What is treatment for (BPH) Benign Prostatic Hyperplasia that fit to you? If you are diagnosed BPH, or you are a health care workers that is looking for correct treatment for Benign Prostatic Hyperplasia. Then you are come to the right site. Let’s make it short!

Treatment for (BPH) Benign Prostatic Hyperplasia

There are three kind treatments for BPH (Benign Prostatic Hyperplasia); Conservative treatment, increasing the urine flow, and surgery.

Conservative treatment like prostate massage, sitz showers, short-term fluid limitation for bladder distension, antimicrobial for infection. Routine ejaculation can help prostatic congestion.

Conservative Treatment for BPH

Prostate Massage

First conservative treatment for BPH is prostate massage. Prostate massage is a massage therapy for men only. This massage plays important role in BPH treatment. The purpose of this treatment is to prevent prostate secretion accumulation, to reduce inflammation pain, and to increase the antibiotic effect toward BPH.

But you should consult with your doctor about this therapy because, this massage needs doctor help. The doctor usually insert the finger into the rectum and massage the prostate through it.

This procedure may be painful. The prostate secretion accumulation will flow out from your urinary tract.

Sitz Bath

sitz bath

Sitz bath is a bath in which a person sits in water up to the hips. This therapy can reduce discomfort and pain in the lower part of the body, including BPH. It works by increase the blood flow to your lower body. A warm sitz bath could be helpful to relieve congestion and oedema by aiding venous return from the perianal area. The effect of this sitz bath is to reduce spasm by relaxing the sphincter, reducing pain. So this treatment could be your second option and it could be done in your home. You just need bath tub and warm water, include disinfectant (as needed). And you need just sit for 15-20 minutes until the water cools down.

Medicines Help Increase the Urine Flow

As a combination of BPH therapy, medicine help is needed. Some of the medicines are to increase the urine flow, so that can reduce urinary congestion by relaxing the ureter contraction. Those medicines are: Increase the urine flow with alfa-adrenergic like doxazosin, terazosin, tamsulosin, and prazosin. Those medication reduce urinary tract obstruction by preventing prostate and ureter contraction . Finastride can reduce prostate enlargement in some patients.


I think operation is the only effective therapy to reduce acute urine retention, hydro nephrosis, severe hematuria, recurrent UTI, and other severe sign and symptoms. If you are a nurse, please read this Benign Prostatic Hyperplasia Nursing Care

Transurethral resection can be done if prostate weight about 56,7 gram. In this procedure, resectoscope erodes the prostate tissues with electric wire. For high risk patient, continuous drainage through catheter can reduce urine retention.

Other alternatives like:

  • Suprapubic resection (trans vesical); this is the most common procedure if prostate enlargement still in bladder.
  • Perineal resection; for larger gland in elder patient, sometime it can cause impotence and incontinence.
  • Retropubic resection (extra vesical); give direct vision, potential and continence are usually maintained.
  • Transurethral microwave (heat therapy); nowadays this therapy is used for some patients. The effectivity lies on alfa-adrenergic blocker and operation.