1. Treatment Options for Enlarged Prostate or
Benign Prostatic Hyperplasia
It is common for a man's prostate
gland to become enlarged as he ages.
However, just because it is a common
occurrence, it does not diminish the
seriousness or discomfort of an enlarged
prostate, also called benign prostatic
hyperplasia (BPH).
Medical Treatments
Men who suffer from the symptoms of BPH typically need to undergo
some sort of medical treatment. There are various methods used today to treat
an enlarged prostate and its symptoms.
Drug Therapy
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Minimally Invasive Therapy
Not all patients responded well to drug therapy. At this time, doctors look
into the feasibility of minimally invasive treatments that are less invasive than
conventional surgery. Some options include:
Transurethral microwave thermotherapy (TUMT): The treatment sends
computer-regulated microwaves through a catheter to carefully destroy excess
prostate tissue
Transurethral needle ablation (TUNA): TUNA works by delivering low levels
of radio frequency energy through a pair of needles to burn away part of the
enlarged prostate while protecting the urethra from heat damage.

2. Water-induced thermotherapy: Using a specially made catheter
containing a treatment balloon, this treatment uses heated water to destroy
excess tissue.
High-intensity focused ultrasound: Not yet approved by the FDA for use in
the United States, this treatment uses ultrasound waves to destroy excess
prostate tissue.
Surgical Treatment
Many doctors view the removal of the enlarged part of the prostate of the
best treatment for BPH. There are a few options for this surgical treatment,
including:
Transurethral resection of the prostate (TURP): This surgery does not require
an external incision, as the surgeon accesses the prostate through the urethra
and removes the obstruction one piece of tissue at a time.
Open surgery: When TURP is not a viable option, due to a greatly enlarged
prostate or other complicating factors, open surgery, which uses an external
incision is used.
Laser surgery: A newer surgery and not always effective on larger
prostates, laser surgery allows for a faster recovery and less loss of blood.
Alternative Treatments
In the early stages of BPH, some men opt to making lifestyle changes that
help relieve symptoms of BPH, without relying on medications or surgeries.
BPH Diet
Certain foods containing tyramines can trigger an outbreak of BPH
symptoms. By tracking the foods in their diet, men can find a pattern of foods
that cause a flare-up of enlarged prostate symptoms and avoid these foods in
their diets.
Removing Environmental Triggers
There has been some anecdotal evidence that the use of household
cleaning products containing citral can trigger BPH symptom flare-ups. By
removing this element from their environment, men may be able to reduce the
occurrence of BPH symptoms.

3. Other environmental factors may also trigger symptoms of enlarged
prostate. It is important for men to track the possible environmental factors.
Although these alternative BPH treatments have been effective for some,
it is important to discuss your enlarged prostate treatment with your doctor.
Because the symptoms of BPH can also be indicators of prostate cancer, be
sure to schedule an examination with your physician at the onset of symptoms.
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