What relaxes prostate muscles?

Alpha blockers relax the muscle in your prostate gland and at the base of your bladder, making it easier to pee. Commonly used alpha-blockers are tamsulosin and alfuzosin.

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 medications can cause PSA levels to rise?

Official answer Nonsteroidal anti-inflammatory drugs (NSAIDs), such as aspirin, ibuprofen, and naproxen. Cholesterol-lowering statins, such as Lipitor (atorvastatin) and Zocor (simvastatin) High blood pressure drugs known as thiazide diuretics. More items... •

drugs.com - What medications can increase PSA levels? - Drugs.com

Some medications can increase levels of prostate-specific antigen (PSA) in the blood, falsely indicating the presence of prostate cancer.

Medications that may raise PSA levels include:

Betamethasone, a steroid prescribed to reduce inflammation

Testosterone replacement therapy, including Jatenzo, a testosterone capsule for men with certain forms of hypogonadism, a condition that occurs when your sex glands produce little or no sex hormones. Other drugs may lower PSA levels in patients, which may indicate a false-negative result. These include:

Nonsteroidal anti-inflammatory drugs (NSAIDs), such as aspirin, ibuprofen, and naproxen

Cholesterol-lowering statins, such as Lipitor (atorvastatin) and Zocor (simvastatin)

High blood pressure drugs known as thiazide diuretics

Medications used to treat an enlarged prostate or male pattern baldness, such as Proscar and Propecia (finasteride) and Avodart (dutasteride). Researchers are still looking at how medications affect PSA levels in patients with and without prostate cancer and what this means for screening and PSA testing during cancer treatment.

More on high PSA levels

PSA is considered elevated if it is 4 nanograms per milliliter (ng/mL) of blood or higher. About 25% of men who end up having a prostate biopsy because of increased PSA levels are diagnosed with prostate cancer, according to the National Cancer Institute. In addition to certain medications, noncancerous conditions may also cause increases in PSA, including:

Benign prostatic hyperplasia (an enlarged prostate)

Urinary tract infections

Prostatitis (an inflamed prostate gland).

PSA can also be elevated after a prostate biopsy and prostate surgery.

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