What to do if your prostate is enlarged

Prostate enlargement is a common problem among men. Prostatic hyperplasia has a great impact on patients, because it not only affects the health of men's urinary system, but also has a great impact on men's sexual ability. Therefore, in order to avoid further expansion of this impact, certain treatment measures need to be taken. Next, I will introduce to you the treatment methods for prostate hyperplasia!

1. Watch and wait

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

2. Drug treatment

(1) 5α-reductase inhibitors are suitable for the treatment of BPH patients with enlarged prostate and moderate to severe lower urinary tract symptoms. 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) α1-receptor blockers are suitable for BPH patients with moderate to severe lower urinary tract symptoms. 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 and others. Common side effects of this type of drug include dizziness, headache, fatigue, drowsiness, orthostatic hypotension, abnormal ejaculation, etc.

(3) Others

Including M receptor antagonists, herbal preparations, traditional Chinese medicine, etc. M receptor antagonists block bladder M receptors, relieve excessive detrusor contraction, and reduce bladder sensitivity, thereby improving storage symptoms in BPH patients. Herbal preparations such as Prostanolide are suitable for the treatment of BPH and related lower urinary tract symptoms.

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.

3. Surgical treatment

Surgery remains an important treatment for prostatic hyperplasia and is suitable for BPH patients with moderate to severe LUTS that have significantly affected their quality of life. Classic surgical methods include transurethral resection of the prostate (TURP), transurethral incision of the prostate (TURP),

prostate, TUIP) and open prostatectomy. Currently, TURP is still the "gold standard" for the treatment of BPH.

The indications for surgery are: ① symptoms of lower urinary tract obstruction, obvious changes in urodynamic examination, or residual urine of more than 60 ml; ② severe symptoms of unstable bladder; ③ upper urinary tract obstruction and renal function damage; ④ multiple episodes of acute urinary retention, urinary tract infection, and macroscopic hematuria; ⑤ concurrent bladder stones. ⑥ Patients with combined inguinal temples, severe hemorrhoids or rectal prolapse, and clinical judgment shows that it is difficult to achieve treatment effect without relieving lower urinary tract obstruction. For patients with long-term urinary tract obstruction, obvious renal damage, severe urinary tract infection or acute urinary retention, a urinary catheter should be placed to relieve the obstruction, and surgery should be performed after the infection is controlled and renal function is restored. If inserting the catheter is difficult or the long intubation time has caused urethritis, suprapubic cystostomy can be performed instead. The indications for emergency prostatectomy should be strictly controlled.