How to effectively treat benign prostatic hyperplasia

  1, general prevention and conditioning should avoid cold and flu, drinking a lot of water, especially alcohol, holding urine, urinary tract infections, excessive room labor, avoid squeezing the perineum for a long time such as sedentary, cycling, etc.. Eat less stimulating food. Should be in a relaxed mood, avoid excessive tension and worry and anger. Pay attention to keep the bowels open. This includes regular bowel movements, eating more fiber-rich foods and medication when necessary.  BPH is a progressive disease and the signs of progression are: aggravation of symptoms and distress, acute urinary retention, renal insufficiency due to BPH (serum inosine value > 50% higher than baseline value and > 1.5 mg/dl), recurrent urinary tract infection or urinary sepsis, urinary incontinence (unacceptable incontinence in social activities), progression of disease requiring surgery. treatment.  Since BPH is a progressive disease, what can be done to prevent its progression? Adherence to medical advice and treatment is the key. For most patients, medication can reverse the progression of BPH, reduce the risk of BPH-related events, reduce the size of the enlarged prostate, improve symptoms, reduce the incidence of acute urinary retention, and reduce the rate of surgical treatment. The actual BPH-related drugs are well tolerated and safe, so they can be used consistently.  The actual fact is that the actual BPH is not a very good idea, so it is better to change the concept of prevention from “hair” to “change”, that is, active dynamic observation and timely treatment.  The biggest complication of BPH is the eventual development of uremia, which is a very slow process, from the initial slow progression to azotemia, the clinical signs are not specific and the patient does not feel very painful, but when the signs and pain are obvious, it is already in the late stage of uremia. Therefore, for patients with BPH, the severity of self-perception does not absolutely reflect the early or late stage of the disease. Also, BPH is often combined with other diseases, and when these diseases are combined, the symptoms are not always present, or when they are present, it is difficult to identify them from the symptoms of BPH itself. For example, if hematuria occurs, is it secondary to BPH or is it caused by a comorbid disease? Because hematuria occurs in only 15% of patients with BPH, while other urological diseases such as stones, tumors, and infections have a high chance of occurring hematuria. Therefore, when hematuria occurs in BPH, it should not be interpreted as prostate bleeding first, but should be further investigated to see if it is caused by its combined inflammation, tumor, stone, etc.  Therefore, in addition to seeking prompt medical attention after having BPH, it should be dynamically observed in the future, so that if the condition is progressing or new problems arise, the doctor can deal with it in a timely manner according to the specific situation to prevent serious complications. The International Advisory Committee on Prostate Diseases recommends a review at the hospital once every six months to a year, during which time, one should also seek medical attention at any time if bleeding, infection, or acute urinary retention occurs.  Although the process of BPH is very slow and most patients do not develop uremia, and the progression can be stopped with pharmacological intervention, reversing this course requires months or even a year or more of medication, during which time unexpected problems may occur, so don’t think that everything is fine if you take the medication, and be sure to have regular reviews at the hospital. For those who have a prostate that is too large, a large amount of urinary retention, a severely reduced urinary flow rate or an existing hydronephrosis, choose a more aggressive treatment such as surgery at the right time.  4, regular physical examination early detection of prostate cancer BPH and prostate cancer are both prevalent in the elderly, both can develop alone or in combination. The onset of the disease is characterized by advanced stage once detected, so early detection is necessary. Rectal examination, transrectal ultrasound and serum PSA examination are important tools for early detection of the disease. For patients with prostate hyperplasia, another important significance of regular checkups is to detect the presence of concurrent cancerous tumors. Recent studies have linked this to the structure of the diet, with a high incidence of high-protein, high-fat diet. Prostate cancer has the following characteristics: low incidence; cancer from 1 cell to death in an average of 15 to 20 years, long life expectancy; early detection can be cured; late stage drugs can delay.