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What are the treatment options for benign prostate enlargement lasting more than five years?

Asked by Male, 59 · 2 months ago

Treatment for long-term benign prostate enlargement includes medications like alpha-blockers (e.g., tamsulosin) and 5-alpha-reductase inhibitors (e.g., finasteride). If symptoms persist, minimally invasive procedures or surgery such as TURP (Transurethral Resection of the Prostate) may be recommended.
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  1. Lifestyle Modifications

    • Reduce fluid intake before bedtime, limit caffeine and alcohol, and engage in regular physical activity to manage symptoms.
  2. Medications

    • Alpha-blockers: Medications like tamsulosin relax prostate and bladder neck muscles to improve urine flow.
    • 5-alpha-reductase inhibitors: Drugs such as finasteride shrink the prostate over time.
    • Combination therapy: Using both medication types together for enhanced symptom control.
  3. Minimally Invasive Procedures

    • Options like transurethral microwave therapy (TUMT) or transurethral needle ablation (TUNA) reduce prostate size with minimal recovery time.
  4. Surgical Treatments

    • Transurethral resection of the prostate (TURP): Standard surgery to remove obstructive prostate tissue.
    • Other options include laser therapies and open prostatectomy for larger or complicated cases.
  5. Follow-up and Specialist Care

    • Regular monitoring by a urologist is crucial to assess symptom progression and treatment effectiveness.
    • Seek immediate medical attention for complications like urinary retention or infections.

Answered 2 months ago

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