Increased Prostate Treatment – Active Surveillance and Drug treatments
The increase in the prostate is a process that develops with increasing age, like other processes in the body – aging of the skin, weight loss, muscle strength and others. Men need to accept this fact and be aware that not always enlarged prostate gives serious complaints. If during prophylactic examination the urologist finds that the prostate is enlarged, it does not mean you necessarily have to be put under increased prostate treatment, or to think about having a surgery.
Active surveillance is taken when symptoms of increased prostate are mild and do not affect the quality of life. As the name shows, it is an active processduring which periodic reviews are made to assess the symptoms of the patient training, change some habits, blood and urine, etc.
If you have benign prostatic hyperplasia, you should follow some rules:
– To be informed for the current status of your health, and to actively take care of your health;
– Reduce alcohol and caffeine;
– Increase the amount of fluids during the day and to lower the intake of liquids in the evenings;
– Try to empty the bladder completely during urination;
– When you feel the urge to urinate, try to delay as much as possible – this way you train your bladder and it will take a large amount of urine with you without ‘chase to the toilet “;
– Make a “diary of urination” – you should write down the frequency and amount of urine, and the amount of accepted fluids. This will help your doctor to evaluate your condition.
Increased prostate treatment – Drug treatments for enlarged prostate
1. Herbal preparations
According to several studies conducted it was proved that the effect of many herbal preparations for the treatment of enlarged prostate is the same as placebo, which means it does not matter whether you take them or not – they will not change your condition. So increased prostate treatment cannot be conducted with herbal preparations.
2. Alpha – 1 blockers – first-line treatment
As mentioned, the construction of the prostate gland involved a large amount of smooth muscle. Alpha-1 receptors are mainly located in the smooth muscle in prostate and bladder – bladder neck. Alpha – 1 blockers act specifically on them and, by allocating the prostate and thereby reducing the constriction of the urethra and facilitate voiding by improving the flow of urine. They are suitable for patients with predominant symptoms of emptying. Typical for them is that they act quickly – within a few days. They are suitable as the sole therapy in men with mild symptoms and slightly enlarged prostate.
3. Inhibitors of 5 – alpha reductase
These drugs inhibit the action of testosterone on prostate tissue and that way they perform increased prostate treatment. It is known those male sex hormones, testosterone in particular, are a major reason for the growth of the prostate. BPH does not occur in eunuchs and castrated men. These medications are recommended for men with pronounced symptoms of emptying and highly enlarged prostate. It can be expected to reduce prostate tissue, but after a – long-term treatment – 6-12 months. Increasingly – often these drugs are offered in combination with alpha blockers.
4. Anti-muscarinic agents
They act on certain receptors in the bladder by reducing spasms and improve tone. This is the reason to use in people with predominant symptoms of storing urine – frequent urination, urinary urgency, the night getting up, etc. The role of good urologist is obvious which through conversation with patients receives and holds review for the nature of his individual complaints and symptoms (discharge or storage of urine) based on which he offers adequate therapy. Often drug therapy is inadequate to provide a better quality of life for the patient.