What to do with moderate prostate hyperplasia

Many men go to the hospital for a checkup and find that they have prostate problems. Many people are diagnosed with prostate hyperplasia. Prostate diseases mostly occur in middle-aged and elderly men. These patients have low immunity and low awareness of disease prevention. Therefore, even if they get sick, they will not see a doctor until they show obvious discomfort. Next, follow me to see how to treat moderate prostate hyperplasia.

1. Observe and wait

If the symptoms are mild and the IPSS score is below 7, the condition can be observed and no treatment is required.

2. Drug treatment

3. Surgical treatment

Surgery remains an important treatment for prostate hyperplasia.

Indications for surgery are:

① Symptoms of lower urinary tract obstruction, obvious changes in urodynamics, or residual urine volume of more than 60 ml;

②Severe symptoms of unstable bladder;

③ It has caused upper urinary tract obstruction and kidney function damage;

④ Multiple episodes of acute urinary retention, urinary tract infection, and gross hematuria;

⑤ Patients with concurrent bladder stones. For patients with long-term urinary tract obstruction, obvious renal function damage, severe urinary tract infection or acute urinary retention, a urinary catheter should be placed first to relieve the obstruction, and surgery should be performed after the infection is controlled and renal function is restored. If it is difficult to insert the urinary catheter or the long intubation time has caused urethritis, suprapubic bladder puncture and fistula can be performed instead. The indications for emergency prostatectomy should be strictly controlled.

4. Minimally invasive treatment

Transurethral electrovaporization of the prostate is mainly an innovation in electrode metal materials, which makes its biological thermal effect different from the former. Due to the rapid thermal conversion, it can produce a high temperature of 400°C, which quickly causes tissue vaporization or coagulative necrosis. Its hemostatic characteristics are extremely significant, so clinical applications show:

① Increased indications: It can be performed on glands weighing more than 60g.

② Clear surgical field: Due to the significant hemostatic effect and clear flushing fluid, the operation is convenient.

③ Reduced operation time: Since the hemostasis step is reduced, the surgical resection is accelerated and the operation time is shortened.

④ Fewer complications: water intoxication is less likely to occur (thick coagulation layer), clear surgical field reduces accidental injuries, and sphincter and capsule damage is less likely to occur.

⑤Fast recovery after surgery: Shortened flushing time.

Not all patients with prostate hyperplasia need treatment. If the symptoms are mild, they only need to be observed first. As long as the disease does not develop further, they do not need treatment. When it comes to treatment, surgical treatment or minimally invasive treatment is generally chosen. The effect of drug treatment is not as ideal as that of surgical treatment. However, everyone still needs to see which treatment is suitable for them and then make a choice.