Sunday, March 31, 2013

Treatment of Benign enlargement of prostate

Treatment of Benign enlargement of prostate
Treatment of BEP

Lifestyle: Benign enlargement of prostate victims should reduce the rates at which they take in fluids a few hours to bedtime, reduce the amounts of alcohol and caffeine intakes and observe their voiding time schedules strictly.
Medications: There are two main types of medication that can be used to manage BPH and these include 5α-reductase inhibitors and alpha blockers.
Alpha blockers: These types of medication are the most commonly used as the first therapy in the United States and Europe. These drugs include terazosin, doxazosin, silodosin, tamsulosin and alfuzosin and are believed to effectively contain BPH; however, they exhibit side effects that are slightly varied. The alpha blockers are mostly used to relax the smooth muscle inside the prostate as well as the bladder neck thereby reducing the effects of blocked flow of urine. The common side effects associated with this medication type include changes in ejaculation, weakness, orthostatic hypotension and nasal congestion.

5α-reductase inhibitors (finasteride and dutasteride) provide another medication option. They work in such a way that they inhibit 5a-reductase thereby stopping DHT production, a hormone that results to prostate enlargement. The effects of these drugs may take longer than the alpha blockers but last for a longer period. It has been noted that when the two types of medication are used at once, they exhibit a reduced progression of BPH to an acute retention of urine and surgery in patients who have enlarged prostates. Side effects include erectile or ejaculatory dysfunction and a decreased libido level.

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