How is benign prostatic hyperplasia treated?

Patient's question:

I am 62 years old. Recently, I have experienced a feeling of fullness and discomfort in my left inguinal region due to the elevation of my left testicle. Walking is uncomfortable. A thorough examination only revealed benign prostatic hyperplasia, with no other issues. Why is this? How should it be treated?

Doctor's answer:

After the age of 40, the middle lobe of the prostate can be modulated and enlarged, pushing up against the bladder, causing the bladder to bulge significantly and controlling the urethra. Without substantial inflammation, it manifests as pain and tenderness in the perineum and pubic area, along with urinary symptoms such as difficulty urinating. It is recommended that men with chronic prostatic hyperplasia take a hot sitz bath for 20 to 30 minutes each night (around 42°C) to relieve tension in the muscles and prostate, thereby reducing symptoms. The condition of the testicles tends to fluctuate, requiring long-term medication.

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