How do you empty your bladder with an enlarged prostate?

Go with the Flow Keep yourself active. Lack of physical activity can make you retain urine. ... Do Kegel exercises. Stand at or sit on the toilet and contract the muscle that allows you to stop and start the flow of pee. ... Meditate. Nervousness and tension cause some men to urinate more often. ... Try double voiding.

webmd.com - How to Make Urinating Easier If You Have BPH - WebMD

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How long does saw palmetto take to work for prostate?

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BPH is a common (and frustrating) condition. It affects almost 50% of men by age 60. As you get older, your prostate can become enlarged, pressing on your urethra and on part of your bladder . It doesn’t mean you have prostate cancer or that you’ll get prostate cancer in the future. But it can sometimes cause problems, like bladder or kidney damage, and incontinence . If you have benign prostatic hyperplasia ( BPH ), you know the routine. You get out of bed in the middle of the night with an urgent need to pee, you stand over the toilet ... and nothing. All that comes out is a dribble. You still feel like you have to go. It may even be painful. And, the worst of it is, you’ll be back to the bathroom again before the night is over.

Go with the Flow

There are medications that can treat BPH, and if it becomes unmanageable, surgery can be an option. There are also exercises and stress management techniques you can practice on your own to help manage BPH and bring your urinary problem under control. Keep yourself active. Lack of physical activity can make you retain urine. Activities like walking, jogging, and swimming can help reduce urinary problems. Do Kegel exercises. Stand at or sit on the toilet and contract the muscle that allows you to stop and start the flow of pee. Hold it for 5 to 10 seconds. Do this 5 to 15 times, 3 to 5 times a day to help with bladder control and function. Meditate. Nervousness and tension cause some men to urinate more often. Try meditation along with exercise to help reduce stress. Try double voiding. When you do urinate, go once and then try to go again a few moments later. This will help you to fully empty your bladder, lessen the feeling of constantly having to pee, and maybe save you another trip to the bathroom.

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Does saw palmetto reduce PSA?

There has been some concern that saw palmetto could mask prostate cancer by lowering prostate-specific antigen (PSA) levels. However, a randomized study10 of more than 1,000 patients did not demonstrate this effect on PSA levels. The same study showed that finasteride decreased PSA levels by 41 percent.

aafp.org - Saw Palmetto for Prostate Disorders - AAFP

Treatments for BPH can be evaluated by their effect on symptoms such as diminished urine stream, post-void dribbling, overflow incontinence, and urinary retention, or by less useful measures such as urine flow rate, changes in prostate size, and residual volume. In a Cochrane Review, investigators conducted a meta-analysis of randomized controlled studies comparing saw palmetto with placebo or other drugs.6 [Evidence level A: systematic e r view of randomized controlled trials RCTs] The review combined the results of 21 trials with durations of four to 48 weeks. The 21 studies included a total of 3,139 men with a mean age of 65 years (range: 40 to 88 years). According to the International Prostate Symptom Scale, these men had moderate symptoms, with an average urologic score of 14.4 points out of a possible 35 (moderate BPH symptoms range from eight to 19).6 In the 13 studies that reported symptom scores, saw palmetto improved symptom scores, individual symptoms, and flow measures more than placebo. Patients and physicians were more likely to report improvement in symptoms with saw palmetto treatment than with placebo. In the12 studies that reported nocturia results, saw palmetto reduced nocturia by 25 percent compared with placebo.

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