For men, the largest accessory sex gland is the prostate. The size and shape of the prostate gland in a normal adult man resembles a chestnut and weighs about 20 grams. It is located under the bladder in the lower abdomen of the body, encircling the back of the urethra, and its main function is to secrete prostate fluid. The prostate gland in a person’s life continues to grow larger, from the size of an almond in puberty to the size of a chestnut in sexual maturity, after middle age, it will continue to grow, to pigeon eggs, eggs big. In old age, it can even grow into the size of a goose egg, bringing all kinds of distress to men. After middle age, the prostate continues to grow and increase in size, will gradually press its encompassing urethra, the urethra will be deflated, resulting in hesitancy in urination, frequent urination, thinning of the urine line, urinary dribbling, and urinary inactivity, clinically known as prostatic hyperplasia, also known as prostatic hypertrophy, the abbreviation of the English name for the BPH. the late incontinence or even inactivity of the urine (urinary retention) and must be catheterized in the emergency room. Prolonged urinary incontinence can lead to upstream infections to the bladder and kidneys, and can even cause renal failure, i.e. uremia. At present, the biggest obstacle plaguing the diagnosis and treatment of prostate hyperplasia disease in China is the lack of male awareness of the disease, especially in the northern region, many men are in the emergence of serious complications before they think to see a doctor, thus missing the best control and treatment period. Men should pay attention to prostate lesions as much as sexual dysfunction, to adhere to scientific exercise and regular physical examination, once the discomfort is found in a timely manner to the urology department of the regular hospital. First, the self-judgment of the severity of prostatic hyperplasia The symptoms of prostatic hyperplasia include: frequent urination, urinary urgency, painful urination, thinning of the urine line, long urination time, hesitation before urination (waiting before urination), dribbling after urination, bifurcation of the urine line, intermittent urinary stream, urinating shoes or peeing in the pants (urine does not go far), urinary incontinence (involuntary flow of urine caused by overfilling of the bladder), and urinary retention (urine can not be discharged). So, how to determine the severity of prostate enlargement? It can be categorized as follows: Early stage (mild): Mainly frequent urination, which means urinating more than 2 times per night. There are usually no other symptoms. The age is mostly between 45 and 60 years old. Middle stage (medium): Frequent urination 3 to 5 times a night, in addition to the symptoms of urination difficulties, including: thinning of the urine line, waiting before urination, dribbling after urination, peeing shoes or peeing pants (peeing is not far), and a long time of urination. The age is mostly between 53 and 70 years old. Late stage (severe): frequent urination more than 5 times a night, urinary incontinence or urinary retention (inability to urinate). Second, the three stages of prostate hyperplasia treatment Combined with the mild, moderate and severe prostate hyperplasia, the treatment of prostate hyperplasia can be divided into three stages. (A) Mild prostate hyperplasia: functional exercises and medication. 1. Functional exercise: insist on lifting the anus more than 300 times a day, eat less or forbid chili, drink a small amount of alcohol or no alcohol; abstain from sexual intercourse but not without, preferably once every 2 weeks or so. 2, drug therapy: the treatment of prostate hyperplasia of many drugs, can be roughly divided into three categories. The first category is to make the bladder and prostate smooth muscle relaxation, so that urination can be smooth adrenergic receptor blockers. The drugs available are, in order: Harlequin, usually 0.2mg per dose, once a night; Gauthierine, domestically called Terazosin, 2mg, once a night; Prazosin, 1mg, once a night; Phenobarbital, a daily dose of 5-10mg; and Phentolamine, a drug similar to Phenobarbital. Because these drugs in the bladder neck and prostate smooth muscle relaxation at the same time, can also make other parts of the body’s smooth muscle relaxation, including vascular smooth muscle, and therefore can occur headache, dizziness, fatigue, nasal congestion, upright hypotension and other side effects, especially the first time the drug, get up at night to urinate to be careful, to prevent fainting due to the sudden standing up of the postural hypotension that occurs. The first use of the drug can be started from a small dose or half dose. The second group of drugs are androgen inhibitors. The most commonly used reductase inhibitor is Prolixin, which is used at 5mg once daily. Generally, the prostate gland shrinks significantly after six months of use, so long-term medication is required. After using the drug, a few patients have a decrease in libido, and the PSA of the diagnosis of prostate cancer will also decrease. The first class of drugs to reduce urinary frequency and difficulty in urination symptoms appear fast, the second class of drugs slow action, but can make the prostate size reduction, so the beginning of the treatment of the two types of drugs at the same time is better, to wait for the effect of POLARCEL to occur, you can stop using adrenergic receptor blockers. The third class of drugs for plants and other drugs, effective for prostate hyperplasia, but most of the mechanism is not completely clear. Such as: pure barley pollen, 1 capsule, 2 times a day; saw palmetto extract Wuzhenning (formerly known as protection of the prostate) and Xifatong (formerly known as protection of the prostate), the former 1 to 2 tablets, 3 times a day, the latter 2 tablets, 4 times a day; cholesterol-lowering preparations of metapamycin; basket palm plant sterol lipids Burdock, 2 tablets, 2 times a day; domestic prostate Shule, prostate pessaries (anus suppository) and so on. There are many drugs for prostate enlargement, and there is no single drug that can completely cure prostate enlargement. But for each patient to follow the principle of drug individualization, that is to say, according to each patient’s systemic and local conditions, combined with the characteristics of each drug, by the doctor to help choose. For example, if the main symptom is frequent nocturia, the use of HALO, GOTLIN, etc., before bedtime, the efficacy of the treatment is significant, and the effect is also fast. If the prostate is large in size and hematuria is caused by hyperplasia, the application of Polyjuice can make the prostate shrink and reduce hematuria. When prostate hyperplasia is combined with inflammation, the use of Xenitone, Zegui Urinary Bladder Capsule, Xifatong and other botanicals is ideal. Prostate hypertrophy patients should be careful to use cold and flu medicines, fast-acting wind capsule, Ke Sheng Min and other clinically commonly used compound anti-cold and flu medicines generally contain paracetamol components. The paracetamol can destroy the activity of acetylcholine, can make the bladder urinary function is reduced, so make people feel difficult to urinate. Prostatic hypertrophy patients use this kind of cold medicine, urinary difficulties will be further aggravated, so must be careful to use the paracetamol-containing anti-cold medicine. (ii) moderate prostate hyperplasia: preferred surgical treatment, but also drug treatment. The method of drug treatment will not be described. There are many methods of surgical treatment of the prostate, but there are mainly two: open transcystic prostatectomy and non-open transurethral prostatectomy. (c) Severe prostate hyperplasia: especially with urinary retention inserted urinary catheter must be surgical treatment, preferred transurethral resection of the prostate, because it does not have incision, trauma is very small, 5 – 7 days after the operation can be discharged from the hospital. At present, the international best method of surgical treatment of prostate hyperplasia, also known as the “gold standard” method is: transurethral resection of the prostate. This method has the advantages of less bleeding, less pain, safe and complete, fast recovery, fewer complications, etc. Due to the short hospitalization time, generally 5-7 days after the operation, saving the cost of accompanying people, the overall cost is lower than that of open surgery; and a wide range of indications, almost suitable for all the patients with prostatic hyperplasia, elderly people over the age of 90 years old can tolerate it, including the patients who are suffering from other diseases and dare not have surgery at the same time; avoiding the need to perform cystostomy to drain the urine and bring about a lot of problems, such as the need for a bladder surgery. It also avoids the inconvenience caused by urinary drainage through cystostomy.