در مردان و به خصوص در سنین بالای 45 سال، عارضه بزرگ شدن خوشخیم پروستات یا BPH مطرح میشود و معمولاً با علائمی مانند تکرر ادرار، جریان ضعیف و احساس تخلیه نشدن مثانه بروز میکند. بسیاری از بیماران در نخستین مراجعه میپرسند برای کوچک شدن پروستات چی خوبه؟ یا آیا حجم پروستات کوچک میشود؟ پاسخ این نوع سوالات مثبت است؛ اما انتخاب روش درمان به اندازه غده، شدت علائم و سلامت عمومی بیمار بستگی دارد. In 2025, the spectrum of treatment, from less complicated drugs to less invasive methods such as embolization, has become more accurate and effective than in the past.
Cause Prostate enlargement and why it should be reduced?
The prostate grows gradually with age and the influence of hormones. This growth puts pressure on the urethra and causes urination problems. If the treatment is not done on time, the risk of urine retention in the bladder, stone formation, infection or even damage to the kidneys increases. Therefore, it is necessary to know the strategies for shrinking the prostate to prevent long-term complications.
| treatment method | Amount of effect on volume | Recovery time | target group |
|---|---|---|---|
| prostate shrink drug | Medium | 6-12 months | People with mild to moderate prostate |
| arterial embolization of the prostate | A lot | 3-7 days | Elderly, heart patients, non-response to medication |
| prostate laser | A lot | 1-2 weeks | Medium to large prostate |
| Thermal methods | Medium | 1-2 weeks | Mild to moderate cases |
| classic surgery | A lot | a few weeks | Very large prostate or severe retention |
Drug treatment is the first choice in mild to moderate prostate enlargement. The most common question that patients ask is what is the best medicine to reduce prostate size? In the following, we will examine the effective drugs in this field.
These drugs include finasteride and dutasteride and are included in the category of prostate volume reducing drugs. The function of these drugs is to reduce the production of DHT hormone, which is considered the cause of prostate growth. Continuous use during 6-12 months reduces the prostate size by 20-30%. This group is considered the most common prostate volume reduction pill in standard treatment.
b) Prostate muscle relaxant drugs
These drugs do not shrink the size of the prostate, but they do reduce symptoms. In cases where the patient asks, what should be done to reduce the size of the prostate? The answer is a combination of these two drug groups; Because one reduces the volume and the other reduces the symptoms.
Dr. Majid Faraji, a cardiologist, puts special emphasis on combination therapy to obtain the best response in patients with moderate prostate.
ways Home and lifestyle to reduce prostate size
Home methods do not shrink the prostate; But along with medicines, they help control the disease. The most important measures are:
- reduce the consumption of caffeine, soft drinks and alcohol to improve urine discharge
- Weight loss
- regular physical activity
Methods Minimally invasive to reduce prostate size
In recent years, minimally invasive methods have become popular as ways to reduce the size of the prostate; Because they are performed without the need for open surgery and usually have a short recovery period. We will examine these methods below.
1. Prostate Arterial Embolization (PAE)
One of the newest methods is arterial embolization, which causes it to shrink within a few weeks by blocking the blood vessels feeding the prostate. The advantages of this method are:
- without anesthesia
- No surgical incision
- quick return to work and activity
- Suitable for the elderly or heart patients
Dr. Majid Faraji, in examining heart patients who need low-risk methods, points out that embolization is one of the safest ways to reduce prostate volume in elderly men.
2. Evaporation or prostate laser
New generation 2025 lasers with high precision vaporize excess tissue and reduce symptoms instantly. This method is recommended for medium to large prostates.
3. Thermal methods
In this method, excess tissue is heated and destroyed with microwaves.
In cases where the prostate volume is very large or chronic urinary retention occurs, minimally invasive treatments are not enough. At this stage, options such as TURP or open surgery are presented. But in recent years compared to the past, the percentage of the need for surgery has been greatly reduced due to the advancement of minimally invasive methods. In the table below, the main methods of prostate volume reduction are compared.
Summary
Prostate enlargement treatment has a wide spectrum and includes effective drugs such as prostate shrinking drug, prostate volume reduction drug, modern methods such as embolization. Everything depends on the patient's condition, symptoms, age and medical history, and in each case, specific treatments are provided along with expert advice. Consultation with a specialist doctor, such as Dr. Majid Faraji, is the best way to choose the right option.
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