Last time I introduced you to an elderly person’s visit, which is actually a common situation encountered in urology. Many elderly people are diagnosed with prostate enlargement, and the ensuing questions are: what is this disease all about, what treatments are available, and how can the treatment be chosen more appropriately? The following is an easy to understand explanation. What’s going on with the prostate enlargement? The prostate gland is a unique organ for men that produces prostatic fluid which is the main component of semen and belongs to the reproductive system. It is a good idea to have the prostate gland enlarged as men get older. In addition, the male urethra passes in the middle, so if the prostate gland is out of order, it directly affects the urinary function. The enlarged prostate is like an orange, the enlarged part is like the flesh of the orange, too much of the flesh is bound to compress the urethra that passes through the middle, thus producing urinary symptoms, frequent, urgent, difficult and incomplete urination, and in severe cases, urinary retention (complete inability to urinate). In addition, the enlarged prostate gland is rich in nutrient vessels on its surface, which can rupture due to infection, difficulty in urination and bladder stones, resulting in hematuria, which can sometimes be so severe that it can block the urethra and even cause urinary retention in the hospital. How to treat prostate enlargement? As mentioned above, prostate enlargement is related to age, generally after 45 to 50 years of age the prostate starts to increase in size, it increases in size year by year and the symptoms keep getting worse. The actual fact is that there are a variety of symptoms that arise after the enlargement, and the speed of development is different, so often the elderly do not pay attention to it and thus delay the treatment. Generally speaking, patients who experience waiting to urinate, thin urine lines and poor urination are most likely to pay attention, while nocturia (nocturnal), hematuria and frequent urination are often ignored because they think they are old. In fact, these are all symptoms of prostate enlargement that should be taken seriously and should be seen as soon as they appear. If allowed to develop, they can lead to acute or chronic urinary retention, hydronephrosis and bladder stones, and in some cases, even blood in the urine. Regardless of the symptoms, changes in prostate volume are the root cause, so the root of treatment lies in the control of prostate volume. The actual fact is that you will be able to get a lot more than just a few of these. （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. The answer, of course, is no. After all, prostate enlargement is benign. The answer is of course no. After all, prostate enlargement is a benign disease, and you need to understand the scope of each treatment measure. The most common method of treatment is medication, which is also the most acceptable method. It is important to remind you that whether it is a single drug or a combination of two drugs, you need to pay attention to regular review, because the drug is not a panacea, after taking the drug there are still patients who can not control, or have drug side effects require surgery. In addition, in clinical practice, I have seen some elderly people taking a variety of Chinese medicines after taking western medicines with poor results. I personally feel that unless it is necessary (such as not being able to take western medicines and surgery), it should actually be streamlined or adjusted. There are also some people who think that Chinese medicine has fewer side effects, but that’s not entirely true, is it? There are also some patients who are found to have a large prostate volume (e.g. >80g) at the beginning of their visit, so they should be treated with early surgery no matter what medication they take. It is important to remind people that medication is not always the same, because the condition may change, so at least six months to consult with your doctor for medication or treatment advice.