Patient's question:
These days, I don't know what's wrong, but I always feel a strong urge to urinate. However, when I go to the bathroom, it feels like there isn't much urine. Sometimes it's just a drop or two. During morning urination, I even noticed that my stream was split. After consulting, it turns out that it might be due to benign prostatic hyperplasia. I'm asking: What is the safest way to treat benign prostatic hyperplasia?Doctor's answer:
1. Mild hyperplasia does not require treatment.2. Estrogen therapy: Oral ethinyl estradiol. For severe acute urinary retention or difficulty urinating, a slightly higher initial dose can be used, or estradiol valerate may be administered.
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 hyperplasia 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, a prostatectomy is recommended. Prostate hyperplasia can be relieved, but the treatment process is generally slow, and recurrence is common after treatment. Therefore, medications should be used symptomatically during treatment, and patients should maintain a light diet!