1. What are the treatment methods for BPH?
The treatment of BPH includes waiting for observation, drug treatment and surgical treatment.
Mild patients are suitable for observation and waiting. It is applicable to those patients who find prostate enlargement but have no symptoms, or have some symptoms but are not troubled by daily life. It is necessary for patients to pay attention to the changes of their urination and go to the hospital outpatient clinic for regular review.
Patients with moderate disease progression are suitable for drug treatment. The short-term goal of drug treatment is to reduce or relieve the patient's urination symptoms, while the long-term goal is to delay the further development of the disease and prevent the occurrence of complications.
Severe patients are suitable for surgical treatment. When the symptoms of urination are serious enough to significantly affect the quality of life of patients, or the drug treatment is poor or even complications occur, surgical treatment can be selected.
2. Is minimally invasive surgery promising for radical treatment of prostatic hyperplasia?
Transurethral resection of the prostate (TURP) is the most commonly used minimally invasive surgery for the treatment of benign prostatic hyperplasia. This method has been used for more than 80 years and is considered as the "gold standard" for the surgical treatment of benign prostatic hyperplasia; Since then, although many new treatment methods have emerged, so far there is no method that can surpass this operation from the comparison of subjective or objective, immediate or long-term effects.
However, this is not to say that this operation is a perfect surgical treatment, which still has certain complications and mortality; During long-term follow-up, this operation can only improve the urination symptoms of more than 70% of patients with benign prostatic hyperplasia, and about 20%~25% of patients need reoperation.
Illustration: The left figure shows that the prostate resectoscope has been inserted from the urethra; The middle figure shows the removal of hyperplastic prostate tissue during electroresection; The right figure is the schematic diagram of the urethra of the prostate after electroresection
3. Is prostate massage helpful for the treatment of prostatic hyperplasia?
Prostate massage means that the doctor uses his finger (usually the index finger) to enter the rectum through the patient's anus, and massages the adjacent prostate across the rectal wall to drain prostate fluid and promote the discharge of inflammatory substances, thus improving local blood circulation, promoting the absorption and elimination of inflammation.
Prostate massage is usually used for the treatment of chronic prostatitis, but its effect on the treatment of prostatic hyperplasia is still uncertain.
4. What are the practice methods to improve the quality of life of patients with BPH?
Relax your mind and free your attention from the desire to urinate.
Instruct techniques for emptying the bladder, such as repeated urination. Patients are encouraged to hold their urine properly to increase the capacity of the bladder and prolong the interval of urination.
5. To what extent is it appropriate to control the amount of drinking water for patients with BPH?
Prostatic hyperplasia has no special requirements on the amount of drinking water for patients. Proper restriction of drinking water can alleviate the symptoms of frequent urination, such as limited water at night and in public social occasions. However, the daily water consumption should not be less than 1500ml. Some patients complain of frequent urination after falling asleep at night. These patients can reduce the amount of water they drink before going to bed; Some patients drink more water daily, so they urinate more frequently. To identify whether these patients urinate frequently due to excessive water consumption, they can record urination logs for several days under the guidance of the doctor for preliminary evaluation.
The urination diary is a record of the number of urination, the time of urination, the volume of urine per time, the symptoms of urination, and the amount of water consumed by the patient for 5 to 7 consecutive days, which is helpful to understand the distribution of the number of urination in the day and night of the patient, and to distinguish between nocturnal polyuria and excessive water consumption, especially for the patients with the main symptom of nocturnal polyuria.
6. What diet contraindications do patients with BPH have?
Although BPH cannot be prevented, more attention to diet can often alleviate symptoms or prevent further deterioration of the disease, including limiting alcohol consumption, avoiding too much spicy and stimulating food, reducing the intake of high-cholesterol foods, avoiding overweight, drinking adequate water, etc.
Domestic scholars have studied the relationship between dyslipidemia and the international prostate symptom score, which reflects the severity of urination symptoms in patients with benign prostatic hyperplasia, but the research results suggest that there is no significant correlation between the two.
7. What lifestyle can alleviate the symptoms of BPH?
Although BPH cannot be prevented, more attention in daily life can often alleviate symptoms or prevent further deterioration of the disease, including limiting the amount of alcohol consumed, paying attention to the warmth of the lower body, avoiding irritating food, reducing the intake of high-cholesterol food, avoiding overweight, moderate exercise, drinking a proper amount of water, not inhibiting urination, not sitting for a long time, and improving local circulation by taking a hot bath. Alcohol and coffee have the effects of diuresis and stimulation of prostate congestion, which can increase urine volume and aggravate symptoms such as frequent urination and urgency of urination. Therefore, the intake of alcohol and caffeinated beverages should be restricted.
At present, there is no study on the relationship between prostate hyperplasia and smoking. But is there any reason to quit smoking?
8. Does BPH affect sexual life?
Prostatic hyperplasia itself has no effect on sexual life. However, there is a class of drugs commonly used in the prostate that are prone to retrograde ejaculation due to side effects. That is to say, when ejaculating, the semen will not run out of the urethra, but will run into the bladder. Therefore, patients taking drugs for prostate hyperplasia should pay attention to the drug description. If the side effects of retrograde ejaculation are mentioned, they should pay attention to their sexual life
9. How can patients with BPH improve their sleep quality?
Many patients complain of frequent urination after falling asleep at night, and even have to go to the toilet within half an hour at night. These patients can appropriately reduce the amount of drinking water after dinner, and pay special attention to limiting the amount of drinking water before bedtime; And take drugs to improve urination symptoms under the guidance of doctors.
10. What do you need to pay attention to when you are with your family with BPH?
If your family has BPH, you need to fully understand and support them, encourage them to take medicine and take regular re-examination.
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