Thonburi Trang
Age ≥50
Family history of BPH/prostate cancer
Metabolic risks: central obesity, diabetes, hypertension, dyslipidemia
Alcohol/caffeine excess, heavy evening fluids
Some meds (e.g., certain decongestants/antihistamines) may worsen symptoms
Frequency/urgency, nocturia
Weak stream, hesitancy, straining
Incomplete emptying, post-void dribbling, leakage
Suprapubic heaviness
Acute urinary retention
Visible blood in urine or fever/chills
Back pain, swelling, or fatigue suggesting kidney involvement
History + IPSS score
Urinalysis; blood tests including PSA (to assess cancer risk); digital rectal exam as indicated
Ultrasound/post-void residual and uroflowmetry
A personalized plan—no copy-paste medicine
Lifestyle
Limit fluids 2–3 hours before bed; cut caffeine/alcohol
Double voiding, treat constipation, weight control, pelvic-floor training
Medications
Alpha-blockers for flow
5-alpha-reductase inhibitors to shrink the gland
Tadalafil for selected men with LUTS ± ED
(All under clinician guidance.)
Procedures / Surgery
Minimally invasive day procedures, e.g., water-vapor therapy or prostatic urethral lift when suitable
TURP / laser for large glands or severe symptoms
Your urologist will match the technique to your anatomy, symptoms, and goals.
Is BPH cancer? No—but PSA/clinical assessment are important to rule out cancer.
When do I need treatment? High IPSS score, life disruption, or complications.
Does “holding it” harm me? Yes—raises risks of retention, infection, and kidney issues.
Full urology workup: IPSS, PSA, ultrasound, uroflow
Broad treatment choices, including minimally invasive, same-day options
Coordinated follow-up and clear instructions
Thonburi Trang Hospital (THG) — Urology Clinic
Tel 075-215-215 • Line/FB @THONBURITRANG • Open daily
Appointment
Find a Doctor
Online Bill Payment