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About BPH (Benign Prostatic Hyperplasia)	How is BPH treated?
How BPH or enlarged prostate is diagnosed	Prostatic Hyperplasia
BPH or enlarged prostate treatment options	How common is BPH?
BPH or enlarged prostate symptoms and signs	Is BPH a sign of cancer?
Causes and risk factors of BPH or enlarged prostate
Enlarged Prostate Treatment Better with Surgery Compared to Drugs
Surgery defeats drug therapy in treatment of benign prostatic hyperplasia


Benign prostatic hyperplasia (BPH) occurs in older men;the prostate often enlarges to the point where urination becomes difficult. Symptoms include needing to go to the toilet often (frequency) or taking a while to get started (hesitancy). If the prostate grows too large, it may constrict the urethra and impede the flow of urine, making urination difficult and painful and in extreme cases completely impossible. BPH can be treated with medication, a minimally invasive procedure or, in extreme cases, surgery that removes the prostate. Minimally invasive procedures include Transurethral needle ablation of the prostate (TUNA) and Transurethral microwave thermotherapy (TUMT).These outpatient procedures may be followed by the insertion of a temporary Prostatic stent, to allow normal voluntary urination, without exacerbating irritative symptoms. The surgery most often used in such cases is called transurethral resection of the prostate (TURP or TUR). In TURP, an instrument is inserted through the urethra to remove prostate tissue that is pressing against the upper part of the urethra and restricting the flow of urine. TURP results in the removal of mostly transitional zone tissue in a patient with BPH. Older men often have corpora amylacea(amyloid), dense accumulations of calcified proteinaceous material, in the ducts of their prostates. The corpora amylacea may obstruct the lumens of the prostatic ducts, and may underlie some cases of BPH. Urinary frequency due to bladder spasm, common in older men, may be confused with prostatic hyperplasia. Statistical observations suggest that a diet low in fat and red meat and high in protein and vegetables, as well as regular alcohol consumption, could protect against BPH. For men, enlargement of the prostate is a natural part of getting older. Around the age of 40, many men experience a second period of prostate growth. A strong layer of tissue surrounding the prostate prevents it from expanding outward. BPH symptoms begin as the prostate compresses inward onto the urethra, reducing or obstructing urine flow. Because the prostate continues to grow during a man's lifetime: Men over age 50 have roughly a 50% chance of developing BPH or enlarged prostate. By age 80, about 80% to 90% of men are diagnosed with BPH or enlarged prostate. The good news is that BPH or enlarged prostate is a manageable condition. It is important to know that BPH or enlarged prostate is not cancerous and does not lead to cancer. However, it is possible for men to have both BPH or enlarged prostate and prostate cancer.
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Causes and risk factors of BPH or enlarged prostate
The exact cause of BPH is not well understood. However, during their lifetime, men produce testosterone (a male hormone) and a small amount of estrogen (a female hormone). The amount of active testosterone decreases as a man ages, resulting in a higher proportion of estrogen in the blood. Studies have suggested that a higher proportion of estrogen may encourage cell growth within the prostate, which may lead to BPH or enlarged prostate. Another theory regarding the cause of BPH or enlarged prostate suggests that accumulation of dihydrotestosterone (DHT), a substance derived from testosterone in the prostate, may encourage cell growth. Primary risk factors for BPH or enlarged prostate include: ΦAging — the main risk factor for the BPH or enlarged prostate ΦHeredity — a family history of BPH or enlarged prostate ΦMarital status — for reasons that are not known, men who are married are more likely to develop BPH or enlarged prostate than single men ΦNationality — BPH or enlarged prostate is more common in Americans and Europeans than in Asian men
Article Source:http://www.prostatedisease.org/bph/risk_factors.aspx
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BPH or enlarged prostate symptoms and signs
BPH or enlarged prostate symptoms vary from person to person. In many men, these symptoms are not problematic. However, many men with this condition have prostate symptoms that are bothersome enough for them to seek medical treatment. Many of the symptoms of BPH or enlarged prostate are caused by obstruction of the urethra, along with gradual loss of bladder function. The size of the prostate does not always correspond with the severity of the obstruction or the symptoms, which may include：
Obstructive symptoms:	■Feeling of incomplete bladder emptying
	■Delay and difficulty in initiating an urinary stream
	■Stopping and starting urination several times during voiding
	■Weak urinary stream
	■Dribbling at the end of urination
	■Pushing or straining while urinating

Irritative symptoms:	■Feeling of little warning when the urge of urination develops
	■Frequent urination with short intervals
	■Need to urinate during the night
	■Inability to hold back urine
Acute Urinary Retention Some men may not know they have a urinary blockage until they suddenly find that they cannot urinate at all. This is called acute urinary retention. This condition may be caused by some over-the-counter cold or allergy medicines that contain an ingredient that can prevent the bladder from relaxing and releasing urine. In men who have a partial blockage, alcohol, cold temperatures, or a long period of immobility can cause urinary retention.
