Does an enlarged prostate ever go down?

While it's difficult to completely reverse an enlarged prostate, there are several treatments that can relieve symptoms, reduce the size of the prostate and help restore normal urine flow. In fact, many men with prostate enlargement are able to achieve a positive quality of life with non-surgical treatments.

hhma.org - Is an Enlarged Prostate Curable? - Tufts Medical Center Community Care

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Can an Enlarged Prostate Be Cured?

An enlarged prostate—also referred to as benign prostatic hyperplasia (BPH)—is a common condition among men as they grow older. It is characterized by the natural enlargement of the prostate, a small gland situated between the bladder and penis. The urethra, or the tube that carries urine from the bladder to the penis, is surrounded by the prostate, and often becomes squeezed and compressed as a result of prostate enlargement. This can cause a weakened urine stream and related issues like a frequent urge to urinate and difficulty sleeping through the night. Prostate enlargement tends to come with age. While it’s difficult to completely reverse an enlarged prostate, there are several treatments that can relieve symptoms, reduce the size of the prostate and help restore normal urine flow. In fact, many men with prostate enlargement are able to achieve a positive quality of life with non-surgical treatments.

Enlarged Prostate Treatment Options

A “watchful waiting” approach is taken in many BPH cases. Some men find that their symptoms are mild and resolve without treatment. However, when symptoms are disruptive or don’t improve over time, one or more of the following treatment options may be recommended.

Medication

Medication is often the first step of enlarged prostate treatment. There are multiple drugs that can help reduce BPH symptoms, including:

5-alpha reductase inhibitors that help shrink the prostate

Alpha blockers that relax prostate muscle fibers and bladder neck muscles

Phosphodiesterase 5 inhibitors, which are primarily prescribed to address erectile dysfunction, may help increase urine flow

Lifestyle Changes

There are several lifestyle factors that can contribute to or worsen prostate enlargement. For example, living a sedentary lifestyle can increase urinary retention, so many physicians recommend for patients to engage in routine exercise. Other common recommendations include:

Limiting alcohol and caffeine consumption

Reducing liquid consumption before bedtime

Using the bathroom at scheduled times, even when the bladder is empty

Losing excess weight

Avoiding the use of decongestants and antihistamines, if possible

Surgery

If prostate enlargement symptoms are disruptive or don’t respond to conservative approaches, surgery may be recommended. There are many minimally invasive procedures and surgical therapies available that can provide significant relief to men with prostate enlargement.

Our Approach to Urology & Enlarged Prostate Treatment

At Tufts Medical Center Community Care, our patients benefit from the world-class expertise of seasoned urologists, internal medicine physicians and other experts who frequently treat prostate conditions. If you would like to speak with a specialist regarding your symptoms or prostate enlargement treatment options, contact our friendly staff today. We will be happy to schedule you an in-person appointment at one of our easily accessible locations throughout north suburban Boston, or you can consult with our professionals virtually through our convenient telemedicine services.

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What is the latest treatment for enlarged prostate?

Some of the newest treatment options, such as water vapor thermal therapy and prostatic urethral lift, can be done in the office without putting the patient to sleep, though these still employ medications to diminish discomfort with these relatively shorter procedures.

urology.uci.edu - What is the latest treatment for enlarged prostate? | UC Irvine Health

In the 1960’s, alpha blocker medications, which were initially developed and employed for the purpose relaxing muscles in the prostate gland, have gradually become more accessible and specific for the prostate tissue. Additional medications have also been developed and improved, but one of the newest is a daily dose of tadalafil. Tadalafil can be used to treat both mild symptoms of erectile dysfunction and urinary symptoms from prostate enlargement. In addition to this, other medications for urinary symptoms, such as mirabegron, can also be used to improve bladder storage and relaxation and alleviate the urinary symptoms of urgency and frequency that can sometimes co-exist or be a result of prostate enlargement. One of the oldest surgical treatment strategies, the TURP (transurethral resection of the prostate gland) procedure, is still performed today. This minimally invasive procedure involves having a patient put to sleep under anesthesia and having a camera with special instruments that can be advanced through the urethra into the urinary bladder. These instruments can then be used to shave down the interior of the prostate gland. The newest treatment options all build upon this concept of removing and/or relieving the obstruction that is blocking the flow of urine.

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Imagine Your Moment Of Freedom!

Fluxactive Complete is conveniently packed with over 14 essential prostate powerhouse herbs, vitamins and grade A nutrients which work synergistically to help you support a healthy prostate faster

Learn More »

Promotion

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