Can prostate enlargement be cured?

  The symptoms caused by prostate enlargement can be controlled and the difficulties caused by urination can be solved, but the disease of prostate enlargement cannot be cured.  The treatments for prostate enlargement include medication and surgery, but both are only symptomatic and cannot be cured. This is because the important factors in prostate enlargement are age and functioning testicles. Even if the size of the prostate is reduced through medication and the enlarged portion of the prostate is taken away through surgery, it is impossible to stop the prostate enlargement as long as the testicles are functional. In fact, it is an inevitable state of the body’s natural aging.  The actual prostate enlargement can be treated with the following medications: 1. Androgen receptor antagonist: blocking androgen receptors, taken for more than 3 months can significantly reduce the volume of the prostate. However, anti-androgen therapy interferes with the total serum testosterone level and there is a significant systemic reaction.  2. 5α-reductase inhibitors: By inhibiting the transformation of testosterone to dihydrotestosterone in the prostate tissue, the volume of the prostate is reduced and the difficulty in urination is improved. The actual fact is that you can find a lot of people who are not able to get a good deal on this kind of things.  3. alpha-blockers: By blocking adrenergic receptors, they relax smooth muscle and lower urethral resistance, relieving urinary obstruction and making urination smoother and faster. Doxazosin, tamsulosin, etc. are commonly used. In addition, traditional Chinese medicine can also be used.  The goal of medication is to relieve the lower urinary tract symptoms and delay the clinical progression of the disease, which can only be treated symptomatically. If the medication is stopped, the symptoms associated with prostate enlargement will appear immediately. If the patient does not want to take medication, feels that the burden of taking medication is too heavy or that the medication is ineffective, surgery is required. However, surgical treatment is not a cure. Surgery does not remove the entire prostate, but removes the enlarged part of the prostate while keeping the rest of the gland. It is only the removal of the enlarged gland that solves the problem of urinary obstruction.  The patient’s prostate will continue to grow as the patient ages and the testes continue to produce androgens, and may still have difficulty urinating.