The best treatment for enlarged prostate needs to be decided according to the patient’s condition, and the common ones are observation, medication and surgery.
Benign prostatic hypertrophy may be related to sex hormone changes as men age, so if the condition is mild and the clinical symptoms are not obvious, there is no need for medication, and regular follow-up and observation is sufficient.
If the patient develops a range of urinary symptoms, or develops urinary complications, then medications such as finasteride and dutasteride can be used, which work by reducing the production of dihydrotestosterone, a hormone that affects prostate growth. There are also medications that relax the prostate muscles to reduce urethral tension, including terazosin, doxazosin, and tamsulosin. They can also be combined with dutasteride or tamsulosin to help improve urinary symptoms.
If medication is not effective, patients can undergo surgical treatment, such as transurethral prostate electrocision and laser enucleation.
Patients are advised to go to the hospital for examination and comprehensive judgment to decide which treatment to use. All of the above drugs should be applied under the guidance of a doctor.