue, thereby reducing the size of the prostate. To ease symptoms and prevent BPH from worsening, research shows that diet and exercise might be helpful.

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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 you ever fully recover from radiation?

Healthy cells that are damaged during radiation treatment usually recover within a few months after treatment is over. But sometimes people may have side effects that do not improve. Other side effects may show up months or years after radiation therapy is over. These are called late effects.

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Radiation not only kills or slows the growth of cancer cells, it can also affect nearby healthy cells. Damage to healthy cells can cause side effects. Many people who get radiation therapy have fatigue. Fatigue is feeling exhausted and worn out. It can happen all at once or come on slowly. People feel fatigue in different ways and you may feel more or less fatigue than someone else who is getting the same amount of radiation therapy to the same part of the body. See Fatigue and Cancer Treatment to learn more. Other radiation therapy side effects you may have depend on the part of the body that is treated. To see which side effects you might expect, find the part of your body being treated in the following chart. Many of the side effects in the list link to more information in the Side Effects section. Discuss this chart with your doctor or nurse. Ask them about the side effects that you might expect.

Treatment areas and possible side effects

Healthy cells that are damaged during radiation treatment usually recover within a few months after treatment is over. But sometimes people may have side effects that do not improve. Other side effects may show up months or years after radiation therapy is over. These are called late effects. Whether you might have late effects, and what they might be, depends on the part of your body that was treated, other cancer treatments you've had, genetics, and other factors, such as smoking. Ask your doctor or nurse which late effects you should watch for. See the section on Late Effects to learn more.

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