management of BPH

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There are a few options that can be offered for BPH.  

1. Lifestyle change

• Optimise evening fluid intake
• Create healthy bladder habits
• Avoid triggers (caffeine) and adjusting your medications

2. Medications

Medications may help some patients to mild-moderate symptoms. Medications help to relax the smooth muscles around the prostate, and a combination of hormones may help to shrink the prostate over time. These medications should be taken continuously, as the symptoms will return if you stop them.

• Alpha blockers (Silodosin, Prazosin, Tamsulosin)
  • This helps to relax the smooth muscles around the prostate. Beware of postural hypotension (dizziness, and risk of falls)
• Combination of alpha blockers with hormones (Duodart)
  • Men should be mindful that this medication can cause sexual dysfunction, such as reduced libido, erections and ejaculate volume

3. Surgery

• TURP
• TUIP
• Urolift