"Saw palmetto does not work," Slawin tells WebMD. In some cases, men experience painful urination or have frequent urinary tract infections. Also, many studies of herbals have not signs of heart attack women been well-controlled. pain in area of liver That's where the BPH Index is especially helpful, Westney tells WebMD. " Several drugs are FDA-approved to relieve common symptoms of an enlarged prostate. The procedure does not require a hospital stay. Only the inner part of the prostate gland is removed. Extracts are thought to prevent testosterone from breaking down and triggering prostate tissue growth, similar to the 5-alpha reductase inhibitor medications. You’ll generally have to wait three to six months for symptom relief with 5-alpha reductase inhibitors. They work by relaxing the muscles around the prostate and bladder neck, so urine can flow more easily. "Some people have more growth than others. They should see a doctor when anything changes, because there can be bladder cancer, stones, prostate cancer. They either shrink the enlarged prostate or stop the prostate cell growth, she explains. The surgeon removes prostate tissue obstructing the urethra using a resectoscope inserted through the penis during TURP. However, preliminary studies examining WIT have shown positive results, with a near doubling in urine flow. Results may not be fully apparent for three to four months. "When men start having how to treat enlarged prostate urinary problems, it's hard to know the reason. Studies of this supplement have had varied results. "For many men, medications are very effective," Westney tells WebMD. Lenaine Westney, MD, division director of urology at The University of Texas Medical School at Houston. He points to a recent "very nicely done" randomized study that found palmetto was no more effective than a placebo in relieving BPH symptoms. The extract comes from ripened berries of the saw palmetto shrub. Possible side effects include painful, urgent, or frequent urination for a few weeks. This treatment is most often done on men who how to treat enlarged prostate have very large prostate glands. It's not always obvious what's going on, Slawin adds. Some people with very large prostates don't have trouble with voiding. Alpha blockers: These drugs don't reduce the size of the prostate, but they are very effective at relieving symptoms. In this procedure, computer-regulated microwaves are used to heat how to treat enlarged prostate portions within the prostate to destroy select how to treat enlarged prostate tissue. "They have a significant change in symptoms, and side effects are very uncommon … how to treat enlarged prostate so medications are an attractive treatment. Alpha blockers include: With regular checkups once a year or more often, doctors can watch for early problems and signs that the condition is posing a health risk or a major inconvenience. TUMT is performed in a doctor's office and requires only topical anesthesia and pain medications. Stents are expensive, and there can be difficulty in removing them. This type of medication reduces the size of the prostate gland by blocking hormones that spur the growth of how to treat enlarged prostate your prostate gland. Most people need to stay in the hospital for 5 to 10 days. Varying quality of herbal products (dosages, ingredients, or purity) may account for the conflicting results, researchers say. It's a very individual thing. They are most effective for men with normal to moderately enlarged prostate glands. Prostate growth -- and the trouble it causes -- varies greatly from person to how to treat enlarged prostate person, says O. A cooling system protects the wall of the urethra during the procedure. Dutasteride (Avodart) and finasteride (Proscar) are two types of 5-alpha reductase inhibitors. " Invasive surgery for BPH includes transurethral surgery, which doesn’t require open surgery or an external incision. Sometimes a stent shifts position, which can worsen the symptoms. "It lets us know how high the symptom score is … when to start treatment. The muscle relaxation makes it easier to urinate. This class of medications works by relaxing the bladder neck muscles and the muscle fibers in the prostate. However, the American Urological Association has not thus far endorsed WIT as a viable tapeworm in human stool pictures treatment option for symptoms of BPH. However, other studies have found it to be as effective as Proscar, a BPH medication. BPH is often a diagnosis of exclusion … after we make sure nothing more serious is going on. According to the National Institutes of Health, transurethral resection of the prostate is the first choice of surgeries for BPH. This is a long procedure. Also being studied is a procedure called water-induced thermotherapy (WIT), how to treat enlarged prostate an experimental procedure that involves destroying excess prostate tissue utilizing heated water and an air-filled balloon, which protects normal prostate tissue. Surgery for an Enlarged Prostate Simple prostatectomy: An open prostatectomy is usually performed using general or spinal how to keep your prostate healthy naturally anesthesia. The outer portion is left behind. " TUNA (transurethral radio frequency needle ablation): This procedure also destroys prostate tissue to improve urine flow and relieve symptoms. You can expect an increase in urine flow and a less frequent need to urinate within a day or two if you take an alpha blocker for BPH. " Watchful Waiting With an Enlarged Prostate There could be serious side effects, and some men find that stents don't improve their symptoms. It involves heating the tissue with high-frequency radiowaves transmitted by needles inserted directly into the prostate (some anesthesia is used). An incision is made through the abdomen or perineum (the area behind the scrotum). The procedure is performed with only local anesthesia. TUMT (transurethral microwave thermotherapy): This therapy for mild to moderate blockage reduces urinary frequency, urgency, natural herbs to calm nerves straining, and intermittent flow -- but does not correct any bladder-emptying problems. Each works differently, says Westney. Saw palmetto: Saw palmetto is one of the most popular herbal supplements taken for BPH. These drugs work quickly, so symptoms improve within a day or two.