Prostatic hyperplasia is a common disease in the elderly. According to literature reports, the incidence rate of men aged 40 years is about 23%, and the incidence rate of men aged 80 years can reach 83%. 100% of men aged 80 years and over have benign prostatic hyperplasia, but only 60% of them have clinical symptoms, and 30% of patients with serious symptoms need surgical treatment.
Prostatic hyperplasia is a common disease in elderly men. When patients go to the clinic, they often ask some questions, including the following 7 questions:
Is urination problems a natural phenomenon?
Lao Zhang believes that as we get older, urination problems are a natural phenomenon, and we should not be too concerned.
Modern medicine has proven that problems with urination are caused by urethral obstruction (male prostate hyperplasia, female bladder neck obstruction, etc.) or bladder contractility. Therefore, it is not a natural phenomenon, and attention should be paid to it. Those with severe symptoms should also be treated to prevent complications and even life-threatening complications from occurring over time.
Do you have any symptoms that require treatment?
Lao Li found prostate hyperplasia during his physical examination, but he usually had no symptoms. Does he really want to know if his condition requires treatment?
Prostatic hyperplasia is a common disease in the elderly. According to literature reports, the incidence rate of men aged 40 years is about 23%, and the incidence rate of men aged 80 years can reach 83%. 100% of men aged 80 years and over have benign prostatic hyperplasia, but only 60% of them have clinical symptoms, and 30% of patients with serious symptoms need surgical treatment. Although Lao Li discovered prostate hyperplasia during his physical examination, he did not have any symptoms and did not need treatment.
3. Can't Baoliezhi stop once it's eaten?
It is said that Baoliezhi has a good effect, but once consumed, it can cause dependency and can't stop. Lao Li thought, "Don't eat until you have to.".
The mechanism of Baoliezhi's action is to prevent the conversion of testosterone into dihydrotestosterone in the prostate, thereby reducing the size of the hyperplastic prostate and preventing continued hyperplasia, with an overall reduction of 28%. Baoliezhi cannot destroy the hyperplasia of prostate tissue. If the drug is stopped, the above blocking links disappear, and the prostate will continue to proliferate. Therefore, patients with good economic conditions can receive long-term treatment with Baoliezhi once a day, 5 mg each time. After reaching the therapeutic effect, the dosage can be reduced to 2.5 mg each time, or even smaller as maintenance treatment.
Does sexual activity worsen the condition?
Many people believe that sex can aggravate prostate hyperplasia, so abstinence.
This is not right. There is currently no evidence that sexual activity is associated with prostate hyperplasia.
5. Is medication used for mild cases and surgery performed for severe cases?
It is generally believed that patients with mild symptoms of BPH can be treated with drugs, while patients with severe symptoms should be treated surgically. Is this the case?
In principle, this is the case. The current drug treatment effect is also very good, α- Receptor blockers (such as haloperidone, ziphosol, masanil, and prazosin) can quickly alleviate symptoms- α Reductase inhibitors (such as Baleride) can reduce the prostate gland by 20% to 28% if taken for a long time. Patients with severe symptoms require surgical treatment, otherwise serious complications may occur, even uremia.
"The greater the proliferation, the more surgery is necessary?"?
Clinically, prostate hyperplasia is often divided into Grade I, Grade II, and Grade III. The degree of Grade I is the lightest. Is it true that the larger the prostate hyperplasia, the more surgery is needed?
In principle, this is the case. However, the symptoms of BPH are not necessarily proportional to their size. It is recommended that under the supervision and guidance of a specialist, the size of the prostate and the severity of the symptoms be considered to determine which treatment measures should be taken.