Patients with increasing symptom scores will progress to other treatments. Medical Therapy Medical treatment of BPH should be regarded as an option in its own right, rather than as merely an interim measure in patients waiting for surgery. These drugs work by relaxing the smooth muscle in the prostate. This reduces obstruction to urine flow without affecting the bladder's ability to contract. These drugs are given once a day.
Most patients start with a small dose, and gradually increase the dose to improve their symptoms.
Other drugs like Proscar act by shrinking the prostate. This results in improvements in both symptoms score and flow rates, and usually takes about 3-6 months. Surgical Management of BPH Surgical treatment is usually indicated for patients who have complications of BPH, those who have symptoms that are not adequately controlled by medical therapy or who elect to forego an attempt at medication for more definitive treatment. If compared with medical therapy, there are more complications with this type of treatment. With this procedure, a scope with a surgical loop is introduced through the urethra and chips of prostate tissue are cut and removed through the scope's sheath.