Patient's question:
What are the definitive diagnostic methods for benign prostatic hyperplasia?Doctor's answer:
1. Mild hyperplasia does not require treatment.2. Estrogen therapy: Oral ethinyl estradiol 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 performed at points such as Guanyuan, Qihai, Sanyinjiao, and Yanglingquan. Catheterization should be used to eliminate urinary retention, and the catheter should be retained to gradually empty the bladder.
4. Surgical treatment: If the prostate hyperplasia is significant, accompanied by recurrent acute urinary retention, a large amount of residual urine (approximately 60–100 mL), urinary tract infection, impaired renal function, and no improvement after the aforementioned treatments, prostatectomy is recommended.