Proper Management of BPH

Updated: Dec 6, 2021

This is a monthly blog series that will highlight common urological issues I have treated and counsel patients on in my 20+ year practice as an Academic Urologist at St. Joseph’s hospital in Hamilton, Ontario. I hope you enjoy!

Conservative Management of BPH

I’ve treated thousands of men who are experiencing the annoying side effects of BPH (Benign Prostatic Hyperplasia). These symptoms can include:

- Frequency of urination

- Night time waking up

- Urgency of urination

- Difficulty starting to pee

- Stop and go of urine

- Slow flow

For many patients that have just begun to experience these symptoms, or are not finding the symptoms overly disruptive, I often counsel my patients to try some lifestyle and behaviour modifications that can alleviate symptoms and can lessen the chance of resorting to more invasive treatments, including drug therapy and/or surgical options.

Some ways to conservatively manage the discomfort of BPH symptoms include:

1) Timed Voiding. This is a technique that refers to going to bathroom to urinate based upon the clock, not how you feel. This allows the patient to prevent the bladder from overfilling so there is not that sense of urgency to suddenly use the washroom.

2) Avoiding/Limiting Caffeine and Alcohol – Caffeine and alcohol are diuretics , which speeds up the body’s production of urine. If you are experiencing BPH, this increase in urine production will result in both the frequency of urination, but also feelings of urgency. It is important to limit both caffeine and alcohol to reduce these symptoms.

3) Avoiding Drinking after Dinner – Many men with BPH complain of frequent nighttime waking to urinate. One easy lifestyle adjustment is to abstain from all fluids at least 2 hours before you go to bed. It is important to still remain hydrated, so spread out your water/liquid consumption throughout the day.

4) Limit artificial sweeteners and spicy food – There is some research that suggest artificial sweeteners and spicy foods can for some patients irritate the bladder which results in feelings of urinary frequency and urgency. Limiting these foods may help in alleviating symptoms.

It is a good idea to try some of these lifestyle changes as a first attempt to lessen symptoms of BPH. There are many other options that a Board certified urologist can prescribe, including medication and surgery if required. The other interesting, less invasive option to consider is REZUM.

If you would like to hear more about the REZUM procedure, please don’t hesitate in contacting me for a quick phone consult to determine if this procedure is the right one for you to consider.

Dr. M

Edward D. Matsumoto M.D., M.Ed., F.R.C.S.C., Dip.ABU.

Associate Professor

McMaster University

Faculty of Health Sciences, Department of Surgery

Division of Urology

Director of Minimally Invasive Surgery and Robotic Fellowship Program

39 views0 comments

Recent Posts

See All