How to treat prostate hypertrophy

Prostatic hypertrophy can be improved through lifestyle adjustments, drug treatment, surgical treatment, etc. Prostatic hypertrophy may be related to factors such as abnormal hormone levels and inflammatory stimulation.

1. Lifestyle adjustment

Patients with prostatic hyperplasia need to avoid sitting for long periods of time, reduce cycling time, and reduce pressure on the perineum. Pay attention to controlling the amount of water you drink and limiting fluid intake before going to bed can help reduce the frequency of nocturia. You can take a warm sitz bath every day, with the water temperature maintained at about 40 degrees Celsius, for 15 minutes a day to relieve discomfort. It is necessary to limit the intake of alcohol and spicy food in the diet, and appropriately supplement zinc-rich foods such as pumpkin seeds.

2. Alpha blockers

Tamsulosin hydrochloride sustained-release capsules can relax prostate smooth muscle and improve symptoms of dysuria. Doxazosin mesylate tablets are suitable for patients with moderate to severe lower urinary tract symptoms, and may cause adverse reactions such as orthostatic hypotension. This type of drug reduces bladder outlet obstruction by blocking α1 adrenergic receptors. Blood pressure changes need to be monitored regularly during medication.

3. 5α reductase inhibitor

Finasteride tablets can inhibit the conversion of testosterone into dihydrotestosterone, and long-term use can reduce the size of the prostate. Dutasteride soft capsules are suitable for patients with significantly enlarged prostate size and require continuous use for several months to be effective. Such drugs may cause sexual dysfunction, and prostate-specific antigen indicators should be reviewed every six months during medication.

4. Plant preparations

Puxitai tablets contain pollen extract, which can improve urinary abnormalities and perineal swelling and pain. Saw palmetto fruit extract capsules have anti-inflammatory effects and are suitable for patients with mild prostatic hyperplasia. Some plant preparations may affect coagulation function and should be used with caution in perioperative patients.

5. Surgical treatment

Transurethral resection of the prostate removes hyperplastic tissue through an electrical resection ring, and a urinary catheter needs to be left in place for 3 days after surgery. Holmium laser enucleation of the prostate requires less bleeding and is suitable for patients taking anticoagulant drugs. Surgery is suitable for cases of recurrent urinary retention or bladder stones. Complications such as retrograde ejaculation may occur after surgery.

Patients with prostatic hypertrophy should maintain regular bowel movements to avoid increased abdominal pressure and perform moderate aerobic exercise such as brisk walking or swimming three times a week. Pay attention to supplementing your diet with lycopene and vitamin D, and limit caffeine intake. Acute urinary retention requires immediate catheterization and regular urological follow-up to monitor changes in residual urine volume and urinary flow rate. People with hypertension or diabetes need to control their underlying diseases at the same time. Some cardiovascular drugs may aggravate urinary symptoms and need to be adjusted in time.