When to See a Doctor about BPH or Enlarged Prostate See your doctor if you are experiencing any urinary problems, even if they are not bothersome. Your doctor can determine if you have BPH or enlarged prostate, and whether your diagnosis requires treatment.
Article Source:http://www.prostatedisease.org/bph/sign_and_symptoms.aspx
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How BPH or enlarged prostate is diagnosed
You may first notice BPH or enlarged prostate symptoms yourself, or your doctor may notice that your prostate is enlarged during a routine examination. If your primary care doctor suspects that you have BPH or enlarged prostate, he or she may refer you to a urologist — a doctor who specializes in problems of the urinary tract and male reproductive system. Tests for BPH or Enlarged Prostate Your doctor may perform some or all of the following tests to confirm or rule out the presence of BPH or enlarged prostate. ·International Prostate Symptom Score (IPSS) or AUA Symptom Index — a short questionnaire that asks about specific urinary symptoms associated with BPH or enlarged prostate and how often they occur. ·Digital Rectal Examination (DRE) — during the physical examination, the doctor inserts a gloved and lubricated finger into the rectum to feel the prostate. This examination allows the doctor to get a general idea of the size and condition of your prostate. ·Prostate-Specific Antigen (PSA) blood test — used to rule out prostate cancer as the cause of your symptoms. PSA is a protein produced by cells in the prostate, and the level of this protein is elevated in the blood in men who have prostate cancer or BPH. · Urinalysis — a laboratory test of your urine performed to rule out the presence of an infection or condition that may produce similar symptoms. If the results of these tests suggest that you may have BPH or enlarged prostate, your doctor will probably perform additional examinations to help confirm the diagnosis and determine the severity of the condition. Such tests may include: ·Urinary flow study — measures the strength and amount of your urine flow. · Imaging tests — ultrasound may be performed to estimate the size of the prostate and may also be used to look for prostate stones, kidney stones or obstructions, or a tumor. ·Cystoscopy — a cystoscope (a thin tube containing a lens with a light system) is inserted into the urethra so the doctor can detect problems, including prostate enlargement or the development of stones in your bladder. · Urodynamic studies — your doctor may recommend a series of tests to measure bladder pressure and function if he or she suspects your symptoms might be related to a bladder problem or a neurological problem, and not BPH or enlarged prostate. · Post-void residual volume test — ultrasound imaging is used to determine if you can empty your bladder.
Article Source:http://www.prostatedisease.org/bph/diagnosis.aspx
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BPH or enlarged prostate treatment options
Benjamin Franklin reportedly suffered from it; so did Thomas Jefferson. So will most men, if they live long enough. This almost inevitable condition is called benign prostatic hyperplasia (BPH), or enlargement of the prostate. The risk of BPH increases every year after age 40: BPH is present in 20% of men in their fifties, 60% of men in their sixties, and 70% of men by age 70. One-quarter of men with BPH—more than 350,000 a year in the United States alone—eventually will require treatment, some more than once, to relieve the urinary obstruction BPH causes. In recent years, as medical therapy has become available, more men have sought treatment to relieve their symptoms. Based on the figures mentioned above, it’s likely that after age 60, a majority of men will either be taking medication for BPH or considering it. However, not all of these men will be helped by the medicine: for men with severe symptoms or men who wait until the disease is far advanced before they seek treatment, surgery is still the best option. Important Note: Growth is not the same thing as cancer. BPH is not prostate cancer, and having BPH doesn't mean a man is more or less likely to get prostate cancer. They are two different diseases—and in some ways, the prostate is almost like two different glands rolled into one. Prostate cancer begins in the outer peripheral zone of the prostate, and grows outward, invading surrounding tissue. BPH begins in a tiny area of the inner prostate called the transition zone, a ring of tissue that makes a natural circle around the urethra. In BPH, the growth is inward toward the prostate’s core, constantly tightening around the urethra (the tube that carries urine from the bladder through the prostate to the penis) and interfering with urination. This is why BPH produces such annoying, difficult-to-ignore symptoms—but why prostate cancer is often “silent,” producing no symptoms for months or even years. The key word here is benign. (The word hyperplasia simply means an increase in the number of cells in the prostate, which causes it to become enlarged.) By