The treatment of BPE at healthXY involves several approaches:

Lifestyle Changes

• Fluid Management: Fluid Management involves reducing fluid intake in the evening to prevent nocturia (frequent night-time urination).
• Diet: Diet modifications include limiting caffeine, fizzy drink and alcohol intake, which can help reduce urinary symptoms.
• Bladder Training: Bladder Training exercises encourage the bladder to hold more urine aimed at decreasing frequency of urination.
• Pelvic Floor Muscle Training: Also known as Kegel exercises, Pelvic Floor Muscle Training includes exercises aimed at strengthening the pelvic floor muscles to improve bladder control.

Medications

• Alpha Blockers: Alpha Blockers are medications that help relax the muscles in the prostate, making it easier to urinate (e.g., tamsulosin).
• 5-Alpha Reductase Inhibitors: 5-Alpha Reductase Inhibitors are used to shrink the prostate by preventing hormonal changes that cause prostate growth (e.g., finasteride).
• Tadalafil: Tadalafil, commonly known for treating erectile dysfunction, can also be prescribed to relieve urinary symptoms associated with BPE.
• Solifenacin: Solifenacin, an antimuscarinic medication, can reduce bladder symptoms such as urgency and frequency of urination.
• Combination Therapy: Combination Therapy involves using a combination of the above medications to achieve better symptom relief.

Complementary therapies

• Saw Palmetto: An extract of a palm-like plant, Saw Palmetto can help to improve urinary symptoms

• Plant Seeds: Plant Seeds containing phyto-oestrgens, such as sesame, sunflower, poppy and pumpkin may help to improve symptoms.

• Nettle Tea: Tea made from the Nettle plant may help to improve urinary symptoms.

Minimally Invasive Procedures

• Urolift Procedure: Urolift is performed via the urethra where small implants are used to pin back prostate tissue, ensuring the urethra remains open for improved urine flow.
• Rezūm Treatment: Rezūm uses water vapor (steam) to ablate and shrink enlarged prostate tissue, relieving urinary symptoms. This procedure is performed via the urethra, typically takes about 30 minutes, and has shown good long-term results with minimal impact on sexual function.
• Aquablation: Aquablation uses a high-velocity waterjet to precisely remove prostate tissue. This robotic-assisted procedure combines real-time ultrasound imaging with computer-guided planning to create a personalized treatment map, allowing for targeted tissue removal while preserving critical structures.

Surgical Options

• Transurethral Resection of the Prostate (TURP): Transurethral Resection of the Prostate (TURP) is the most common surgical procedure for BPE, where parts of the prostate are chipped away and removed through the urethra to relieve obstruction.
• Green Light Laser Therapy: Green Light Laser Therapy involves using high-energy lasers to vaporise or remove enlarged prostate tissue, thereby improving urine flow.
• Robotic Assisted Simple Prostatectomy: Robot Assisted Simple Prostatectomy (RASP) is a robotic surgical procedure that involves the complete removal of the prostate, typically reserved for very large prostate glands or men who cannot have a telescopic procedure.