Vergrote prostaat, welke behandelingen zijn er? Arts legt uit

What treatments are available for an enlarged prostate? What can you achieve yourself through lifestyle changes to improve urination? What medications are available for urinary problems? When is prostate surgery necessary? Urologist Oncko van Vierssen Trip from Andros Clinics explains. 00:00 Enlarged prostate treatments 00:10 Lifestyle for better urination 01:57 Medications for urinary problems 02:07 Alpha-blockers 03:02 Prostate reduction 03:28 Bladder relaxation 04:34 Surgery Read more at andros.nl V21 Enlarged prostate, what treatments are available? Lifestyle, medications, and surgery. An enlarged prostate does not need to be treated in all cases. Sometimes it is sufficient to adjust lifestyle and change urination and drinking habits. You can map this out by keeping a so-called urination diary. Men can then indicate how often they urinate in a single day and how much they urinate. The GP can deduce from this what the problem is. And sometimes it is sufficient to simply adjust the amount of fluids consumed according to the time of day. Specifically, not drinking much in the evening so that less urine is produced at night and men can sleep through the night better. In addition to urination habits, also regulate bowel movements properly. Hard stool presses on the prostate from behind and causes more urinary complaints. Therefore, regulating soft stools properly through a laxative diet can help improve urination. The third step could be pelvic physiotherapy. Pelvic physiotherapy means treatment by a specialized physiotherapist who has completed a three-year training program in pelvic physiotherapy. They can assess whether adjustments are needed in urination habits, particularly regarding being able to relax properly and avoiding straining to urinate. They can determine what to do and what not to do. This involves explanation, instruction, and sometimes practice sessions. This, too, can sometimes lead to a significant improvement in urinary problems, without even needing to prescribe medication. If these steps are not sufficiently effective, there are a number of highly effective medications for urinary symptoms associated with an enlarged prostate. The first group consists of so-called alpha-blockers. Drugs such as alfuzosin, tamsulosin, and silodosine are all related medications that cause the urethra to relax. The walls of the urethra and the prostate contain smooth muscles, just like blood vessels. These muscles can relax under the influence of these medications. In the past, these medications also affected blood pressure, causing some men to become dizzy. Nowadays, these medications are more selective and act primarily on the prostate and less on blood pressure. However, it is still possible. These medications are the most frequently prescribed. And sometimes for years with good success, meaning you do not need surgery at all. The second group of medications consists of prostate-reducing drugs. These inhibit prostate growth and can even lead to a reduction in prostate size. The best-known examples are finasteride, dutasteride, Proscar, and Avodart. These bladder-shrinking medications take some time to take effect, about three to six months. They can also sometimes have bothersome side effects. The third group of medications that can play a role in prostate enlargement complaints are bladder relaxants. The best-known examples are oxybutynin, solifenacine, and mirabegron. These are medications that act on the bladder's contractile force and on nervousness and overactivity. A disadvantage of these medications is that they weaken the bladder somewhat, and as a result—which can be checked with ultrasound—the bladder is sometimes no longer completely emptied. There are also combinations of medications; Combodart, tamsulosine, dutasteride, Vesomni, solifenacine, and tamsulosine are combinations of medications that the urologist sometimes uses to reduce urinary complaints. With sufficient improvement, these medications may remain effective for years, meaning the patient may never need prostate surgery. Prostate surgery If there is a situation where urinary symptoms do not improve well or if the side effects of the medication are so bothersome that this is no longer a good alternative, then a potential operation may be considered. More info: https://www.andros.nl/   / androsclinics     / androsclinics