itself, an enlarged prostate causes no symptoms and does no harm. If it weren’t for the fact that the prostate encircles the urethra, BPH might never require treatment. BPH Treatment Options Current treatment options for BPH include medications that relax the muscles of the urinary sphincter, called alpha blockers (like doxazosin or flomax/tamsulosin) or medications that actually shrink the volume of the prostate called DHT inhibitors (like finasteride ((Proscar)) or dutasteride ((Avodart))). Often these medications will be combined for more severe cases to prevent urinary obstruction and help with symptoms. The DHT inhibitors have also been shown to reduce a man’s risk over time of developing prostate cancer by about 25%. The ability to prevent prostate cancer may have a real benefit in preventing the treatments down the road that cause side effects. It can also make prostate cancer a bit easier to detect, by shrinking the gland. However, aggressive prostate cancers may not be as effectively prevented with these hormonal agents, and these medicines have not yet been shown to save lives due to prostate cancer. As always, it’s important to discuss the risks and benefits of these medicines with your doctor. Men who experience symptoms of BPH or enlarged prostate usually require treatment at some point. In men with slightly enlarged prostates, early treatment may not be necessary. Studies have shown that symptoms clear up without treatment in about one third of all mild cases of BPH or enlarged prostate. In these cases, regular checkups are recommended to watch for any problems. This approach to BPH or enlarged prostate is called "watchful waiting." Active treatment is usually recommended when the condition causes an inconvenience to the patient, the symptoms become bothersome, or it becomes a risk to the patient's overall health. The most commonly used treatments for BPH or enlarged prostate include:
Medication treatment for BPH or enlarged prostate Several drugs have been approved by the Food and Drug Administration (FDA) for the treatment of BPH or enlarged prostate. These drugs may relieve the BPH or enlarged prostate symptoms and are the most common treatment for alleviating symptoms of BPH or enlarged prostate. They generally fall into two main categories, alpha-blockers and 5-alpha-reductase inhibitors. Alpha-blockers These medications help to relax particular muscles, including the muscles in your prostate and bladder outlet, making urination easier. The most common side effects with alpha-blockers are dizziness, upper respiratory tract infection, headache and tiredness. Men who experience alpha-blocker side effects from treatment should talk to their doctor. Click here to learn more about a sanofi-aventis treatment option for BPH or enlarged prostate. 5-Alpha-reductase Inhibitors These medications are used to shrink the prostate and relieve pressure on the urethra. As the prostate shrinks, men who have large prostates may notice improvement in their enlarged prostate symptoms. 5-Alpha-reductase inhibitors take a long time to work — sometimes more than six months. Side effects of these medications may include impotence, decreased sex drive, and reduced semen release during ejaculation.
Surgery to treat BPH or enlarged prostate Other treatment options for BPH or enlarged prostate include a variety of surgical options, thermotherapy, and a number of nonsurgical treatment options. Surgery for BPH or Enlarged Prostate Surgery is primarily used in men with severe symptoms of BPH or enlarged prostate or a complicating factor, including: ·Bleeding from the prostate ·Bladder stones ·Frequent urinary tract infection ·Urinary retention ·Kidney damage caused by urinary retention Although BPH or enlarged prostate surgery can be associated with side effects, including impotence or loss of bladder control, most men do not experience serious long-term problems due to this type of treatment. However, repeat surgeries are sometimes necessary.
Thermotherapy Thermotherapy is a broad term that includes a number of treatment options that use heat to destroy excessive prostate tissue. There are several types of thermotherapy: ■ Microwave therapy uses heat in the form of microwave energy to destroy the inner portion of the prostate gland. After this procedure, the use of a catheter may be required for several days. This procedure generally does not cause impotence, incontinence, or retrograde ejaculation. ■Radiofrequency therapy uses radio waves sent through needles to heat and destroy prostate tissue. Radiofrequency therapy does not cause incontinence or impotence, but there is a small risk of retrograde ejaculation. ■Electrovaporization uses high-frequency electrical current to cut and vaporize excess prostate tissue. During cutting and vaporization, the electrical current also seals off the tissue to limit or prevent bleeding. ■Laser therapy is similar to other thermotherapies, except that a laser is used instead of microwave energy, radio waves, or electrical current. Laser therapy usually does not cause impotence or prolonged incontinence.
