Read this Special Health Report BEFORE you decide on your BPH treatment plan


The Best Treatment Strategies for BPH

The Best Treatment Strategies for BPH

Presenting the latest thinking on managing benign prostatic hyperplasia (BPH) ... plus answers to dozens of questions from patients like you

It's a sure thing that sooner or later, as a man ages, his prostate is going to make its presence known.

In fact, if you're over 50 and you haven't noticed symptoms of enlarged prostate (known medically as benign prostatic hyperplasia, or BPH), you—unfortunately—are likely to notice them sooner than you think.

By age seventy, 70 percent of all men have BPH, and 25 percent of them will require treatment.

Not a pretty picture. But the good news is that BPH is NOT prostate cancer. And just because you have BPH now does not mean that you are destined to develop cancer in the future.

If you're reading this letter right now, you probably have some concerns about your prostate health. You need the most reliable, up-to-date information on BPH so you can make the right treatment decisions.

That's why a top prostate disorders specialist has written The Best Treatment Strategies for BPHThis authoritative 70-page special health report contains vital information you won't find anywhere else - information you need so you can make the best-informed decisions possible about your future treatment.

BPH - NOT a "One Size Fits All" Diagnosis

Do any of these symptoms sound familiar?

  • Frequent and urgent need to urinate both day and night
  • Difficulty starting urination
  • Weak urine flow
  • Stopping and starting urine flow while urinating
  • Feeling of being unable to completely empty the bladder
  • Sexual dysfunction

If they do, The Best Treatment Strategies for BPH can help. We take you step-by-step through the many issues that confront a man with BPH. Armed with the information in this guide, you'll be able to meet with your own physician and make the right decisions in your quest for the best possible outcome. For example, you'll learn:

  • How BPH affects the urinary system, bladder, and prostate
  • Do medications taken to shrink the size of the prostate and ease urination, also prevent prostate cancer or do they just prevent men from knowing they have prostate cancer?
  • Why ignoring your BPH symptoms can have disastrous consequences
  • The difference between obstructive and irritative BPH symptoms
  • Your prostate symptom score - a questionnaire that helps you calculate whether you need treatment for BPH
  • Laboratory tests you may need to confirm your BPH diagnosis—plus a discussion of special diagnostic tests, including uroflowmetry, ultrasonography, filling cystometry, and cystoscopy
  • Lifestyle measures you can try to help relieve BPH symptoms
  • Watchful waiting—is it the right choice for you?
  • Can herbal supplements help an enlarged prostate?
  • Do you have a weight problem? Why overweight men are more likely to develop BPH and what you can do
  • Should you try saw palmetto? What the studies show
  • Is it a prostate problem or a bladder problem? How to tell the difference
  • What you should know about retrograde ejaculation
  • How alpha-blockers like terazosin (Hytrin) and tamsulosin (Flomax) reduce the symptoms of BPH
  • Weighing the side effects of alpha-blockers
  • The pros and cons of 5-alpha-reductase inhibiting medications such as dutasteride (Avodart) and finasteride (Proscar) for treating BPH
  • Should you try combination therapy - taking an alpha-blocker and a 5-alpha-reductase inhibitor at the same time?
  • Can erectile dysfunction drugs help improve BPH symptoms? What the research shows
  • Can certain BPH medications increase the risk for depression?

Considering Surgery? Read The Best Treatment Strategies for BPH First!

The Best Treatment Strategies for BPH draws on the extensive experience of leading prostate specialists—specialists who treat BPH regularly and who understand the concerns of patients like you.

One such doctor is Jacek L. Mostwin, M.D., D. PHIL. (OXON). In his special health report, Dr. Mostwin also discusses your surgical options when medications no longer work to relieve the symptoms of BPH. Here are just a few of the issues he explores in-depth:

  • What are the advantages and disadvantages of minimally-invasive therapies, such as TUMT (transurethral microwave therapy), the prostatic urethral lift (UroLift), and water vapor thermotherapy (Rezum)?
  • Does TUMT work?
  • Why is TUNA (transurethral needle ablation) no longer recommended?
  • What should you expect when TURP (transurethral resection of the prostate) is performed?
  • What are the possible complications from a TURP?
  • What if TURP can't be performed safely?  Who is the best candidate for an open prostatectomy?
  • Are there any other alternative surgical approaches for BPH?
  • What’s the difference between TURP and transurethral vaporization of the prostate (TUVP)?
  • What laser ablation procedures are offered for BPH?
  • How do you ultimately decide what procedure to choose?

REAL Questions from REAL Patients Like You

The Best Treatment Strategies for BPH answers these and other important questions - questions from patients searching for practical, no-nonsense advice on living with BPH. For example:

Question: I'm taking 10 mg of (terazosin) Hytrin and just added saw palmetto, but I still have to urinate at least five times a night. What else can I do?

Question: I drink coffee several times a day. Could the caffeine be making me urinate during the night or is it BPH?

Question: I've heard about a "drug cocktail" for treating BPH. What is it and could it help me?

Question: I have BPH and also take sildenafil (Viagra). Are there any drug interactions or side effects I should know about?

Question: Why can't I just have a stent placed in my urethra to keep it open instead of taking BPH drugs?

Question: Could my sexual problems be a result of the tamsulosin (Flomax) I take for BPH and can they be reversed?

Question: Could BPH be triggering my bladder problems?

Question: I take zinc, pyridoxine HCL, vitamin A, vitamin D, vitamin E, pumpkin seed concentrate, flaxseed oil, and soy for my BPH. Is there any evidence that these supplements reduce the symptoms of BPH?

Question: Which medication is more effective: terazosin (Hytrin) or tamsulosin (Flomax)?

Question: I had my first TURP five years ago and now my symptoms are back. Should I have a second TURP?

Question: Is there any connection between bladder stones and an enlarged prostate?

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University of California, Berkeley,
School of Public Health

The Best Treatment Strategies for BPH is published by the University of California, Berkeley, School of Public Health. This publication is part of an outgrowth of the School’s commitment to help improve the health and wellness of our community of readers by publishing expert advice on prevention, diagnosis and treatment for a wide range of ailments and disorders. We provide trusted, authoritative health guidance from leading physicians and researchers at America’s top medical centers and hospitals.

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