Benign Prostatic Hyperplasia
11 medicines
Benign prostatic hyperplasia (BPH) is a non-cancerous enlargement of the prostate that presses on the urethra, causing urinary symptoms in older men.
Tadalis SX
Tadalafil
20mg
Tadalis SX is a medication medication containing Tadalafil, available as 20mg tablets.
Key facts
- Benign prostatic hyperplasia (BPH) is a non-cancerous enlargement of the prostate gland that presses on the urethra and makes urination harder; it is extremely common in men over 50.
- Symptoms include a weak or interrupted stream, a feeling of incomplete emptying, difficulty starting, frequent urination including at night (nocturia), and sudden urgency.
- Alpha-blockers such as tamsulosin relax prostate and bladder-neck muscle for quick symptom relief; dutasteride shrinks the prostate over months by blocking the hormone DHT. The two classes are often combined.
- A complete inability to urinate, or blood in the urine, needs prompt medical assessment.
What the prostate does and why it grows
The prostate sits just below the bladder and wraps around the urethra. Its main job is producing fluid that nourishes sperm. As men age, hormonal shifts, particularly in testosterone and its derivative dihydrotestosterone (DHT), drive the gland to slowly enlarge. This is a gradual, near-universal process, though how much it affects urination varies widely from one man to another.
Recognising the symptoms
BPH produces a cluster of lower urinary tract symptoms: a weak or interrupted urine stream, a sense that the bladder has not fully emptied, difficulty starting the flow, and needing to urinate frequently, including several times overnight (nocturia). A sudden, hard-to-defer urge to urinate is also common. Severe symptoms deserve prompt attention: a complete inability to urinate (acute urinary retention) or blood in the urine should be assessed without delay.
How it is treated
Two main drug classes reduce symptoms. Alpha-blockers relax the smooth muscle in the prostate and bladder neck, improving urine flow within days. Tamsulosin, terazosin, and alfuzosin all work this way. Five-alpha reductase inhibitors such as dutasteride shrink the prostate over several months by blocking DHT, and combining both drug classes is common for men with larger prostates. Tadalafil is also used for BPH, particularly when erectile dysfunction accompanies the urinary symptoms, since it eases both at once.
Lifestyle changes that help
Reducing fluid intake in the evening, limiting caffeine and alcohol, and practising bladder-training techniques can meaningfully cut nocturia and urgency without any medicine, and pair well with drug treatment when symptoms are more severe.
This page is educational and does not replace advice from a doctor or pharmacist who knows your health history.
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