Nonsurgical Treatment for BPH or Enlarged Prostate
Nonsurgical treatment options for BPH or enlarged prostate are available for men who are reluctant or unable to undergo surgery, or who are unable or unwilling to take medication. One of the most common methods is the use of prostatic stents, which are tiny metal coils placed into the urethra to widen it and keep it open. Tissue will grow over the stent to hold it in place. This procedure only takes about 10 to 15 minutes, produces little or no bleeding, and does not require a catheter. Some men have not experienced any improvement in their symptoms after placement of the stent. In addition, other men have had frequent urinary tract infections or experienced irritation when urinating. This procedure is usually reserved for critically ill or very elderly patients with urinary retention.
Article Source:http://www.prostatedisease.org/bph/treatments/default.aspx
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Enlarged Prostate Treatment Better with Surgery Compared to Drugs
Findings from a large study show that men who undergo surgery for enlarged prostate gland fare better than those treated with drugs. Treatment of enlarged prostate was compared to medication treatment in a large study. Compared to drugs, enlarged prostate treatment is better with surgery compared to taking medications to reduce symptoms. Enlarged prostate gland, known as benign prostatic hypertrophy (BPH), occurs in fifty percent of men by age 60. According to the NIH, 90 percent of men in their seventies and eighties have symptoms of BPH. When the prostate gland becomes large, the result is urinary incontinence, susceptibility to urinary tract infections, leakage, and frequent need to urinate. Researchers from the Mayo Clinic studied 2184 healthy men with symptoms of BPH 1990 through 2007, finding that surgery is the best option for treating an enlarged prostate gland compared to taking medications to relieve symptoms. The prostate gland normally grows with age. Researchers know little about the cause, and some men with very large prostate glands may not experience symptoms until urine flow becomes completely blocked. In other cases the prostate gland that lies in front of the rectum and below the bladder can obstruct the flow of urine leading to incomplete bladder emptying, frequent urination at night, weak urine stream, and feelings of incomplete bladder emptying. For men with symptoms of BPH, researchers found that the best treatment for reducing urinary incontinence is a surgical procedure known as a transurethral resection of the prostate (TURP). Medications can prevent symptoms from progressing. Another type of surgical treatment for an enlarged prostate is laser vaporization surgery. The researchers found the surgery provided no help for men suffering urinary incontinence, a symptom the researchers found was common among the men studied with enlarged prostate. Medication therapy using alpha adrenergic receptor blockers and 5-alpha-reductase inhibitors (ARIs) prevented symptoms from getting worse. TURP lowered urinary incontinence in men with enlarged prostate from 64.5 percent to 41.9 percent. BPH is a common occurrence with aging. Enlarged prostate may or may not cause symptoms for men. When the prostate gland becomes larger, something that is normal with age, the cells can grow into the bladder and block urine flow. When the bladder becomes full leakage and urinary incontinence ensue. The cause, though not completely understood, is likely due to hormonal changes from testosterone derivatives that cause prostate gland cells to spread. The study should make it easier for men to choose treatment options for enlarged prostate. Compared to medication therapy, surgery was found to be a better option for reducing symptoms of urinary incontinence for men suffering from BPH. Laser vaporization surgery also compared more favorably for helping men suffering from symptoms of enlarged prostate than taking medications, but did not reduce urinary incontinence. Men taking medications for enlarged prostate reported an increase in symptoms of urinary incontinence. The study is the first to collect data about outcomes for treatment of enlarged prostate, showing that TURP surgery offers significant help for reducing urinary incontinence.
