Licensed Ontario healthcare professionals
Every assessment is reviewed by a healthcare professional licensed in Ontario, trained in health conditions prescribing.
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Care365
Ontario Virtual Care
Enlarged Prostate (BPH) Treatment Online
Weak stream, urgency, or getting up at night to urinate? A licensed healthcare professional can help — online.
Bothersome urinary symptoms from an enlarged prostate (BPH) are relieved with an alpha-blocker, with a second medication added for a larger prostate. First, though, an assessment rules out complete inability to void (a same-day emergency), blood in the urine, infection, and any constitutional symptoms that would change the work-up.
Licensed Ontario healthcare professionals
Same-day review
Prescriptions sent directly
CCare365
Care365 workflowComplete assessment → clinical review → prescription sent when appropriate.
Quick Self-Check
Answer a few quick questions. This isn't a diagnosis — a real clinical assessment is the next step either way.
How We Work
A Care365 healthcare professional screens for red flags first — complete inability to urinate needs same-day catheterization, blood in the urine needs a urology referral, and fever with urinary symptoms needs urgent assessment for possible infection. Absent these, an alpha-blocker like tamsulosin is first-line for bothersome symptoms, with a 5-alpha-reductase inhibitor like dutasteride added for a significantly reduced stream suggesting a larger prostate. PSA testing is offered as a discussion based on your risk factors, not ordered automatically.
Complete a short online assessment
Answer real, condition-specific questions — takes a few minutes, no appointment needed to start.
A licensed clinical reviews your answers
A real healthcare professional licensed in Ontario reviews your case, typically the same day — not an automated approval.
Get your treatment plan
When appropriate, your prescription is sent directly to your preferred pharmacy, with clear next steps.
Why Choose Care365?
Fast, Real Assessments
No generic templates — your answers are reviewed by a real person, typically the same day.
Secure & Private
Your information is encrypted and only seen by the clinical reviewing your case.
Prescriptions Sent Directly
When appropriate, your prescription goes straight to your preferred pharmacy — no extra trip needed.
Common Symptoms
- A weak, slow, or hesitant urinary stream
- Urgency, or frequent need to urinate during the day
- Waking up multiple times a night to urinate (nocturia)
- A feeling of incomplete bladder emptying
- Blood in the urine (needs prompt assessment)
Treatment Options
These options may be prescribed by a Care365 healthcare professional after a real assessment — this is general information, not a recommendation to use any specific medication without one.
| Medication | Class | Route | Typical Duration |
|---|---|---|---|
| Tamsulosin 0.4mg | Alpha-1 blocker | Oral | Once daily, 30 minutes after the same meal each day |
| Dutasteride 0.5mg | 5-alpha-reductase inhibitor | Oral | Once daily — added for a larger prostate |
Non-medication options
- Evening fluid timing — Reduce fluids, caffeine, and alcohol before bed to reduce nocturia.
- Bladder training — Timed voiding and double-voiding techniques.
Everything in One Place
- Easy online scheduling — submit your assessment in minutes
- Real clinical review, not an automated approval
- Prescriptions sent directly to your preferred pharmacy when appropriate
- 100% virtual — no travel, no waiting room
Frequently Asked Questions
Will I automatically get a PSA test?
No — PSA is offered as a shared decision, not ordered automatically, for routine new urinary symptoms without other prostate-cancer risk factors. A family history of prostate cancer or constitutional symptoms changes that.
What if I completely cannot urinate?
That's a same-day emergency (acute urinary retention) needing catheterization — this is not managed with outpatient medication adjustment, so seek immediate care.
Is blood in my urine related to this?
Blood in the urine is assessed with a urology referral regardless of your other symptoms — it needs to be worked up on its own, not assumed to be from an enlarged prostate.
What medications are used?
Tamsulosin (an alpha-blocker) is typically first-line for symptom relief. If your stream is significantly reduced, suggesting a larger prostate, dutasteride may be added.
Are there medications that make this worse?
Decongestants like pseudoephedrine, anticholinergic medications, and opioids can all worsen urinary symptoms or retention risk — these are reviewed as part of your assessment.
Enlarged Prostate (BPH) Can Be Treated
Complete a real assessment online — a licensed Ontario clinical reviews your case and arranges treatment and prescription support when appropriate.
Start My Free Assessment