Rational treatment of benign prostatic hyperplasia

  Benign prostatic hyperplasia is a common disease in middle-aged and older men, with about half of all men over the age of 50 showing clinical symptoms. The incidence rises with age and is greater than 20 to 50% between the ages of 50 and 60; men over the age of 80 have an 80% chance of developing the disease. The enlarged prostate squeezes the urethra, leading to a series of symptoms of urinary disorders, such as urinary frequency and urgency, weak urine flow, incomplete urination and other urinary disorders. These symptoms seriously affect the patient’s quality of life, and untreated can lead to many serious complications (such as acute urinary retention, stones, kidney insufficiency, etc.) and can even endanger the patient’s life.  However, many people consider the symptoms of BPH to be a phenomenon of physical aging, not a disease. According to a survey, only about 1/3 of patients seek medical attention, and only a handful of them receive treatment through formal channels. Many middle-aged and elderly men tend to go to the hospital only when the disease is advanced, or even when they have acute urinary retention, missing the opportunity for reasonable treatment.  The patient’s alertness to the symptoms of the disease and the motivation to seek proper treatment are important prerequisites for proper management and treatment of the disease. Any man over the age of 50 is at high risk of developing BPH and can use the International Prostate Symptom Scale to assess whether he needs to seek medical attention.  Depending on the patient’s symptoms, there are generally several main treatments available: one is “vigilant observation”.  Mild BPH, which is asymptomatic or very mild, with an I-PSS score of less than 7, requires regular checkups and close observation. Once the disease has progressed, it needs to be treated aggressively.  The second is medication.  In recent years, with the advent of drugs to control prostate enlargement and improve urinary tract obstruction, it is generally agreed that drug therapy should be the first line of treatment.   A blocker is effective in improving symptoms but not in reducing the size of the prostate, and is an effective drug for symptomatic treatment. The two types of drugs that have been used in combination have been proven to be the most effective and can be used to “treat both the symptoms and the root cause”. The actual plant-based drugs are also commonly used for prostatitis and prostate enlargement, which can relieve the symptoms.  The third is surgical treatment.  The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things. The actual surgery has some risks, especially with cardiovascular disease and older patients.  There are three types of surgery: 1. open surgery. 2.  2.Electrolysis (TURP) or electrovaporization (TUVP).  3, green laser vaporization (PVP).  The former is characterized by high trauma, bleeding, pain and slow recovery. The latter two are characterized by minimally invasive, less painful for patients, less bleeding, less trauma, and faster recovery, especially PVP is the best.  Patients’ blindness to the disease and treatment methods, and delayed consultation, are now common in all types of common and high-risk diseases. We recommend that men over the age of 50 should have regular checkups. Once BPH is detected, seek early medical attention and use appropriate treatment according to the condition in order to avoid various complications caused by untimely treatment or improper treatment.