Your doctor will start by asking detailed questions about your symptoms and doing a physical exam. This initial exam is likely to include:. After that, your doctor might recommend additional tests to help confirm an enlarged prostate and alcool con BPH rule out other conditions.
Alcool con BPH tests include:. Mayo Clinic specialists have experience diagnosing complex conditions alcool con BPH enlarged prostate. You have access to the latest diagnostic testing, including alcool con BPH and pressure flow studies. A wide variety of treatments are available for enlarged prostate, including medication, minimally invasive therapies and surgery.
The best treatment choice for you depends on several factors, including:. If your symptoms are tolerable, you might decide to postpone treatment and simply monitor your symptoms. For some men, symptoms can ease without treatment. Medication is the most common treatment for mild to moderate symptoms of prostate enlargement. The options include:. Any type of prostate procedure can cause side effects. Depending on the procedure you choose, complications might include:. A lighted scope is inserted into your urethra, and the surgeon removes all but the outer part of the prostate.
TURP generally relieves alcool con BPH quickly, and most men have a stronger urine flow soon after the procedure. After TURP you might temporarily need a catheter to drain your bladder. A lighted scope is inserted into your urethra, and the surgeon makes one or two small cuts in the prostate gland — making it easier for urine to pass through the urethra. This surgery might be an option if you have a small or moderately enlarged prostate gland, especially if you have health problems that make other surgeries too risky.
Your doctor inserts a special electrode through your urethra into your prostate area. Microwave energy from the electrode destroys the inner portion of the enlarged prostate gland, shrinking it and easing urine flow. TUMT might only partially relieve your symptoms, and it might take some time before you notice results.
This surgery is alcool con BPH used only on small prostates in special circumstances because re-treatment might be necessary. In this procedure, a scope is passed into your urethra, allowing your doctor to place needles into your prostate gland. Radio waves pass through the needles, heating and alcool con BPH excess prostate tissue that's blocking urine flow.
TUNA may be an option in select cases, but the procedure is rarely used any longer. A high-energy laser destroys or removes overgrown prostate tissue. Laser therapy generally relieves symptoms right away and has a lower risk of side effects than does nonlaser surgery.
Laser therapy might be used in men who shouldn't have other prostate procedures because they take blood-thinning medications. Special tags are used to compress the sides of the prostate to increase the flow alcool con BPH urine. The procedure might be recommended if you have lower urinary tract symptoms. PUL also might be offered to some men concerned about treatment impact on erectile dysfunction and ejaculatory problems, since the effect on ejaculation and sexual function is much lower with PUL that it is with TURP.
In this experimental procedure, the blood supply to or alcool con BPH the prostate is selectively blocked, causing the prostate to decrease in size. Long-term data on the effectiveness of this procedure aren't available.
The alcool con BPH makes an incision in alcool con BPH lower abdomen to reach the prostate and remove tissue. Open prostatectomy is generally done if you have a very large prostate, bladder damage or other complicating factors. The surgery usually requires a short hospital stay and is associated with a higher risk of needing a blood transfusion. Your doctor might recommend limiting heavy lifting and excessive exercise for seven days if you have laser ablation, transurethral needle ablation or transurethral microwave therapy.
If you have open or robot-assisted prostatectomy, you might need to restrict activity for six weeks. Toby Kohler, a Mayo Clinic urologist, says the enlarged prostate forces the urethra to narrow, causing a variety of urination problems. And as men age, the symptoms occur more frequently. Treatment for BPH has long been medications and procedures, such as lasers or an electric loop, which burn the prostate from the inside out.
But, now, a relatively new convective water therapy treatment uses steam to make the prostate smaller. Kohler says the procedure, performed right in the doctor's office, has a very low risk for complications or sexual side effects. Mayo Clinic specialists have training in a wide range of state-of-the-art technology to treat enlarged prostates. Your Mayo Clinic specialist will explain the range of treatments available and help you choose the best approach based on your symptoms. Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this disease.
The Food and Drug Administration hasn't approved any herbal medications for treatment of an enlarged prostate. Studies on herbal therapies as a treatment for enlarged prostate have had mixed results.
One study found that saw palmetto extract was as effective as finasteride in relieving symptoms of BPH, although prostate volumes weren't reduced. But a subsequent placebo-controlled trial found no evidence that saw palmetto is better than a placebo. Other herbal treatments — including beta-sitosterol extracts, pygeum and rye grass — have been suggested as helpful for reducing enlarged prostate symptoms.
But the safety and long-term efficacy of these treatments hasn't been proved. If you take any herbal remedies, tell your doctor. Certain herbal products might increase the risk of bleeding or interfere with other medications you're taking. Your doctor is likely to ask you a number of questions. Being ready to answer them might give you more time to address any concerns.
You might be asked:. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. This content does not have an English version. This content does not have an Arabic version. Diagnosis Your doctor will start by asking detailed questions about your symptoms and doing a physical exam.
This initial exam is likely to include: Digital rectal alcool con BPH. The doctor inserts a finger into the rectum to check your prostate for enlargement. Urine test. Analyzing a sample of your urine can help rule out an infection or other conditions that can cause similar symptoms.
Alcool con BPH test. The results can indicate kidney problems. Prostate-specific antigen PSA blood test. PSA is a substance produced in your prostate. PSA levels increase when you alcool con BPH an enlarged prostate. However, elevated PSA levels can also be due to recent procedures, infection, surgery or prostate cancer. It's a common problem for older alcool con BPH benign prostatic hyperplasia, or BPH. Request an Appointment at Mayo Clinic.
Share on: Facebook Twitter. Show references Wein AJ, et al. Benign prostatic hyperplasia: Etiology, pathophysiology, epidemiology, and natural history. In: Campbell-Walsh Urology. Philadelphia, Pa. Accessed Sept. Prostate enlargement Benign prostatic hyperplasia.
Management of benign alcool con BPH hyperplasia BPH. American Urological Association. Cunningham GR, et al. Clinical manifestations and diagnostic alcool con BPH of benign prostatic hyperplasia. Ferri FF. Benign prostatic hyperplasia. In: Ferri's Clinical Advisor Wein AJ, et al. Evaluation and nonsurgical management of benign prostatic hyperplasia. Townsend CM Jr, et al. Urologic surgery. Transurethral procedures for treating benign prostatic hyperplasia.
Rochester, Minn. Brown A. Allscripts EPSi. Mayo Clinic, Rochester, Minn. July 13,