Content Medically Approved by Dr Fotinos | Male Excel Blog Mar 10, 2020 8:34:12 AM 17 min read

Can Daily Tadalafil Ease Benign Prostatic Hyperplasia?

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Benign Prostatic Hyperplasia

There has been plenty of talk about the almost magical effects of daily Tadalafil for those suffering from Erectile Dysfunction (ED). More recently though word on the street is spreading about Tadalafil having double efficacy in treating the rather annoying symptoms of Benign Prostatic Hyperplasia (BPH)

What is Benign Prostatic Hyperplasia?

Benign Prostatic Hyperplasia is essentially an enlarged prostate. The prostate is a small gland that makes up part of the male reproductive system. It's positioned just below the bladder and passing through it is the tube that carries urine out of the body (The Urethra). When the prostate becomes swollen this can restrict the urethra and in severe cases stop the urine flow completely.

Swollen prostate and the effects of Benign Prostatic Hyperplasia on the urethera


There are over 3 million new cases of Benign Prostatic Hyperplasia a year in the USA alone. In fact, statistics show that 50% of men over the age of 50 and 90% of men over the age of 80 will suffer from this condition. Some scientists also believe nearly all men will suffer from this condition if they live long enough, so to put it is simply BPH is something that comes with aging.

Many men worry that an enlarged prostate is linked to an increased risk of prostate cancer, although symptoms are similar, this is not the case so don't worry. However, it is possible to have both conditions at the same time.

What are the Symptoms of BPH?

• Difficulty urinating
• Weak urine stream
• Straining and finding it hard to start to pee
• Frequent urination
• Having the feeling of not completely emptying the bladder
• Accidental leakage (incontinence)
• Frequent trips to the toilet during the night

What treatments are available for BPH?

Treatments for Benign prostatic hyperplasia are of course available but not necessarily always needed. If your symptoms are mild, simple changes in your lifestyle can have dramatic results in improving the issues. However, it's important to seek medical help if you are concerned about BPH so any other conditions with similar symptoms such as prostate cancer can be ruled out.

What Lifestyle changes can improve BPH?

Everybody knows that your lifestyle choices, what you eat, and drink will dramatically affect your general health. What isn't so commonly known is that the consumption of soda, too much alcohol, artificial sweeteners, and caffeine can irritate the bladder and prostate, aggravating urinary conditions. So, reduce your intake and you will reduce the risk.

One of the common symptoms of BPH is needing to frequent the toilet during the night. So, trying not to drink for a couple of hours before bed can help enormously. Also, make sure to go to the toilet before long journeys to avoid being caught out.

Some people find that a technique called Double Voiding helps. This is simply waiting a short while after having a pee, then trying again. This makes sure that you have emptied the bladder fully. Remember not to strain too hard.

Constipation can exacerbate BPH symptoms because of pressure on the bladder and prostate. So, eating more fruit and fiber should help avoid this problem.

You should also check with your doctor that your meds are not an underlying cause of urinary problems. Some antidepressants, sedatives, and decongestants can make symptoms worse.

What Medication can you take for Benign Prostatic Hyperplasia?

In some cases, BPH will clear up on by itself with positive lifestyle changes. There are number approved medications for the treatment of BPH which include.


Alpha-Blockers help relax the muscles in and around the bladder making it easier for urine to pass. Some of these medicines such as Doxazosin were originally developed to treat high blood pressure but later found to be beneficial to men suffering from BPH.

Examples include

• Doxazosin
• Prazosin
• Alfuzosin
• Tamsulosin (Flomax)

Side effects

The main side effects of alpha-blockers are low blood pressure and dizziness, especially after sitting or laying down. For this reason, it is best to take these medicines at bedtime to reduce the risk. They may also cause nausea and headaches.
Alpha-blockers will not reduce the size of your prostate, but they can relieve the symptoms which unfortunately may become worse in the future and without further intervention.

Hormone Reduction Medication

Medications such as 5-Alpha reductase inhibitors are usually given to men with very enlarged prostates. Essentially, they alter the levels of hormones produced in the body which enlarge the prostate, reducing the growth, which can ease the symptoms.

Side Effects

Most men who taking 5-Alpha reductase inhibitors suffer very few side effects, but common side effects can include. Nausea, headaches, retrograde ejaculation a bit like coming in reverse, where some semen comes back into the bladder instead of out the penis. These drugs can also cause a decrease in sex drive and trouble getting and maintaining an erection (Erectile Dysfunction).

Phosphodiesterase-5 (PDE-5) Inhibitors

This group of drugs is approved by the FDA for the treatment of erectile dysfunction in men and includes Viagra (Generic Sildenafil), Levitra (Vardenafil), and most importantly Tadalafil (Cialis). Only Daily Tadalafil is FDA-Approved for BPH as well as E.D and is usually prescribed in 2.5mg or 5mg tablets which as the name suggests are taken daily

Cialis (Generic Tadalafil) was originally developed to treat E.D but researchers subsequently discovered it was effective in reducing the symptoms of BPH. Tadalafil works by increasing the level of a chemical in the body called Cyclic Guanosine Monophosphate (cGMP). This chemical increases the blood flow to the penis (Improved Erections) but crucially also relaxes the muscles in the bladder and prostate, relieving symptoms of BPH.

Doctor Gary Kline (Male Excel chief physician)

"BPH can have a huge impact on a man's quality of life, with many older men suffering from the symptoms. Daily Tadalafil offers hope and is an ideal treatment, especially for those with E.D as well."

Side effects

Luckily most side effects of Tadalafil are mild, but can include:

• Nausea
• Loose stools
• Headache
• Muscle and back pain
• Congestion
• Redness in the face

Rarely Tadalafil can cause sudden vision and or hearing loss so if you suffer these side effects stop taking immediately and consult your doctor as soon as possible.

Surgery for BPH

Surgery is often the last resort when it comes to treating Benign Prostatic Hyperplasia. Urologists will usually want to explore non-invasive options such as medication because of possible complications that can follow surgical procedures.

Following surgery for an enlarged prostate, many patients experience difficulty in urinating, pain whilst doing so, and also an increase in the need to go to the toilet. However, this does usually subside within a couple of months after surgery. Incontinence is also common after prostate surgery, again this is usually temporary and eases after time.

After prostate surgery blood clots and blood may be present in the urine, this usually passes within a couple of days. If any large clots are passed or large amounts of blood, this indicates something could be amiss and you need to contact your urologists. Blood clots can travel to other parts of your body and cause embolisms, so this needs to be monitored carefully.

Following surgery, some men report erectile dysfunction as a problem. In most cases, this is psychological rather than a direct result of surgery. Talking with a doctor can certainly help and this is most likely to occur if the patient previously suffered from E.D.

Other complications include

• Infection
• Scarring
• Recurring issues (approximately 10% of men will need further surgery within 5 years)

Can Daily Tadalafil Treat Erectile Dysfunction and Ease Benign Prostatic Hyperplasia?

The simple answer is yes for most men. The adage of "Killing two birds with one stone" really does apply in this case. In clinical trials Tadalafil for Benign Prostatic Hyperplasia has been proven effective for men with and without E.D, easing the symptoms that a swollen prostate can cause. In one 12-week study, it was shown that 5mg daily Cialis (Tadalafil) significantly improved BPH symptoms and E.D in men.

So, as far as BPH medications are concerned, Tadalafil daily is certainly a contender and is still the only E.D medication approved to treat the symptoms of both BPH and E.D.

Disclaimer: The information provided on this page is not a substitute for professional medical advice, diagnosis, or treatment. If you have any questions or concerns about your health, please consult a doctor.