Depending on the severity of symptoms and the influence on an individual’s quality of life, benign prostatic hyperplasia (BPH) can be controlled using a variety of therapeutic options. Among the treatment options are:
- Watchful Waiting or Active Surveillance:
- For mild symptoms that do not significantly affect quality of life, a healthcare provider may recommend monitoring without immediate intervention. Regular check-ups will be scheduled to monitor the progression of symptoms.
- Lifestyle Modifications:
- Making certain lifestyle changes can help alleviate symptoms. This may include avoiding caffeine and alcohol, maintaining a healthy weight, staying physically active, and practicing pelvic floor exercises.
- Medications:
- Alpha-blockers: These medications relax the muscles in the prostate and bladder neck, improving urine flow.
- 5-alpha reductase inhibitors: These drugs can reduce the size of the prostate by blocking the action of hormones that contribute to its growth.
- Combination Therapy: In some cases, a combination of alpha-blockers and 5-alpha reductase inhibitors may be prescribed.
- Minimally Invasive Procedures:
- Transurethral Microwave Thermotherapy (TUMT): This procedure uses microwave heat to shrink the prostate.
- Transurethral Needle Ablation (TUNA): Radiofrequency energy is used to create targeted thermal injury to the prostate tissue.
- Laser Therapy: Various types of laser procedures can be used to remove or vaporize excess prostate tissue.
- Surgical Options:
- Transurethral Resection of the Prostate (TURP): This common surgical procedure involves removing excess prostate tissue to relieve symptoms.
- Open Prostatectomy: In more severe cases, open surgery to remove part of the prostate may be recommended.
- UroLift System:
- This is a minimally invasive procedure that uses small implants to lift and hold the enlarged prostate tissue out of the way, improving urine flow.
The choice of treatment depends on factors such as the size of the prostate, the severity of symptoms, the patient’s overall health, and personal preferences. It’s important for individuals with BPH to consult with a healthcare provider to determine the most suitable treatment plan for their specific situation.