Article Source: http://www.emaxhealth.com/1020/3/36743/enlarged-prostate-treatment-better-surgery-compared-drugs.html
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Prostatic Hyperplasia
Nodular prostatic hyperplasia (also termed benign prostatic hyperplasia, or BPH) is a common condition as men age. Perhaps a fourth of men have some degree of hyperplasia by the fifth decade of life. By the eighth decade, over 90% of males will have prostatic hyperplasia. However, in only a minority of cases (about 10%) will this hyperplasia be symptomatic and severe enough to require surgical or medical therapy. (Bushman, 2009) The mechanism for hyperplasia may be related to accumulation of dihydrotestosterone in the prostate, which then binds to nuclear hormone receptors which then trigger growth. The effect of drugs which act to inhibit the enzyme 5-alpha reductase, which converts testosterone to dihydrotestosterone within cells. This blocks the growth-promoting androgenic effect and diminishes prostatic enlargement. Such drugs include finasteride and episteride. Drug therapy must be continued to remain effective. (Andríole et al, 2004) Another class of drugs used to treat BPH are the alpha 1-adrenoreceptors, including prazosin, alfuzosin, indoramin, terazosin, doxazosin, and tamsulosin. These alpha adrenergic blockers lead to relaxation of smooth muscle in prostate and help to relieve obstruction. Drug therapy must be continued to remain effective. (Auffenberg et al, 2009) The normal prostate weighs 20 to 30 gm, but most prostates with nodular hyperplasia can weigh from 50 to 100 gm. Hyperplasia begins in the region of the veru-montanum, in the inner zone of the prostate, and extends to involve lateral lobes. This enlargement impinges upon the prostatic urethra, leading to the difficulty on urination with hesitency that is typical for this condition. Dysuria, dribbling, and nocturia are also frequent. The urinary tract obstruction leads to urinary retention and risk for infection. In severe, prolonged cases, hydroureter with hydronephrosis and renal failure can ensue. (Wasserman, 2006) Microscopically, nodular prostatic hyperplasia consists of nodules of glands and intervening stroma. Most of the hyperplasia is contributed by glandular proliferation, but the stroma is also increased, and in rare cases may predominate. The glands may be more variably sized, with larger glands have more prominent papillary infoldings. Nodular hyperplasia is NOT a precursor to carcinoma. (Homma et al, 1996)
Article Source: http://library.med.utah.edu/WebPath/TUTORIAL/PROSTATE/PROSTATE.html
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Is BPH a sign of cancer?
No. It’s true that some men with prostate cancer also have BPH, but that doesn’t mean that the two conditions are always linked. Most men with BPH don’t develop prostate cancer. However, because the early symptoms are the same for both conditions, you should see a doctor to evaluate these symptoms. Is BPH a serious disease? By itself, BPH is not a serious condition, unless the symptoms are so bothersome that you can’t enjoy life. But BPH can lead to serious problems. One problem is urinary tract infections. If you can’t urinate at all, you should get medical help right away. Sometimes this happens suddenly to men after they take an over-the-counter cold or allergy medicine. In rare cases, BPH and its constant urination problems can lead to kidney damage.
Article Source:http://kidney.niddk.nih.gov/kudiseases/pubs/prostate_ez/#What
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How is BPH treated?
Several treatments are available. Work with your doctor to find the one that’s best for you. ·Watchful waiting. If your symptoms don’t bother you too much, you may choose to live with them rather than take pills every day or have surgery. But you should have regular checkups to make sure your condition isn’t getting worse. With watchful waiting, you can be ready to choose a treatment as soon as you need it. ·Medicines. In recent years, scientists have developed several medicines to shrink or relax the prostate to keep it from blocking the bladder opening. ·Nonsurgical procedures. A number of devices have been developed that allow doctors to remove parts of the prostate during nonsurgical procedures. These procedures can usually be done in a clinic or hospital without an overnight stay. The procedures are transurethral, which means the doctor reaches the area by going through the urethra. The doctor uses thin tubes inserted through the urethra to deliver controlled heat to small areas of the prostate. A gel may be applied to the urethra to prevent pain or discomfort. You won’t need drugs that make you go to sleep. Several transurethral procedures are treatments for BPH: ·PVP (photoselective vaporization of the prostate): destroys excess prostate tissue interfering with the exit of urine from the body by using a controlled laser beam inside the prostate. ·TUIP (transurethral incision of the prostate): widens the urethra by making a few small cuts in the bladder neck, where the urethra joins the bladder, and in the prostate gland itself. ·TUMT (transurethral microwave thermotherapy): destroys prostate tissue by using a probe in the urethra to deliver microwaves. ·TUNA (transurethral needle ablation): destroys excess prostate tissue with electromagnetically generated heat by using a needle-like device in the urethra. ·Surgical treatment. Surgery to remove a piece of the prostate can be done through the urethra or in open surgery, which requires cutting through the skin above the base of the penis. Your doctor may recommend open surgery if your prostate is especially large. The most common surgery is called transurethral resection of the prostate (TURP). In TURP, the surgeon inserts a thin tube up the urethra and cuts away pieces of the prostate with a wire loop while looking through a cystoscope. TURP and open surgery both require general anesthesia and a stay in the hospital.
