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Treatments and Symptoms of Prostatism


Elderly men often suffer from Prostatism. Enlargement of the prostate gland begin when men reach their 40s. For some men the enlarged prostate does not cause much difficulty, but many men find Prostatism a major hindrance in leading an active lifestyle.

Symptoms of Prostatism

The common symptoms of Prostatism are:

  • Feeling that the bladder has not been emptied completely
  • Frequently urination
  • Difficulty in urinating (The flow of urine is irregular and weak, stopping and starting again)
  • In the night, you have to go to the toilet too often
  • Leaking or dribbling, known as incontinence
  • Frequent urination, especially at night, known as nocturia
  • an urge to urinate again soon after emptying the bladder the last time
  • Feeling that urine is retained in your bladder, which makes you rush to the toilet too often

In addition to the above symptoms if there is blood in the urine, accompanied by stiffness or pain in the pelvis, hips and lower back, you should be warned about the possibility of developing prostate cancer.


Prostatism is usually treated first with medicines called alpha blockers, such as doxazosin or terazosin. These drugs were first used to treat high blood pressure. Tamsulosin is the first alpha blocker developed specifically for BPH. These drugs relax the muscle in the prostate and at the bladder neck, which allows better urine flow.

The reasons behind enlargement of the prostate gland are not yet clear. It is believed that a diet rich in fat, meat and low in vegetable might be responsible for causing the disease. It is even found that the disease might be genetic. Studies have shown that certain ethnic communities, especially, Afro-Caribbean and African American men are more likely to suffer from the disease.

Depending on the severity of your symptoms, doctors will prescribe medication. Not every Prostatism leads to cancer. If it is benign prostate hyperplasia, the symptoms could be cured through medication and simple lifestyle changes. Cutting down alcohol and caffeine and increasing intake of soy foods, tomatoes, vitamin E and switching over to a low fat diet in general, helps to relive minor symptoms of Prostatism. Often medicines are effective in shrinking the size of the prostate gland.

Medicines used to treat BPH may all cause side effects, such as dizziness, low blood pressure, and impotence. Specific side effects depend on the drug used.

Non-surgical procedures by transurethral methods, such as, photoselective vaporization of the prostate or PVP, transurethral incision of the prostate or TUIP, transurethral microwave thermotherapy or TUMT and transurethral needle ablation or TUNA are often used to treat the enlarged prostate gland. Only in more severe cases, surgery is prescribed.

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