Enlarged Prostate

Diseases list > Enlarged Prostate

Enlarged prostate also known as benign prostatic hyperplasia (BPH) or benign prostatic hypertrophy is the increase in size of the prostate in middle-aged and elderly men. This process is characterized by hyperplasia of prostatic stromal and epithelial cells, causing the formation of big and fairly discrete nodules in the periurethral area of the prostate. When sufficiently large, the nodules compress the urethral canal to cause partial or complete obstruction of the urethra that interferes with the normal flow of urine. Fortunately, this trouble doesn’t lead to cancer and doesn’t increase the risk of prostate cancer.

Normal and enlarged prostate


One of the most frequent reasons of appearance of this disease is an extremely high concentration of testosterone leading to metabolization of testosterone that is a critical mediator of prostatic growth. The first symptoms of enlarged prostate are:  urinary hesitancy, frequent and painful urination, urgency incontinence, weak urinary stream, prolonged emptying of the bladder, incomplete bladder emptying, abdominal straining, problems in ejaculation, involuntary leakage of urine, irritation during urination, post-urination dribble and nocturia (necessity to urinate during the night).

Besides, a man is vulnerable in the face of different urinary tract infections. Enlarged prostate can be a progressive disease, especially if left untreated for a long time.

If you are more than 45 years old and you suffer from the symptoms described above, you should immediately consult your doctor.  The enlarged prostate can be diagnosed with the help of rectal examination, blood collecting tests or ultrasound examination.

Modern medicine can effectively treat this problem in many ways that are surgery, different types of healing massages, drugs and natural remedies.


The two main medications for management of enlarged prostate are alpha blockers and 5α-reductase inhibitors. Alpha blockers used for enlarged prostate treatment include doxazosin, terazosin, alfuzosin, tamsulosin, and silodosin. All five are equally effective and successful but have slightly different side effect profiles, as any medications. Alpha blockers relax smooth muscle in the prostate and the bladder neck, thus decreasing the blockage of urine flow and decreasing pain during urination process.

Herbal remedies

However, you shouldn’t forget about natural herbal remedies that help men to treat this disease without any side effects that are typical of chemical medications. Saw palmetto extract is one of the most extensively studied and used. Other herbal medicines are made with the help of the extract of African star grass, pygeum extracted from the bark of Prunus Africana, pumpkin seed and stinging nettle.

In order to avoid enlarged prostate patients should decrease amount of fluid intake before bedtime, limit the consumption of alcohol and caffeine-containing products, and follow timed voiding schedules. Doing sport and avoiding of a confining lifestyle are also good preventative measures of enlarged prostate.

BPH medications: Hytrin, Cardura, Flomax, Uroxatral, Rapaflo, Proscar, Avodart, Minipress

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