Article Source:http://kidney.niddk.nih.gov/kudiseases/pubs/prostate_ez/#What
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How common is BPH?
By about age 50, about half of all men have begun to develop an enlarged prostate. And by age 80, 90 percent of all men have the condition.
Article Source: http://www.prostatehealthguide.com/bph_basic.html
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About BPH (Benign Prostatic Hyperplasia)
The prostate gland is different than most of the other organs because it grows in size during several stages of a man’s life. Doctors refer to this condition as benign prostatic hyperplasia (BPH), or benign prostatic hypertrophy. This non-cancerous enlargement is part of the normal maturation process in all males. It first occurs during puberty (when it nearly doubles in size) and again around the age of 25. The prostate will continue to grow through the remainder of life, usually causing significant complications beginning at the age of 40. In fact, some 90% of all men in their sixties and seventies complain of prostate issues. BPH is often a condition of concern for most men, as its symptoms can often mimic those found in prostate cancer. However, BPH is not indicative of prostate cancer.
Article Source: http://totalprostate.com/prostate_facts.php
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Surgery defeats drug therapy in treatment of benign prostatic hyperplasia
Benign prostatic hyperplasia (BPH) refers to an increase in the size of the prostate in middle-aged and elderly men. According to a Mayo Clinic study, surgery for BPH offers more relief from incontinence and obstruction symptoms than treatment from drug-based therapy. Claimed to be a 17- year long study, the authors suggest surgical procedures to be more effective treatment than administration of drugs. The investigators supposedly analyzed a large sample of around 2000 men, all aged between 40 to 79 years. It then appeared that BPH/lower urinary tract symptoms comprised a common condition of urinary incontinence. The authors recommended a surgical treatment for all patients claiming the highest symptom scores. Amy Krambeck, M.D., Mayo Clinic urologist and lead study investigator alleged, “Our data fills a gap in the study record that can be used by physicians and patients to evaluate management options. Because it’s a large community-based study of more than 2,100 men, it includes the entire broad range of male health. This suggests the results are stronger in terms of being generalized and applied to other men.” Once the patients were provided with all kinds of treatments, the symptoms appeared to stabilize. But after comparison the highest decrease in the symptoms as well as incontinence was observed in the patients who were provided with transurethral resection of the prostate (TURP). Before the TURP the incontinence rate was 64.5 percent, while afterwards it was 41.9 percent. BPH and lower urinary tract symptoms are commonly found among men. In fact by the age of 60 almost 50 percent men suffer from an enlarged prostate and by the age of 90 it elevates in about 80 percent. One of the most general symptoms is a heightened urge to urinate or leakage. Various treatments are available but it is alleged that until now there were no comparisons differentiating between drug therapy and surgery. This leaves physicians confused to recommend a particular procedure due to subjective factors. Dr. Krambeck shared, “After intervention, the greatest improvement in symptom score was seen in the TURP group, followed by laser vaporization, then the drugs, 5 alpha reductase inhibitors and alpha adrenergic receptor blockers. Only the surgical TURP group reported a decrease in incontinence — pre-TURP the incontinence rate was 64.5 percent and post-TURP it was 41.9 percent.” The study which probably comprised 2,184 healthy men, aged 40-79 lasted from 1990 to 2007. The participants were made to undergo a survey annually. The survey included questions about the participant’s urinary symptoms and the treatments they are provided with. This data enabled the study authors to ascertain the urinary problems along with incontinence before and after different types of treatment. The outcome was that approximately 1,574 men that translated to almost 72 percent were apparently not given any treatment for BPH symptoms. Furthermore, around 307 men displaying a total of 14 percent possibly employed alpha adrenergic receptor blockers (ARs). The results also revealed that 195 men mainly almost 9 percent undertook medication 5-alpha-reductase inhibitors (ARIs). Apart from showing 23 men who underwent surgical laser vaporization, it also appeared that almost 85 men representing 4 percent of the sample underwent surgical transurethral resection of the prostate (TURP). The results displayed an enormous decrease in the incontinence rates when compared to the patients in the other treatment groups. These patients may be given both forms of medical therapy. Patients provided with laser vaporization reported no change in the symptoms.
Article Source: http://www.healthjockey.com/2010/06/02/study-surgery-defeats-drug-therapy-in-treatment-of-benign-prostatic-hyperplasia/
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