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Posted on 01 Янв 201817

Treatment Options for an Enlarged Prostate | HealthCentral

Treatment Options for an Enlarged Prostate | HealthCentral
Men who eventually need treatment for benign prostatic hyperplasia (BPH), also known as benign prost...

In addition, your doctor will take your medical history into consideration, including whether you have any other conditions that may worsen your symptoms or that might affect your treatment options. The Prostate Cancer Intervention Versus Observation Trial: VA/NCI/AHRQ Cooperative Studies Program #407 (PIVOT): design and baseline results of a randomized controlled trial comparing radical prostatectomy to watchful waiting for men with clinically localized prostate cancer. Over the long-term, however, combination therapy appears to help prevent the symptoms from becoming worse. Don’t take saw palmetto to relieve urinary problems caused by an enlarged prostate. One study, for example, found that after four years of treatment with both the alpha-blocker doxazosin and the 5-alpha-reductase inhibitor finasteride, symptoms worsened in only 5.

And, as previously noted, both drugs are available as less-expensive generics. However, the FDA in April 2012 updated the label of (Proscar and Propecia) to note that men have reported decreased libido and problems with ejaculation and orgasms that continued for weeks to months after they stopped taking the medications. But they, too, can have side effects, including reduced sexual function, low blood pressure and dizziness. Preventive Services Task Force recently recommended against the PSA test for men of all ages because their view of the evidence is that the test is more likely to lead to substantial harms than to save lives. BPH can also inhibit some men from engaging in routine activities like sports or going to the movies because of anxiety about the need to use the restroom.

These symptoms could be a sign of complications that require medical attention. You should also contact your doctor immediately if you have a fever or chills, pain in your back, side or abdomen, cloudy or bloody urine, or pain when urinating. Our evaluation of medicines used to treat urinary problems due to BPH is based primarily on a systematic review conducted by researchers at the U. Your doctor might also perform a digital rectal exam (the insertion of a finger into the rectum) to assess the size and firmness of your prostate and to check for the presence of lumps that might be an indication of prostate cancer, and/or discuss doing a blood test for prostate cancer, called the prostate-specific antigen, or. But because it is new, its long-term effectiveness hasn’t been established. That may include keeping a diary of symptoms and urination patterns or problems. An analysis published in a medical journal has found some BPH medications are most effective at treating benign prostatic hyperplasia (BPH) in certain men. Laser surgery is another transurethral method for treating BPH; it utilizes bursts of laser energy to shrink and destroy prostate tissue. This is an issue you need to discuss with your doctor to make the best-informed decision you can. These materials are made possible by a grant from the state Attorney General Consumer and Prescriber Education Grant Program, which is funded by the multi-state settlement of consumer-fraud claims regarding the marketing of the prescription drug Neurontin (gabapentin).

Evaluating Drugs Used to Treat Enlarged Prostate - Consumer ...
The erectile dysfunction medication, tadalafil (Cialis), is approved for treating enlarged prostate symptoms, and a combination pill, Jalyn, which contains both ...

Don’t take saw palmetto to relieve urinary problems caused by an enlarged prostate. The largest and longest study so far has confirmed that this herb doesn’t help.

Men with diabetes should work with their doctor to make sure their blood sugar levels are kept in control because if they aren’t, it can lead to increased urination. By age 65, the figure is up to nearly 75 percent, and by age 80, nine in 10 men have BPH. Various herbal supplements are touted as a treatment for urination problems due to BPH. While it can be a serious condition in some cases, it’s important to note that it is not prostate cancer, and that many men who have been diagnosed with BPH have no symptoms at all or symptoms that are minor and not very bothersome. Don’t take saw palmetto to relieve urinary problems caused by an enlarged prostate.

Over the long-term, however, combination therapy appears to help prevent the symptoms from becoming worse. That is, some men with only slightly enlarged prostates can have quite bothersome symptoms, while others with substantially enlarged prostates may have few or no symptoms. If your doctor diagnoses BPH and you have only mild symptoms or they are not too bothersome, he or she is likely to suggest “watchful waiting” and some lifestyle adjustments. The Prostate Cancer Intervention Versus Observation Trial: VA/NCI/AHRQ Cooperative Studies Program #407 (PIVOT): design and baseline results of a randomized controlled trial comparing radical prostatectomy to watchful waiting for men with clinically localized prostate cancer. If you have diabetes, controlling blood sugar can reduce frequent urination.

Studies indicate that all alpha-blockers yield about the same clinical results in controlling symptoms and improving quality of life. These devices cost about $5 to $10 and are widely available. If you and your doctor decide that a drug is appropriate for your condition, we recommend the alpha-blocker doxazosin as your first option. It’s usually not a serious or life-threatening condition, but it can cause problems with urinating, primarily in men age 50 and older. This combination of factors results in incomplete bladder emptying, which can make you feel as though you have to urinate more often and lead to other problems. If your symptoms reach a point where they seem unmanageable, talk to your doctor about medication. Three newer alpha-blockers—alfuzosin (Uroxatrol), tamsulosin (Flomax), and doxazosin sustained-release (Cardura XL)—are available in extended-release or continuous-release forms designed to keep them working in your body all day long. If you and your doctor decide that this strategy is appropriate, we recommend doxazosin plus finasteride. An analysis published in a medical journal has found some BPH medications are most effective at treating benign prostatic hyperplasia (BPH) in certain men. The other alpha-blockers are available in varying strengths for about the same price, so even if you need a stronger dose, it will cost you about the same.

BPH Treatment - eMedTV: Health Information Brought To Life

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