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Treatment for Enlarged Prostate: Drugs, Medications and Surgery

March 17, 2009



Men’s Prostate Health Articles

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Treatment for Enlarged Prostate: Drugs, Medications and Surgery

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Treatment for Enlarged Prostate: Drugs and Medications

The drug finasteride (Proscar) may be used to treat moderate prostate enlargement. It blocks an enzyme that converts the male hormone testosterone into dihydrotestosterone, which promotes the growth of prostate tissue. The drug has been shown to increase urine flow in 30% of test cases and to reduce the size of the prostate by 20% in more than half the test cases. But it also causes impotence and reduced libido in many cases. In addition, because it reduces the amount of prostate tissue, it can skew the results of the blood test used to detect prostate cancer.

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Alpha-blockers such as prazosin (Minipress), terazosin (Hytrin), and doxazosin (Cardura) can be used to reduce the size of an enlarged prostate.

The injectable drug leuprolide (Lupron) may shrink an enlarged prostate. Side effects that can occur with the use of leuprolide include impotence, decreased libido, and even hot flashes. You should take this drug only if you are not concerned with potency. It is available by a doctor’s prescription only.

Treatment for Enlarged Prostate with Surgical Procedure

Enlarged prostate may be treated surgically with a procedure called transurethral resection of the prostate (TURP). This procedure is twice as likely to provide long-term relief than drugs or other treatments are. Side effects of the procedure include retrograde ejaculation (in which the semen is pumped back up into the bladder) and, in some cases, impotence or incontinence. About 15% of men who have the procedure need another operation within 8 years. Transurethral vaporization of the prostate (TVP) is an advance on TURP. TVP uses an electrical current to bombard tissue and vaporize it, causing less bleeding. Transurethral incision of the prostate (TUIP), usually done on an outpatient basis, consists of making a few, small incisions in the urethra to relieve the pressure. A lower incidence of retrograde ejaculation is reported with this procedure.

Source: Phyllis A. Balch, Prescription for Nutritional Healing, p. 656, 657.

More Online Information

  • Prostate Enlargement: Benign Prostatic Hyperplasia
    Surgical Treatment - Most doctors recommend removal of the enlarged part of the prostate as the best long-term solution for patients with BPH. With surgery for BPH, only the enlarged tissue that is pressing against the urethra is removed; the rest of the inside tissue and the outside capsule are left intact. Surgery usually relieves the obstruction and incomplete emptying caused by BPH.
    http://kidney.niddk.nih.gov

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