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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