What Is BPH?
8. Medical Care
Watchful waiting is recommended for BPH patients who are not bothered by their symptoms as treatment is unlikely to improve their quality of life. Since metabolic syndrome has been associated with more severe BPH, it may be possible to delay the progression of the disease by decreasing blood glucose, inflammation, and improving insulin resistance. This can be done through clinical treatment and healthier lifestyle choices.
Some of the medications that can be used for BPH include selective or nonselective alpha-blockers. These drugs act on receptors located in the smooth muscle of the structures compromised by BPH; thus, promoting muscle relaxation and improving the flow of urine. Also, 5-alpha-reductase inhibitors (i.e. finasteride) can be prescribed to reduce the risk of urinary retention and improve lower urinary tract symptoms. These drugs are essentially used to reduce prostate volume. Other potentially beneficial medication includes phosphodiesterase-5 enzyme inhibitors, anticholinergic agents, and phytotherapeutic agents.
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