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Jamaica Scientific Research Institute
Healing the world, one disorder at a time

Current treatments for Enlarged Prostate Glands

While some doctors recommend it, researchers have questioned the need for early treatment when the prostate gland is just mildly enlarged. The results of their studies indicate that early treatment may not be needed because the symptoms of BPH clear up without treatment in one-third of all mild cases.

For cases where symptoms present challenges to quality of life, the choice of a treatment is based on the severity of those symptoms and the presence of any other medical conditions.

Treatment regimes generally include lifestyle changes, medications, surgical procedures and herbs.

Lifestyle Changes include the following:

  • Urinating when the urge is there to do so and not willfully holding back urine for long periods
  • Avoiding alcohol and caffeine, especially after dinner
  • Drinking moderate amounts of fluids throughout the day and not too much fluid at once. Avoid drinking fluids just before bedtime.
  • Avoiding certain decongestants and antihistamines (most often present in over-the-counter cold and sinus products) as they might increase BPH symptoms.


Medications are the most common treatment for moderate symptoms of prostate enlargement and include those listed below.

 DrugActionCommon Side Effects 

Alpha Blockers


terazosin, doxazosin (Cardura), tamsulosin (Flomax), alfuzosin (Uroxatral) and silodosin (Rapaflo)

  • Relaxes the bladder neck muscles and muscle fibers in the prostate itself and makes it easier to urinate.
  • Works quickly. Within a day or two, urinary flow may be increased coupled with less and need to urinate often.
  • Harmless condition called retrograde ejaculation, that is, semen going back into the bladder rather than out the tip of the penis
5 alpha reductase inhibitors


finasteride (Proscar) and dutasteride (Avodart)

Note. Taking an alpha blocker and a 5 alpha reductase inhibitor at the same time is generally more effective than taking just one or the other by itself

  • Shrinks the prostate by preventing hormonal changes that cause prostate growth.
  • They generally work best for very enlarged prostates.
  • It may be several weeks or even months before you notice improvement.
  • Impotence (erectile dysfunction)
  • Decreased sexual desire
  • Retrograde ejaculation.
Tadalafil (Cialis)
  • Phosphodiesterase inhibitor that is often used to treat impotence (erectile dysfunction).
  • It also can be used as a treatment for prostate enlargement
  • Vision changes or sudden vision loss
  • Ringing in your ears, or sudden hearing loss
  • Chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling;
  • Irregular heartbeat;
  • Headache
  • Muscle pain, back pain, pain in your arms or legs.
  • prescribed to treat chronic prostatitis (inflammation of the prostate), which may occur with BPH
  •  GI effects such as diarrhoea

For a full profile on a drug you may be taking, visit Drugs.com or Rxlist.com and simply enter the name.


Surgical Procedures

Surgery may be recommended if the following arise and/or persist:
  • Incontinence
  • Recurrent blood in the urine
  • Inability to fully empty the bladder (urinary retention)
  • Recurrent urinary tract infections

  • Kidney failure
  • Bladder stones

The choice of a specific surgical procedure is usually based on the severity of your symptoms and the size and shape of your prostate gland.

All prostate gland surgeries reduce the size of the prostate gland and open the urethra by treating the enlarged prostate tissue that blocks the flow of urine.

Any type of prostate surgery can cause side effects, such as semen flowing backward into the bladder instead of out through the penis during ejaculation (retrograde ejaculation), loss of bladder control (incontinence) and impotence (erectile dysfunction).

Transurethral resection of the prostate (TURP) is the most common and proven surgical treatment for BPH.

TURP is done by inserting a special lighted scope (resectoscope) into your urethra and using small cutting tools to remove all but the outer part of the prostate (prostate resection).

TURP usually relieves symptoms quickly, and most men have a stronger urine flow soon after the procedure, but there is risk of bleeding and infection, and a catheter needed temporarily, to drain the bladder.


Transurethral incision of the prostate (TUIP or TIP) may be of choice if the prostate is small or only moderately enlarged and especially if you have health problems that make other surgeries too risky.

Like TURP, TIP involves special instruments that are inserted through the urethra but instead of removing tissue, small cuts are made in the prostate gland so that the urethra can open up for urine to pass more freely.


Simple prostatectomy involves making an incision through the abdomen or perineum (the area behind the scrotum) to remove the inner part of the prostate gland. It is generally done if the prostate is very large or if there is bladder damage or other complicating factors, such as bladder stones.


Other minimally invasive surgical procedures are available including:

  • Laser surgeries that use high-energy lasers to destroy or remove overgrown prostate tissue. Laser surgeries generally relieve symptoms right away and have a lower risk of side effects than does TURP.
  • Transurethral microwave procedures.where a special electrode is inserted via the urethra into your prostate area. Microwave energy from the electrode generates heat and destroys the inner portion of the enlarged prostate gland causing it to shrink and ease urine flow.
  • Transurethral needle ablation where a lighted cytoscope, inserted into the urethra, is used to place needles into your prostate gland. When the needles are in place, radio waves pass through them, heating and destroying excess prostate tissue that's blocking urine flow.
  • Prostatic stents may also be inserted into the urethra to keep it open.

Herbal treatments

Some of the herbal treatments that have been suggested as helpful for reducing enlarged prostate symptoms include:

  • Saw palmetto extract, made from the ripe berries of the saw palmetto shrub
  • Stinging nettle root extract
  • Beta-sitosterol extracts, obtained from several plants

If you have tried one or more conventional therapies for this disorder, or even one or more alternative therapies including herbs, but yet still find that they have made little difference and that you are still suffering, try JaSciRes.

If you've never tried a herbal treatment for your disease, you're at the right place.

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