BPH drug therapy

Treatment with drugs such as dutasteride or finasteride offers a way of avoiding or postponing surgery, and is now generally regarded as the most appropriate first-line approach if the symptoms are not too bothersome.

Who is it suitable for?

Medical therapy can be used for the majority of men who have troublesome symptoms, but no complications such as bladder stones or acute urinary retention (i.e. the complete inability to pass urine).

How does it work?

There are two types of medication: alpha-blockers such as tamsulosin work by helping to relax muscles in the bladder and prostate, which in turn helps to reduce the pressure on the urethra; five-alpha reductase inhibitors such as finasteride are “prostate shrinkers” which work by blocking the conversion of testosterone to another substance, DHT, that is known to have a role in prostate growth.

Where is it done?

Your treatment and follow-up can be managed by us at The Prostate Centre, or we can liaise with your GP if you prefer; medication can be bought from us or alternatively may be available on the NHS, depending on your eligibility.

How much does it cost?

It is hard to put a figure on the cost as it depends on which drugs are prescribed and how much you need to take. In addition, you will need follow-up consultations and probably further tests every now and then. Pharmaceutical products are not normally eligible for health insurance benefit.