Benign prostatic hyperplasia (BPH) is a common condition requiring structured, stepwise management. Guidelines support beginning with non-pharmacological interventions before escalating to other options.
The initial management of BPH centres on behavioural and lifestyle modifications, which are considered reasonable first-line treatment for all patients. These include adjustments to fluid intake timing, dietary habits, and daily activity patterns — among other targeted strategies.
Lifestyle and behavioral interventions are reasonable first-line treatments for all patients.
Straightforward interventions include limiting intake of the following: fluids prior to bedtime or travel; mild diuretics, such as caffeine and alcohol; and bladder irritants, such as highly seasoned or irritative foods.
Other interventions include avoiding constipation, increasing physical activity, weight loss, Kegel exercises at time of urinary urgency, timed voiding regimens, and double-voiding techniques.
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