Benign prostatic hyperplasia (BPH) cannot be cured, so treatment focuses on reducing your
symptoms. Treatment is based on how severe your symptoms are, how much they
bother you, and whether you have
Deciding how to treat BPH
is greatly influenced by how bothersome your symptoms are. The
American Urological Association (AUA) symptom index is
an interactive questionnaire that can help you tell how bad your symptoms are
and measure how well your treatment is working. This questionnaire ranks the
severity of your symptoms on a numerical scale. The higher the number, the more
you are bothered by your symptoms. The more your symptoms bother you, the more aggressive you may want to be in
The American Urological Association (AUA) makes the following treatment
benign prostatic hyperplasia (BPH) based on how bad your symptoms are.2
- Symptoms that are mild or that do not bother
you (AUA score of 0 to 7) may be best treated by watchful waiting. This means
you may make small changes to your lifestyle to control your symptoms. You
do not take medicines or have surgery. You have regular checkups to be sure
your symptoms are not getting worse.
- The treatment of moderate to
severe symptoms (AUA score of 8 or more) depends on how much you are bothered
by them. If the symptoms are not greatly affecting your quality of life, you
may choose watchful waiting or treatment with medicine. If the symptoms are
bothersome or you want more aggressive treatment, you may be offered surgery or
less invasive therapies, such as transurethral microwave therapy (TUMT) or transurethral needle ablation (TUNA).
- Complications of BPH, such as ongoing
inability to urinate, urinary tract infections, bladder stones, kidney damage, or ongoing blood in your
urine, should be treated with surgery. You may also want surgery if your symptoms have not been helped with other treatments.
There are some things you can do that may help reduce how
much BPH affects your quality of life.
- Do not try to rush your urination. Try to
relax while using the bathroom.
your fluid intake throughout the day. Limit fluid intake in the evening if
you often wake up at night to urinate.
- If possible, avoid
medicines that make your symptoms worse.
- Enlarged Prostate: Should I Take Medicine?