You can use 5-alpha-reductase inhibitors like finasteride.

One of the primary causes of BPH is from androgens, specifically the conversion of testosterone -> dihydrotestoerone via the 5-ar enzyme.

The prostate is an androgen-sensitive tissue, and DHT causes enlargement.

It's not guaranteed to fix it, but it's one option.

I wish we all could agree on a terminology where taking a pill daily is management, not a cure.

A cure should be a one-off measure after which one stays cured. If not forever then at least for years.

Something that needs to be repeated, esp. daily, should have a different word. That’s not a cure.

Sounds like it reoccurs, but potentially the procedure is repeatable. I didn't see a frequency.

I wonder how many potential answers to such problems are out there, known to a few but not acted on by the masses.

> In any case, the paper makes no comment as to whether the problem can be solved the same way a second time; obviously in principle it can, but finding all the new bypasses and sclerosing them might be difficult in practice.

Multiple surgeries is not sustainable. Too much uncertainty.

> they then have the patient close off the bottom of the vein with finger pressure while they inject a sclerosing agent into the vein

It seems highly failure prone. If you don't block the flow are you going to stroke out?

> Multiple surgeries is not sustainable. Too much uncertainty

I'm not sure where this is coming from. Multiple cardiac bypasses have a ton of uncertainty, but they are effective because efficacy is measured by quality of life * increased lifespan.

Multiple surgeries (the time it takes to regrow major veins from capillaries that aren't blocked off) to relatively non-lethal parts of the body seems very sustainable for a human lifespan after 60 or 55 or whatever.

Not a cure but Tadalafil works very well as a treatment.

It does. I suffer for almost 20 hours of I miss a dose. I’m very sure that doesn’t happen.