Benign prostatic hyperplasia (BPH), also known as benign prostatic hypertrophy, is a non-cancerous enlargement of the prostate, a small gland that encircles the urethra in males and produces a fluid that makes up part of semen. As the volume of the prostate increases, it can put pressure on the urethra, causing a slowdown in the urine stream, hesitancy in urinating, a frequent and urgent need to urinate, and sometimes dribbling of urine at the end of the flow. It can also cause urine retention, which can weaken the bladder muscle and increase the risk of developing a urinary tract infection (UTI) or kidney stones. In severe cases of BPH, urine may back up into and damage the kidneys. Rarely, BPH may prevent a patient from urinating at all, a situation that requires immediate medical attention.
BPH can also affect sexual functioning. It can lead to reduced sexual ability, painful orgasm, and impotence. The type and severity of symptoms experienced While BPH does not cause prostate cancer, both may be found together.
In many cases, treatment for BPH is not necessary unless symptoms become severe or begin to cause secondary complications, such as infections and kidney stones. Treatment options for BPH include surgery and medications to reduce the amount of tissue and increase the flow of urine.
Should I have surgery or take medication to treat benign prostatic hyperplasia (BPH)?
This information will help you understand your choices, whether you share in the decision-making process or rely on your doctor's recommendation.
Key points in making your decision
If your benign prostatic hyperplasia (BPH) is causing lower urinary tract symptoms, options include watchful waiting, medication, and surgery.
Generally, watchful waiting or medications are considered first, and then surgery. This Decision Point focuses on deciding between medications and surgery.
Consider the following when making your decision:
If you have acute urinary retention (AUR—a blockage of the urethra that makes urination impossible) that comes back, urinary tract infections that happen again, kidney problems, bladder stones, or blood in your urine, surgery may be your best choice
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The American Urological Association (AUA) symptom index is used to help men determine the severity of their urinary symptoms and can also be used to measure the effectiveness of treatment. But the most important factor in deciding whether to get treatment is not your AUA rating, but how much the symptoms bother you and affect your quality of life.
Your BPH symptoms may come and go, stabilize, or get better over time; there is a 31% to 55% chance they will improve without treatment.
You may find the side effects of medication or surgery more bothersome than the BPH symptoms.
Medications may decrease the risk for acute urinary retention and future surgery.
There is no research directly comparing surgical treatment
Your choices are:
Use prescription medications to relieve your symptoms. These include:
Alpha-blockers, including terazosin (Hytrin), doxazosin (Cardura), tamsulosin (Flomax), alfuzosin (Uroxatral), and prazosin (Minipress).
5-alpha reductase inhibitors, such as finasteride (Proscar) or dutasteride (Avodart).
Have surgery to relieve your symptoms. The most frequently performed surgeries are:
Transurethral resection of the prostate (TURP), where an instrument is inserted up the urethra to remove the section of prostate tissue that is blocking urine flow.
Transurethral incision of the prostate (TUIP), where an instrument is inserted up the urethra and an electric current or a laser beam is used to make incisions in the prostate where the prostate meets the bladder. This relaxes the opening to the bladder, decreasing resistance to the flow of urine out of the bladder. No tissue is removed.
The decision about whether to use medications or surgery for BPH takes into account your personal feelings and the medical facts.
The American Urological Association (AUA) symptom index is used to help men determine the severity of their urinary symptoms and can also be used to measure the effectiveness of treatment. But the most important factor in deciding whether to get treatment is not your AUA rating, but how much the symptoms bother you and affect your quality of life.
Deciding about surgery or medication for BPH General reasons to have surgery General reasons to not have surgery and to use medication
You cannot urinate.
You have a partial blockage in your urethra that is causing repeated urinary tract infections, bladder stones or infections, or bladder damage.
You have kidney damage.
You have moderate to severe symptoms that bother you.
Surgery provides quick relief of symptoms, as opposed to 2 or 3 weeks to 6 months with medications.
Surgery gives a higher degree of symptom relief than medication .
Surgery gives more men symptom relief than medication.
Are there other reasons you might want to have surgery?
You have mild or moderate symptoms.
Symptoms of BPH may come and go, stabilize, or get better over time.
Medications relieve symptoms and may prevent complications .
Surgery carries a risk of complications; .
You have other medical conditions that may affect the success of surgery.
Medications don't require a hospital stay.
Are there other reasons you might not want to have surgery but instead might want to use medications
2007-07-25 23:55:54
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answer #1
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answered by rosieC 7
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Who told you? If a doctor told you, he also gave you medicine to take care of the infection. If you haven't been seen by a doctor, then you need to. If you are taking medication for the urinary tract infection the best thing you can do is drink lots of water, at least 2 llters a day. When you wipe after urinating, always wipe front to back.
2016-05-18 23:27:09
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answer #2
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answered by dawn 3
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