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Enlarged prostate - what to ask your doctor

Definition

The prostate gland often grows larger as men get older. This is called benign prostatic hyperplasia (BPH). An enlarged prostate may cause you problems with urinating.

Below are some questions you may want to ask your health care provider about your prostate.

Alternative Names

What to ask your doctor about enlarged prostate; Benign prostatic hypertrophy - what to ask your doctor; BPH - what to ask your doctor

Questions

What is the prostate gland?

Where is it in my body?

What does the prostate gland do?

What causes the prostate gland to enlarge?

Do many other men have prostate problems?

How do I know my problem is not prostate cancer?

What are the symptoms of an enlarged prostate?

Will these symptoms get worse? How quickly?

Can any of these symptoms be harmful or dangerous?

What tests should I have?

How can I treat my symptoms at home?

Is it ok to drink alcohol? How about coffee and other drinks with caffeine?

How much fluid should I drink during the day?

Are there medicines that may make my symptoms worse?

Are there exercises that can help with my symptoms?

What can I do so that I do not wake up at night as much?

I have heard there are different herbs and supplements that may improve my symptoms? Is this true? Are these herbs or supplements safe to use?

What medicines may help?

Are there different types? How are they different?

Will they make my symptoms go away completely?

Does their benefit wear off over time?

What side effects should I look for?

Questions to ask when thinking about having surgery for an enlarged prostate:

  • Have I tried all the different safe treatments and medicines that may help?
  • How quickly will my symptoms get worse if I do not have surgery?
  • What are the serious medical problems that can happen if I do not have surgery?
  • If I do not have surgery now, does that make having surgery later less effective or more dangerous?

What are the different types of surgery that I can have?

  • Are there surgeries that are better for my situation?
  • Will I ever need another surgery for a large prostate? Does one kind of surgery help for longer?
  • What are the side effects of the different surgeries? Is one surgery more likely to cause problems with erections? With urinary incontinence?
  • Do I need to stay in the hospital after the surgeries? How long will it take to recover?
  • Is there anything I can do before surgery to make recovery easier?

References

Abrams P, Chapple C, Khoury S, Roehrborn C, de la Rosette J; International Consultation on New Developments in Prostate Cancer and Prostate Diseases. Evaluation and treatment of lower urinary tract symptoms in older men. J Urol. 2013 Jan;189(1 Suppl):S93-S101. PMID: 23234640 www.ncbi.nlm.nih.gov/pubmed/23234640.

Roehrborn CG. Benign prostatic hyperplasia: Etiology, pathophysiology, epidemiology, and natural history. In: Wein AJ, Kavoussi LR, Novick AC, Partin AW, and Peters CA, eds. Campbell-Walsh Urology. 10th ed. Elsevier Saunders; 2011:chap 91.

Sarma AV, Wei JT. Clinical practice. Benign prostatic hyperplasia and lower urinary tract symptoms. N Engl J Med. 2012 Jul 19;367(3):248-57.

Review Date:6/29/2015
Reviewed By:Jennifer Sobol, DO, Urologist with the Michigan Institute of Urology, West Bloomfield, MI. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.

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