What is the best treatment for enlarged prostate gland?

5-alpha reductase inhibitors shrink the prostate gland if it's enlarged. Finasteride and dutasteride are the two 5-alpha reductase inhibitors available.

nhs.uk - Treatment of benign prostate enlargement - NHS

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The treatment for an enlarged prostate gland will depend on how badly the symptoms are affecting your qualify of life.

Lifestyle changes

You might be able to relieve the symptoms by making some simple changes to your lifestyle.

Drink fewer fizzy drinks and less alcohol, caffeine and artificial sweeteners

Fizzy drinks and drinks that contain alcohol, caffeine (such as tea, coffee or cola) and artificial sweeteners can irritate the bladder and make urinary symptoms worse.

Drinking less fluid in the evening

Try to reduce the amount of fluids you drink in the evening and avoid drinking anything for 2 hours before you go to bed. This might help you avoid getting up in the night. Make sure you're still drinking enough fluid earlier in the day.

Remember to empty your bladder

Remember to go to the toilet before long journeys or when you know you will not be able to reach a toilet easily.

Double voiding

Double voiding involves waiting a few moments after you have finished peeing before trying to go again. It can help you empty your bladder properly. But take care not to strain or push.

Checking your medicines

Check with your doctor whether any medicines you take, such as antidepressants or decongestants, might be making your urinary symptoms worse.

Eating more fibre

Eating more fibre (which is found in fruit, vegetables and wholegrain cereals) can help you avoid constipation, which can put pressure on your bladder and make the symptoms of an enlarged prostate worse.

Using pads or a sheath

Absorbent pads and pants can be worn inside your underwear, or may replace your underwear altogether. These will soak up any leaks. Urinary sheaths can also help with dribbling. They look like condoms with a tube coming out of the end. The tube connects to a bag that you can strap to your leg under your clothing.

Bladder training

Bladder training is an exercise programme that aims to help you last longer without peeing and hold more pee in your bladder. You'll be given a target, such as waiting at least 2 hours between each time you pee. It's a good idea to use a bladder training chart to record each time you pass urine and the volume of urine passed. You can download a bladder training chart (PDF, 115KB) from Bladder Matters. You'll need a plastic jug to measure this. Your doctor should also give you a chart to take home. You'll also be taught several exercises, such as breathing, relaxation and muscle exercises, to help take your mind off the need to pee. Over time your target time will be increased, and at the end of the programme you should find you're able to last longer without peeing. Ask your doctor or specialist nurse for more information about any of these lifestyle changes.

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What should my prostate feel like?

A normal prostate has a rubbery, soft feel and is symmetric with a smooth groove down the middle, separating the right side from the left. A firm or hard region in the prostate called a nodule can indicate that prostate cancer is present. If the urologist feels a prostate nodule, other diagnostic tests are recommended.

nyulangone.org - Prostate Cancer Screening | NYU Langone Health

The prostate is located in the abdomen below the bladder, which holds urine, and in front of the rectum, the chamber at the end of the large intestine through which bowel movements pass. The urethra, the thin tube that carries urine from the bladder out of the body, runs through the prostate’s center. VIDEO: Urologic oncologist Dr. Hebert Lepor discusses the importance of prostate cancer screening and knowing the risk factors of prostate cancer. In adult men, a normal prostate is about the size of a walnut. As men age, it is common for the prostate to grow in size. Sometimes, the growing prostate constricts the urethra, causing problems in passing urine. This is called benign prostatic hyperplasia, or BPH. This benign enlargement of the prostate does not lead to cancer. The risk of developing prostate cancer increases as men age, but because early detection does not necessarily mean you require treatment, you and your urologist may want to discuss whether screening is right for you. This shared decision-making approach takes into consideration your own values, along with your doctor’s experience and the latest medical evidence.

Two screening methods are available.

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