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Enlarged Prostate Treatments

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Symptoms and the need for treatment vary with each man's enlarged prostate, also called benign prostatic hyperplasia (BPH). And every treatment has its own benefits and risks. These factors must be weighed as you decide how to treat your BPH symptoms.

Your Quality of Life With an Enlarged Prostate

If your enlarged prostate symptoms are mild and not bothersome, there's likely no need for treatment. One-third of men with mild BPH find that their symptoms clear up without treatment. They may just watch and wait.

However, when enlarged prostate symptoms are bothersome or are affecting your quality of life or overall health, it's time to talk to your doctor about the treatment options. Together you will determine if you would benefit most from medication, a minimally invasive procedure, or surgery.

It's important to talk with a doctor when you begin noticing changes in urinary function. You need to find out what's going on so you can be treated for enlarged prostate if necessary. For many men, especially those who are young when the prostate starts growing, getting early treatment can head off complications later on.

Assessing the Symptoms of an Enlarged Prostate

To help your doctor understand how bothersome enlarged prostate symptoms are for you, the American Urological Association (AUA) has developed a BPH Symptom Index. This is a brief questionnaire that asks about specific symptoms and how frequently they occur. Each answer is assigned a number -- and your total is ranked on a scale ranging from mild to severe.

A score of 0 to 7 is considered a mild symptom score; 8 or over is considered moderate to severe.

The AUA recommends the following treatment for an enlarged prostate based on the severity of symptoms:

  • Mild symptoms that don't bother you (AUA score 0 to 7): If you are not bothered by your symptoms, and they don't affect your daily life, watchful waiting is the best option for you. You should get regular checkups to make sure that you are not developing complications.
  • Moderate to severe symptoms (AUA score of 8 or more): If you are not bothered by your symptoms, you may choose watchful waiting. However, if your symptoms do start to interfere, you may choose medication, a minimally invasive procedure, or surgery.
  • Moderate to severe symptoms (AUA score of 8 or more) with complications: If symptoms are bothersome and you have developed complications such as inability to urinate, you may need a catheter, surgery, or other treatment.
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