Post Date December, 02 2023
The common clinical symptoms of BPH are frequent urination, urgency of urination and difficulty in urination, which cause great inconvenience to the patients' daily life. In order to get rid of the problem of BPH as soon as possible, the patients should understand the importance and specific methods of treatment. At present, non-surgical treatment, surgical treatment, cryotherapy, laser therapy and other methods can achieve the goal of curing prostatic hyperplasia.
Conventional methods for treating prostatic hyperplasia
1. Drug treatment: Because of its special physiological structure and location, the effect of drug treatment is the lowest, almost no effect.
2. Non-operative treatment: Non-operative treatment is suitable for those who have slight urinary tract obstruction, or are old and weak, and cannot tolerate surgery due to cardiopulmonary insufficiency.
3. Surgical treatment: The treatment measures for this kind of prostatic hyperplasia include radical prostatectomy and conservative surgery, bilateral testicular resection or enucleation.
4. Cryotherapy: This is a relatively rare treatment for benign prostatic hyperplasia. The effective rate of this method is reported to be 94% in China. However, the depth and breadth of freezing are not easy to grasp, and there are pre-symptoms such as bleeding, urinary incontinence and rectal fistula.
5. Laser treatment: In the treatment of benign prostatic hyperplasia, laser can vaporize the hyperplastic prostate tissue under the direct vision of the optical fiber endoscope to achieve the treatment purpose.
6. Microwave and radio frequency treatment: the treatment measures of prostatic hyperplasia will coagulate, necrosis and fall off after the action of microwave and radio frequency wave to achieve the treatment purpose.
Eight misunderstandings in the treatment of benign prostatic hyperplasia
Mistake 1. With age, problems such as dysuria are natural physiological phenomena
The enlarged prostate blocks the bladder outlet and causes urination disorder. If not treated in time, the bladder will become thinner and thicker. The urine left in the bladder after urination will increase. The urine reflux will cause hydronephrosis, which is easy to be complicated with infection and stones. In severe cases, uremia will occur.
Mistake 2. The size of prostate is the only standard to measure the degree of prostate hyperplasia
The prostate is as big as a chestnut when it is normal, but the size of the prostate is not the only standard to measure the degree of prostate hyperplasia. Clinically, although some patients have large hyperplasia, urination is not too difficult, while others are small, but the position is just in the middle lobe of the prostate, which can cause serious urinary obstruction.
Mistake 3. Prostatic hyperplasia can only be treated by surgery
Many patients believe that once diagnosed as BPH, they can only be treated by surgery. In fact, in the case of slight urination symptoms, the symptoms can be reduced or eliminated by adjusting diet and living habits. Prostate patients should drink a proper amount of water, eat less spicy food, abstain from alcohol, avoid suffocation, sedentary and tiredness, and discharge residual urine 5 minutes after urination. These are all important self-healing methods.
Mistake 4. All patients with BPH can be treated with drugs
Contrary to the previous misunderstanding, some patients with BPH believe that drugs can treat all BPH. However, in fact, surgical treatment should be carried out in a timely manner when it causes greater life trouble to urination disorders, recurrent acute urinary retention, urinary tract infection, hematuria, hydronephrosis, bladder stones or renal function damage.
Myth 5. Prostatic hyperplasia must be treated
Prostatic hyperplasia is not necessarily a disease. Some middle-aged and elderly friends with BPH do not have any discomfort in life. This is because BPH is outward. This situation does not cause pressure on the urethra, so it does not need treatment. Patients with dysuria should take reasonable treatment measures according to the size of hyperplasia and the severity of symptoms.
Myth 6. The greater the proliferation, the more serious the disease
Some patients find that their prostate hyperplasia is particularly serious after examination, and they are very worried. In fact, the size of BPH has nothing to do with the severity of the disease. As long as the hyperplasia of prostate tissue does not cause pressure on the urethra, even if the hyperplasia is large, it can not be treated.
Myth 7. Operation will cause sexual dysfunction
There are many ways to treat benign prostatic hyperplasia by surgery, of which the side effects of laser treatment are small. Because of the difficulty of operation, the resection of prostate is often incomplete, and it is easy to relapse after operation. Surgical treatment of BPH will have a certain impact on the sexual function of patients, but it will not cause sexual dysfunction. Because the surgical treatment is partial resection of the prostate, and the prostate fluid secreted by the prostate is the main component of the semen, the sexual life of the patient after the operation can be normal, but there may be no sperm.
Myth 8. Hyperplasia can lead to prostate cancer
There is no clinical evidence that BPH can lead to prostate cancer. The prostate includes two parts: the prostate capsule and the prostate body. The prostatic hyperplasia occurs in the prostate body, while the prostate cancer occurs on the prostate capsule. There is no direct relationship between the two.
(Intern editor: Cai Junyi)
