Is prostate hyperplasia found in physical examination, treated or not?? What would you choose

Some middle-aged and elderly men, however, suffer from prostatic hyperplasia, which leads to a sharp decline in the quality of life in their later years. In particular, symptoms such as frequent urination, urgency of urination, bifurcated urination, thin urination line, endless urination, and retention of urine seriously affect the quality of life, and can also damage renal function, resulting in hydronephrosis, renal insufficiency, and even uremia. Should a male friend receive regular treatment for prostate hyperplasia discovered during a physical examination? Experts provide the following suggestions for this group of people for reference:

1. Consult a specialist.

In clinical practice, many patients have complained that "many years ago, physical examination revealed hyperplasia of the prostate, which was not taken seriously at that time. When they became heavier, they came to see a doctor, which delayed them." As is well known, physical examination is a general screening. If prostate hyperplasia is found during physical examination, it is recommended that you consult a professional andrologist, who will assess your condition more professionally and provide guidance based on professional knowledge. For example, the International Prostate Symptom Score, Quality of Life Score, Residual Urine Test, and Serum Specific Antigens are all helpful in determining the condition and deciding whether to treat.

2. Regularly review and monitor the condition.

Numerous studies have shown that factors such as age, serum PSA, prostate volume, maximum urinary flow rate, residual urine volume, and I-PSS score are associated with the clinical progress of benign prostatic hyperplasia. Regular examination of the above items can help us effectively understand the changes in the condition, so as to adopt appropriate treatment methods. The items for regular examination include: serum PSA, prostate volume, maximum urine flow rate, residual urine volume, and rectal digital examination.

3. Decide whether to treat according to the examination of a professional doctor and the patient's wishes.

(1) Lower urinary tract symptoms (frequent urination, urgency, difficulty urinating, etc.) and the resulting decline in quality of life are the main reasons for patients seeking treatment. For patients with benign prostatic hyperplasia found in physical examination, if they have mild lower urinary tract symptoms (International Prostate Symptom Score ≤ 7) or moderate or above symptoms (International Prostate Symptom Score ≥ 8), and their quality of life has not been significantly affected, they can use observation and waiting. Observation and waiting is a non drug and non surgical treatment measure, including patient education, lifestyle guidance, and follow-up.

(2) If the patient does not meet the conditions for observation and waiting, treatment should be actively carried out, otherwise the condition will be delayed. First of all, we recommend drug conservative treatment, combination of traditional Chinese medicine and western medicine, acupuncture and moxibustion and cupping physiotherapy to safely and effectively relieve symptoms and prevent disease development.