HJAR May/Jun 2023

52 MAY / JUN 2023 I  HEALTHCARE JOURNAL OF ARKANSAS DIALOGUE COLUMN UROLOGY MOST MEN dread the idea of having their prostate checked. Some find it either emas- culating, a reminder of their aging body, or all-around inconvenient. However, prostate checks are crucial to a man’s health and not only because they can help detect the pres- ence of prostate cancer. Benign prostatic hyperplasia (BPH) is a noncancerous condition in which the pros- tate increases in size as a man ages. Because the urethra passes through the prostate, this enlargement can pinch the urethra and limit the flow of urine. Studies show the frustrat- ing symptoms of BPH are present in more than half of men ages 51 to 60, 70% of men aged 60 to 69, and 80% of men over 80. Prostate Symptom Score (IPSS) tests are up- to-date and that you have the most current American Urological Association symptom index. Conduct a urinalysis, have your patients keep a fluid diary, and encourage them to make intentional lifestyle changes. Patients should drink less at night, consume less caf- feine and alcohol, monitor foods they’re eat- ing, increase physical activity, and maintain a healthy weight. Pharmacotherapy Patients with mild to moderate BPH symptoms are apt for provider recommend- ed medicinal treatment. Drugs used to treat Many studies suggest that age, family his- tory, metabolic syndrome, and obesity are factors that increase the risk of BPH. Primary care physicians are the front line of defense for individuals suffering from BPH and Lower urinary tract symptoms (LUTS). The right diagnosis can change an individual’s life, and, fortunately, there are many treatment options for men of all ages. Initial observation Patients with mild and less bothersome BPH symptoms are prime candidates for watchful waiting. As men age and begin to schedule regular prostate screenings and check-ins, ensure that their International Benign Prostatic Hyperplasia: Determining Appropriate Treatment for Your Patient