Treatment is not needed for mild cases. Most men with BPH eventually request medical intervention.
Medicines prescribed to treat BPH include:
5 alpha-reductase inhibitors (finasteride,
dutasteride)—These drugs are taken to improve symptoms, like the urge to urinate frequently and difficulty starting to urinate.
terazosin)—These drugs are taken to reduce bladder obstruction and improve urine flow.
fesoterodine)—These drugs are taken to relax the bladder muscles, which helps to reduce the urge to urinate frequently.
Phosphodiesterase-5 enzyme inhibitor (tadalafil
drug can also be prescribed to improve the symptoms of BPH.
You should not take tadalafil if you are also taking nitrates (eg, nitroglycerin) because your blood pressure may become dangerously low. Also, tadalafil should not be taken in combination with alpha blockers.
Each group of medicines has different side effects. Enzyme inhibitors may cause decreased sexual desire and problems with erection. Alpha-blockers may cause decreased blood pressure, dizziness, and stuffy nose. Antimuscarinics can cause dry mouth, constipation, dry eyes, trouble emptying the bladder, and confusion.
If you have BPH, you should not take decongestant drugs containing alpha-agonists (eg,
pseudoephedrine). These drugs can worsen BPH symptoms.
Examples of herbal products that have been studied as a possible BPH treatments include:
Saw palmetto—Results from studies vary on how useful saw palmetto is in reducing symptoms.
Beta-sitosterol—Some studies suggest that this may help reduce symptoms.
Pygeum—Some studies suggest that this may help reduce symptoms.
If you are diagnosed with BPH, follow your doctor's