Post Date December, 03 2023
The average life span of our people is growing, and the incidence rate of prostatic hypertrophy, one of the important geriatrics, is also rising. In some areas, almost 65% of men over the age of 60 experience symptoms. Proceeding from objective reality. For a disease with such a high incidence rate, the severity of symptoms varies from person to person, and it is impossible to immediately perform surgery once the judgment is established. According to the treatment of prostate hypertrophy in China, conservative treatment still occupies a certain position.
Which patients with prostate hypertrophy can consider conservative therapy for their throat? Conservative treatment can be given to patients with mild symptoms, prostate hypertrophy of grade I to II, and low residual urine volume. In fact, some patients with prostate hypertrophy develop to a certain stage and stop developing, which is an important basis for trying conservative treatment. Some patients should undergo surgical treatment based on their condition, but due to health conditions that do not permit, they have to undergo conservative treatment or transition to conservative treatment. For example, some patients with severe cardiovascular disease, cardiac insufficiency, or severe pulmonary and renal insufficiency are generally unable to tolerate surgical treatment. In response to these situations, conservative therapy has indeed played a positive role in the treatment of elderly patients with high surgical risks, some of which can stabilize the condition without further deterioration, increasing the safety of delayed surgery.
Common conservative treatment measures:
Some literature reports that 40% - 60% of patients can have acute urinary retention. When acute retention occurs, the patient is in great pain and has a greater disturbance to the water electrolyte balance of the whole body. Once infection occurs, the situation will be more serious. Therefore, it must be properly handled. Hot compress on the suprapubic bladder area and perineum, or massage in this area, can discharge urine in patients with short urinary retention time and not very serious bladder filling. Acupuncture at points such as Guanyuan, Zhongji, Yinlingquan, Sanyinjiao, and Qihai can also help with urination. If the urinary retention time is long and the bladder capacity is large, catheterization can be used to help empty the bladder to improve the blood circulation of the bladder wall. If necessary, the urinary tube can be kept for a period of time and opened regularly to help restore the contractive function of the bladder muscle.
The difficulty of urination caused by hypertrophy of the prostate belongs to the category of "dysuria" in traditional Chinese medicine, and traditional Chinese medicine treatment has certain effects on improving symptoms. Some people classify prostate hypertrophy into four types based on syndrome differentiation, namely, the type of deficiency of qi, the type of deficiency of both qi and yin, the type of yin deficiency and dampness heat, and the type of dampness heat infusion, and then treat it according to the symptoms. Some people also divide the clinical syndrome differentiation of closed armhole into two categories: positive syndrome and deficiency syndrome. The empirical study focuses on clearing and benefiting, and the prescription is Tongguan Pill containing Bazheng Powder. Deficiency syndrome is based on clearing and benefiting with external beneficial drugs.
Injection therapy can also be tried on suitable patients. In 1961, it was reported that direct injection of drugs into the prostate also achieved good results. The main components of the injection are carbolic acid, glacial acetic acid, glycerol, and distilled water. After clinical and animal experiments, it was observed that the prostate hyperplasia nodules softened after injection. Histological examination revealed that there was only minimal necrosis and minimal fibrous change in the injection area. The softening zone is mainly caused by drugs causing liquefaction of prostate tissue, which is gradually absorbed later. However, the biggest disadvantage of this method is perineal pain, which may be due to the leakage of injection into the local surrounding tissue of the gland. The effect of this method is unstable and is not easy to promote.
Endocrine therapy is also commonly used for conservative treatment. Some people believe that the main cause of prostate hypertrophy is endocrine disorders, so hormone therapy can be used. In the early stage, many scholars recommended androgen therapy for prostate hypertrophy, believing that its main function is to increase bladder muscle tension and reduce local prostate congestion. In fact, androgen is the main factor promoting prostate hyperplasia, so this treatment theory has been denied. The most commonly used clinical treatment is estrogen. The main side effects of estrogen are affecting appetite and breast pain. Endocrine therapy also includes anti androgen therapy. In recent years, a variety of anti androgens have been synthesized in clinical practice, including 1.2, α Methylene chloride progesterone acetate, etc.
Other drug treatments include clonidazole, an antifungal substance produced by an actinomycete isolated from soil and used in clinical trials to treat prostate hypertrophy. However, there are still different opinions at home and abroad on the efficacy of clonidazole in the treatment of prostate hypertrophy. use α— Adrenaline blockers can improve the symptoms of dysuria, such as benzimidazoline and benzylamine, which can also help alleviate symptoms. In recent years, the compound non essential amino acid Anniaotong has also been used to alleviate dysuria. The usage is to start with two capsules three times a day. After symptoms improve, the maintenance amount is three times a day, one capsule each time, and certain effects have also been achieved.
