Patient's question:
No discomfort symptoms, no need to urinate at night. Previously underwent follow-up at a cancer hospital. Past treatment and outcomes: At the cancer hospital, you performed a prostate needle biopsy, which confirmed benign prostatic hyperplasia. No other treatments were administered, and since then, you have been taking medication. What kind of assistance you are seeking: Yesterday, you had another prostate-specific antigen retest, with results of 16.09 ng/mL for PSA and 1.56 ng/mL for free PSA (on October 18, 2010, PSA was 16.14 ng/mL, fPSA was 1.31 ng/mL). The results are almost the same as before. Given this situation, we are very concerned and would like to ask for your advice on how to proceed. We are deeply distressed and under immense pressure! Please guide us. Thank you!Doctor's answer:
Treatment Methods for Benign Prostatic Hyperplasia (BPH)Treatment Methods for Benign Prostatic Hyperplasia (BPH)
There are several treatment methods for BPH, which can be broadly categorized into surgical and non-surgical approaches. Non-surgical treatments include local penetration methods, rectal medication combined with infrared therapy, local injection methods, and others. Here, we will explain a few self-administered external treatments for reference only.
1. Mild hyperplasia does not require treatment.
2. Estrogen therapy: Oral ethinyl estradiol at a dose of 1–3 mg once daily, three times a day, for 1–3 weeks. For acute urinary retention or more severe urinary difficulties, the initial dose may be slightly higher, or medroxyprogesterone acetate 10 mg can be administered intramuscularly every 5–7 days.
3. During acute urinary retention, acupuncture can be applied to points such as Guanyuan, Qihai, Sanyinjiao, and Yanglingquan.