Benign prostatic hypertrophy

Management

• Non-pharmacologic management:
  • Avoid fluids before bedtime or going out
  • Decrease caffeine and alcohol intake
  • Double voiding to empty the bladder more completely
• First-line medications include alpha-1 blockers
  • Tamsulosin 0.4 mg p.o. daily, 30 minutes after a meal
    • Can be increased to 0.8 mg p.o. daily if no response after 2 to 4 weeks
  • Silodosin 8 mg p.o. daily
  • Alfuzosin 10 mg p.o. daily