Bening posted hyperplasia (BPH), symptoms and treatment.

Bening posted hyperplasia (BPH), symptoms and treatment.

Bening posted hyperplasia (BPH)

Benign prostatic hyperplasia (BPH), also known as benign prostatic hypertrophy or benign prostatic enlargement (BPE), is a non-cancerous increase in the size of the prostate gland. This condition is common as men age, and it can cause symptoms related to urinary function. Enlargement the prostatic by increasing the adrenergic tone and lead to lower urinary tract symptoms (LUTS) and bladder outflow obstruction (BOO).

Sign and symptoms

1. Irritative symptoms
2. Frequency
3. Nocturia
4. Urgency and  urge incontinence

• Obstructive symptoms

• Poor urinary flow
• Hesitancy in initiation of micturition
• Post micturation dribble
• Sensation of incomplete  emptying
• Occasional acute retention Of urine requiring emergency treatment .

 Others problem maybe

• Libido
• Erected dysfunction
• Ejaculation problem

Note:  Sever BPH can cause serious problems overtime urinary retention and strain on the bladder which can lead to urinary tract infection, bladder or kidney damage, bladder stones and incontinence.

Evaluation

• Physical examination by Digital rectal examination ( GRE)
• Prostatic ultrasound scan por transrectal ultrasonography (TRUS)
• Post void residual (PVR) –  larger  than 30ml indicate bladder dysfunction

Other major investigation

• Large prostate – >  30 ml Indicate the prostate dysfunction and initiate BPH
• Serum posted  specific antigen (PSA) Greater than 1.4 ng per/ml indicated BPH

Treatment

Mild or moderate LUTS or BPH Not need any medical or surgical treatment but involed regular active monitoring.

Treatment Options:

1. Lifestyle Changes: Reducing caffeine and alcohol intake, and managing fluid intake.
2. Medications:
   • Alpha Blockers: Relax prostate muscles (e.g., tamsulosin).
   • 5-Alpha Reductase Inhibitors: Shrink the prostate (e.g., finasteride).
   • Combination Therapy: Using both types of medications.
3. Minimally Invasive Procedures:
   • Transurethral Resection of the Prostate (TURP): Removing part of the prostate.
   • Laser Therapy: Using lasers to remove prostate tissue.
   • Urolift System: Lifting and holding the enlarged prostate tissue.
4. Surgical Options: For more severe cases, open or robotic-assisted prostatectomy.

 Medication for moderate BPH

1.1 .  Adrenoreceptor blocking drug ( eg.Tamsulosin) 

Dose: 0.4 mg  tamsulosin once a day.

Or

Combination of tamsulosin + Dutasteride 

Dose : (Tamsulosin  0.4 mg + Dutasteride 0.5 mg) Once a day for 6 months or extend 1 years .

Note : It’s combination help to reduce prostate size.

 

Medication for advance BPH

If the posted larger than 40 ml

1.1.  Finasteride

Dose: 0.5 mg once daily for six months .

1.2. Tamsulosin

Dose : 0.4 mg once daily for six months.

After 6 months prostate size not reduce then medicine can change.

it would be combination of Tamsulosin + Dutasteride  for next 1 to 2 years.

Management and Monitoring:

Regular monitoring and follow-up with a healthcare provider are important for managing symptoms and preventing complications.

It’s important to consult with a healthcare professional for a proper diagnosis and treatment plan tailored to individual needs and conditions.

Here we are introducing some direct prescription that you may used according to your physical condition.

When you are suffering mild or moderate bening posted hyperplasia (BPH) you may used prescription no 1.

Prescription no 1               

 

 

 

 

 

 

 

It is Important that you should take dutasteriane with tamulsion drugs otherwise bening posted hyperplasia (BPH) would not be cured.

When you are suffering advance bening posted hyperplasia (BPH) you may used prescription no 2.

Prescription no 2

 

After using prescription no 2 at 6 months and no significant result shown to reduce  bening posted hyperplasia (BPH) then you should take prescription no 3 for 6 months to 2 years.

Prescription no 3

Contraindication or who can’t use these prescription-

Generally without women or children no significant contraindicate. Although some comorbidity or co mortality patient patient should concern about using these prescription like-

• Chronic liver cirrhosis patients
• Severe renal impairement
• Severe hypotension
• Breast neoplasia

If above problems are in BPH patients please take the suggestion of nearest specialist for treatment continue. Where a urologist can treated it by surgery or other treatment that required.

Due to bening posted hyperplasia (BPH) you may suffering erectile dysfunction of your penis. Before the treatment of erectile dysfunction (ED) you should first treatment for BPH.

If anyone want to more information please send to me your question through the given email address.

Email address: mallicktarun@rocketmail.com.

For getting treatment base suggestion please contact or request an appointment.