What to do if prostate hyperplasia

There are many common diseases among men. Good methods are needed to treat male diseases. The common treatment method is medication. This treatment method is very helpful in controlling male diseases. For example, there are some improvements in male prostate hyperplasia and prostatitis. There are also some reasons for the occurrence of these diseases. Therefore, when treating them, we must first understand them. What should we do with prostate hyperplasia?

Many people are not very clear about what to do about prostate hyperplasia, so it is necessary to understand this type of disease so that when regulating it, you can know what to do. The following is a detailed introduction to this type of disease.

What to do if prostate hyperplasia occurs:

1. Wait and see

For patients with mild symptoms and IPSS score below 7, they can be observed and no treatment is needed.

2. Medication

(1) 5α-reductase inhibitors

Studies have found that 5α-reductase is an important enzyme for the conversion of testosterone to dihydrotestosterone. Dihydrotestosterone plays a certain role in prostate hyperplasia, so the use of 5α-reductase inhibitors can inhibit hyperplasia to a certain extent.

(2) α-receptor blockers

Caine (1975) confirmed that there are more α-receptors in the prostate and bladder neck, and the effectiveness of phenoxybenzamine was 80%. It is currently believed that this type of drug can improve urinary tract dynamic obstruction, reduce resistance and improve symptoms. Commonly used drugs include Gotelin, Santa, and Haro.

(3) Anti-androgen drugs

The most widely used are progesterone drugs. It can inhibit the cellular binding and nuclear uptake of androgens, or inhibit 5α-reductase and interfere with the formation of dihydrotestosterone. Progesterone drugs include megestrol acetate, cyproterone acetate, chlormadinone acetate, and progesterone caproate. Flubutamide is a nonsteroidal antiandrogen that can also interfere with the cellular uptake and nuclear binding of androgens. After using anti-androgen drugs for a period of time, symptoms and urine flow rate can be improved, residual urine can be reduced, and the prostate can be shrunk. However, after stopping the drugs, the prostate can enlarge again and symptoms can recur. In recent years, it has been found that such drugs can increase blood viscosity and increase the incidence of cardiovascular and cerebrovascular embolism. Luteinizing hormone-releasing hormone analogs have a highly selective effect on the pituitary gland, causing it to release LH and FSH. Long-term use can exhaust this function of the pituitary gland, reduce the ability of the testicles to produce testosterone, or even make it impossible to produce testosterone, thus achieving the effect of drug removal of testosterone.

To sum up, a comprehensive assessment of the condition should be made before drug treatment, and the side effects of the drugs and the possibility of long-term use should also be fully considered. The efficacy of the drugs should be observed over a long period of time and urodynamic examinations should be performed regularly to avoid delaying surgery.

The above is a detailed introduction to what to do with prostate hyperplasia. After suffering from such a disease, you can completely follow the above methods. However, when improving the suitability of this type of disease, you must also be careful not to do it arbitrarily. Moreover, when treating prostate hyperplasia, you must base it on the patient's condition so that the disease can be alleviated.