If the effect of elderly prostate enlargement is significant after medication, it can be treated conservatively with long-term medication; if the medication is ineffective or has reached the surgical index, it should be treated surgically.
Prostatic hyperplasia is a common benign lesion that causes urination disorders in older men. Increased nocturia is the earliest manifestation, and as the hyperplasia worsens, the degree of obstruction increases, making it difficult to urinate, and may also show delayed urination, a thin and weak urine stream, and intermittent urination. Treatment needs to be planned according to the patient’s clinical presentation, degree of obstruction and complications.
If the symptoms are mild and life and sleep are not affected, observation is the main focus; if the patient has symptoms, medication can be used, commonly used drugs include 5α reductase inhibitors (finasteride, etc.) and α-adrenergic receptor blockers (tamsulosin, etc.), and medication can be used to maintain the effectiveness of medication; if the obstruction is severe, the symptoms are serious, and there are complications, then the patient needs to be elective and early surgical treatment.
Specific treatment should follow the doctor’s instructions, and drugs should be applied under the guidance of the doctor.