Take charge of your health

Form partnerships. Ask questions. Take action.

Yes, change is inevitable as you age. But you don’t have to live with uncomfortable urinary problems. If you’re waking up frequently to go to the bathroom, having difficulty emptying your bladder; or having trouble sitting through a meeting, sports event, or movie without having to go to the bathroom, it’s time to take action.

Keep a record of your symptoms – their frequency and how much they bother you. It may help to record your symptoms in a diary
Talk to your doctor about your symptoms. Your doctor may refer you to a urologist, a physician who specializes in problems of the urinary tract and male reproductive system
Build a partnership with your doctor to manage your health. Communicate openly and directly
Communicate with your spouse or life partner. Your symptoms could be affecting your partner too
Learn all you can. Set the wheels in motion to get an accurate diagnosis and effective treatment

The good news: Treatments for BPH are improving all the time. Today you have many nonsurgical options to choose from.

Learn about medications for BPH
How to start the conversation with your doctor
Learn about treatment options for BPH

References

Fenter TC, Naslund MJ, Shah MB, et al. The cost of treating the 10 most prevalent diseases in men 50 years of age or older. Am J Manag Care. 2006;12(4 suppl):S90-S98
National Institute of Diabetes and Digestive and Kidney Diseases. Prostate enlargement: benign prostatic hyperplasia. NIH Publication No. 07-3012. June 2006.
Shvartzman P, Borkan JM, Stoliar L, et al. Second-hand prostatism: effects of prostatic symptoms on spouses’ quality of life, daily routines and family relationships. Family Pract. 2001;18:610-613.
American Urological Association. AUA guideline on management of benign prostatic hyperplasia (2003). Chapter 1: Diagnosis and treatment recommendations. J Urol. 2003;170:530-547
Nickel JC. Comparison of clinical trials with finasteride and dutasteride. Rev Urol. 2004;6 Suppl 9:S31-9
Benign Prostatic Hyperplasia (BPH): A Patient’s Guide. Available at: http://www.auanet.org/content/guidelines-and-quality-care/clinical-guidelines/patient-guides/bph_guide_2003.pdf. Accessed February 4, 2009.
Brawer MK. A multicenter study on the efficacy and safety of interstitial laser coagulation versus α-blockade in subjects with symptomatic benign prostatic hyperplasia: preliminary results. Rev Urol. 2005;7(suppl 9):S29-S33.
Medline Plus Medical Encyclopedia from NIH: Enlarged Prostate. Available at: http://www.nlm.nih.gov/medlineplus/ency/article/000381.htm. Accessed March 5, 2009.
Moriyama N, Nasu K, Takeuchi T, et al. Quantification and distribution of a1-adrenoceptor subtype mRNAs in human vas deferens: comparison with those of epididymal and pelvic portions. Br J Pharmacol. 1997;122:1009-1014.
Kuritzky L. A primary care physician’s perspective on benign prostatic hyperplasia. Rev Urol. 2003;5(suppl 5):S42-S48.
Wolters R, et al: Lower urinary tract symptoms: social influence is more important than symptoms in seeking medical care. BJU Int. 2002;90:655–661.
Rosen RC, Giuliano F, Cason CC. Sexual dysfunction and lower urinary tract symptoms (LUTS) associated with benign prostatic hyperplasia (BPH). Eur Urol 2005;47:824–837.
Ponholzer A, Madersbacher S. Lower urinary tract symptoms and erectile dysfunction; Links for diagnosis, management and treatment. Int J Impot Res. 2007;19:544-550.
National Institute on Aging: Talking With Your Doctor. Available at: http://www.nia.nih.gov/HealthInformation/Publications/TalkingWithYourDoctor/. Accessed March 5, 2009.
de Mey C, Michel MC, McEwen J, Moreland T. A double-blind comparison of terazosin and tamsulosin on their differential effects on ambulatory blood pressure and nocturnal orthostatic stress testing. Eur Urol. 1998;33(5):481-8.
http://www.dictionary.com
Atlas of Human Anatomy, Frank H. Netter, MD, Ciba-Geigy Corporation, Summit, NJ, 1989.

Talking to your doctor

It may help you to fill out the American Urological Association BPH Symptom Score Questionnaire.

Take the questionnaire >