They often work quickly in people with somewhat smaller prostates. Alpha blockers include alfuzosin (Uroxatral), doxazosin (Cardura), tamsulosin (Flomax) silodosin (Rapaflo) and terazosin. Alpha blockers work by relaxing the smooth muscle of the bladder neck and prostate. Taking medicine is the most common treatment for mild to moderate symptoms of an enlarged prostate. For some people, symptoms of BPH can ease without treatment. Instead, you could wait to see if your symptoms change or get worse. If your symptoms don't get in the way of your life, you might decide to put off treatment. The best treatment choice for you depends on: These include medicines, surgery and procedures that involve smaller, fewer or no cuts. Many treatments are available for enlarged prostate. You have access to the latest diagnostic testing, including urodynamic and pressure flow studies. Mayo Clinic specialists have experience diagnosing complex conditions involving enlarged prostate. Before this test, you will be given a medicine that keeps you from feeling pain. It lets a provider see inside the urethra and bladder. A lighted, flexible tool is placed into the urethra. Water - or, less often, air - is slowly sent into the bladder to measure bladder pressure and check how well the bladder muscles work. A catheter is threaded through the urethra into the bladder. Checking the tissue can help your provider find out if you have prostate cancer. Transrectal ultrasound guides needles that are used to take tissue samples of the prostate. A device that uses sound waves to make pictures is inserted into the rectum. If your health problem is more complex, you may need tests including: It might be extra helpful if you make more than a third of your daily urine at night. This involves noting how often and how much you pee. Or it can be done with a tube called a catheter placed into your bladder after you pee to measure how much urine is left in the bladder. The test can be done using an imaging exam called ultrasound. This test measures whether you can empty your bladder fully. Test results can show over time whether your condition is getting better or worse. The machine measures how strong your urine flow is and how much urine you pass. You pee into a container attached to a machine. But higher PSA levels also can be due to recent procedures, illnesses, surgery or prostate cancer. PSA levels go up when the prostate becomes enlarged. Prostate-specific antigen (PSA) blood test.After that, you might need other tests that can help confirm an enlarged prostate.
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