Patient's question:
Recently, I've been experiencing frequent urination, urgency, incontinence, and increased nighttime urination. After a check-up, it was found that I have benign prostatic hyperplasia (BPH). How should I treat this condition?Doctor's answer:
Mild hypertrophy does not require treatment.2. Estrogen therapy: Oral ethinyl estradiol. For acute urinary retention or severe difficulty urinating, a slightly higher dose can be started, or estropipate can be used.
3. During acute urinary retention, acupuncture can be applied to points such as Guanyuan, Qihai, Sanyinjiao, and Yanglingquan. Catheterization should be performed to eliminate urinary retention, and the catheter should be retained to gradually empty the bladder.
4. Surgical treatment: If the prostate enlargement is significant, there have been multiple episodes of acute urinary retention, a large amount of residual urine (60–100 mL or more), urinary tract infection, impaired renal function, and the condition does not respond to the aforementioned treatments, prostatectomy is recommended. Prostate enlargement tends to recur, requiring long-term medication.