Some middle-aged and elderly men, however, suffer from prostatic hyperplasia, which leads to a sharp decline in the quality of life in their later years. In particular, symptoms such as frequency of urination, urgency of urination, bifurcation of urine, fine urine line, endless urination, and retention of urine seriously affect the quality of life, and can also damage renal function, resulting in hydronephrosis, renal insufficiency, and even uremia. Should male friends receive regular treatment for BPH found in physical examination? Experts provide the following suggestions for this group of people for reference:
1. Consult a specialist.
Many patients in the clinic have complained: "Many years ago, the physical examination found that the front row hyperplasia, which was not paid attention to at that time, and only came to see the doctor when it became heavier, which delayed." As we all know, physical examination is a general screening. If prostate hyperplasia is found during physical examination, it is recommended that you consult a professional andrologist, who will evaluate your condition more professionally and guide you according to professional knowledge. For example, international prostate symptom score, quality of life score, residual urine test, serum specific antigen, etc. are all helpful to judge the condition and decide whether to treat or not.
2. Regularly review and monitor the condition.
Numerous research data show that age, serum PSA, prostate volume, maximum urine flow rate, residual urine volume and I-PSS score are related to the clinical progress of BPH. Regular examination of the above items can help us to effectively understand the changes of the disease so as to take appropriate treatment methods. The items to be checked regularly include serum PSA, prostate volume, maximum urine flow rate, residual urine volume and rectal digital examination.
3. Decide whether to treat according to the examination of professional doctors and the wishes of patients.
(1) Lower urinary tract symptoms (frequency of urination, urgency of urination, dysuria, etc.) and the decline in quality of life caused by them are the main reasons for patients seeking treatment. For patients with benign prostatic hyperplasia found in physical examination, if they have mild lower urinary tract symptoms (international prostate symptom score ≤ 7) or moderate or above symptoms (international prostate symptom score ≥ 8) and their quality of life has not been significantly affected, they can use observation and waiting. Observation and waiting is a non-drug and non-surgical treatment measure, including patient education, lifestyle guidance, follow-up, etc.
(2) If the patient does not meet the conditions for observation and waiting, he/she should be actively treated, otherwise the disease will be delayed. First of all, we recommend drug conservative treatment, combination of traditional Chinese medicine and western medicine, acupuncture and moxibustion and cupping physiotherapy to safely and effectively relieve symptoms and prevent disease development.