TURP for BPH: How Transurethral Resection Relieves Prostate Obstruction
Transurethral resection of the prostate (TURP) is an operation that removes obstructing prostate tissue from around the prostatic urethra. A surgeon passes a resectoscope through the penis and urethra, removes prostate tissue in small pieces and creates a wider channel for urine to leave the bladder. Direct answer TURP relieves benign prostatic obstruction by physically […]
Finasteride for BPH: Prostate Shrinkage, PSA Changes and Sexual Side Effects
Finasteride is a 5-alpha-reductase inhibitor used for BPH when prostate enlargement or progression risk is present. It lowers dihydrotestosterone (DHT), gradually reduces prostate volume and changes how PSA results must be interpreted. Direct answer For BPH, finasteride 5 mg once daily can shrink an enlarged prostate, improve symptoms gradually and reduce the long-term risk of […]
Dutasteride for BPH: Prostate Shrinkage, PSA Changes and Sexual Side Effects
Dutasteride is a 5-alpha-reductase inhibitor used for BPH when prostate enlargement or progression risk is present. It lowers dihydrotestosterone (DHT), gradually reduces prostate volume and changes how PSA results must be interpreted. Direct answer For BPH, dutasteride 0.5 mg once daily can shrink an enlarged prostate, improve symptoms gradually and reduce the long-term risk of […]
Doxazosin for BPH: How It Works, Urinary Effects and Blood Pressure Considerations
Doxazosin is an alpha-1 blocker used to relieve bothersome male lower urinary tract symptoms associated with BPH. Because it also relaxes blood vessels, urinary benefit must be balanced against dizziness and a fall in blood pressure—especially when treatment begins or the dose rises. Direct answer Doxazosin relaxes smooth muscle at the prostate and bladder neck, […]
Terazosin for BPH: How It Works, Urinary Effects and Blood Pressure Considerations
Terazosin is an alpha-1 blocker that can improve bothersome urinary symptoms associated with BPH. Its effect is not confined to the prostate: it also dilates blood vessels, making dose titration, standing blood pressure and fall risk central to safe use. Direct answer Terazosin reduces alpha-1-mediated smooth-muscle tone at the prostate and bladder neck, which can […]
Why Does Retrograde Ejaculation Occur After BPH Surgery? TURP, HoLEP and Bladder Neck Changes
Changes in ejaculation are common after some operations for BPH and benign prostate enlargement. After procedures such as TURP or HoLEP, a man may still experience orgasm but notice little or no semen leaving the penis. One important reason is retrograde ejaculation, in which semen travels backward into the bladder instead of forward through the […]
Alfuzosin for BPH: How It Works, Symptom Effects and Side Effects
Alfuzosin is an alpha-1 blocker used for bothersome lower urinary tract symptoms associated with BPH. It relaxes smooth muscle at the prostate and bladder outlet but does not shrink prostate tissue. Direct answer Alfuzosin can improve BPH-associated LUTS and urinary flow within days to weeks by reducing alpha-1-mediated outlet tone. In the United States, the […]
Silodosin for BPH: How It Works, Symptom Effects and Ejaculatory Side Effects
Silodosin is a highly alpha-1A-selective blocker used for bothersome lower urinary tract symptoms associated with BPH. Its selectivity limits vascular effects for many men but makes reduced or absent seminal emission particularly important. Direct answer Silodosin relaxes smooth muscle in the prostate and bladder neck and can improve LUTS within days to weeks. The US […]
Sex After BPH Surgery: When to Resume, Ejaculation Changes and Erectile Function
Sexual activity after BPH surgery or a minimally invasive prostate procedure can usually resume after the treated tissue has had enough time to heal, but the timing differs between procedures. Urinary bleeding, catheter use, discomfort and the type of operation all matter. Sexual recovery also involves several separate outcomes: erection, orgasm, ejaculation and fertility do […]
What Is PSA? What the Prostate-Specific Antigen Blood Test Measures
PSA stands for prostate-specific antigen. It is a protein enzyme produced mainly by glandular cells of the prostate. Most PSA is released into prostatic fluid and semen, where it participates in semen liquefaction. A much smaller amount enters the bloodstream. A PSA blood test measures that circulating concentration and uses it as a marker of […]