Is enlarged prostate forever?

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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Why do I pee 2/3 times a night?

Drinking too much fluid during the evening can cause you to urinate more often during the night. Caffeine and alcohol after dinner can also lead to this problem. Other common causes of urination at night include: Infection of the bladder or urinary tract.

medlineplus.gov - Urinating more at night: MedlinePlus Medical Encyclopedia

Drinking too much fluid during the evening can cause you to urinate more often during the night. Caffeine and alcohol after dinner can also lead to this problem.

Other common causes of urination at night include:

Infection of the bladder or urinary tract

Drinking a lot of alcohol, caffeine, or other fluids before bedtime

Enlarged prostate gland (benign prostatic hyperplasia, BPH)

Pregnancy

Other conditions that can lead to the problem include:

Chronic kidney failure

Diabetes

Drinking excessive amount of water

Heart failure

High blood calcium level

Certain medicines, including water pills (diuretics)

Diabetes insipidus

Swelling of the legs

Waking often during the night to urinate can also be linked to obstructive sleep apnea and other sleeping disorders. Nocturia may go away when the sleeping problem is under control. Stress and restlessness can also cause you to wake up at night.

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