Patient's question:
Recently, I've been experiencing lower back pain, weakness in all four limbs, and symptoms of frequent and urgent urination. Every time I urinate, it feels very painful. There's white discharge from the urethral opening, dripping and dripping, with a foul odor. My prostate feels very swollen and painful. My libido has decreased. I went to the hospital for a thorough examination and was diagnosed with benign prostatic hyperplasia.Doctor's answer:
The treatment of benign prostatic hyperplasia (BPH) generally involves three steps: watchful waiting; drug therapy and surgical therapy. For milder cases (professionally assessed using the IPSS international scoring system, with a score of 7 or below considered mild), watchful waiting is typically adopted.Watchful waiting involves first having a professional doctor conduct a thorough examination to rule out prostate cancer. If symptoms are mild, treatment is not initiated, and lifestyle adjustments are sufficient. However, it is essential to be aware of the condition and seek timely treatment when symptoms improve.
Drug therapy is primarily used for patients with moderate BPH. The medications mentioned earlier are indeed appropriate. From a professional perspective, drugs for BPH are divided into three major categories:
1. 5α-reductase inhibitors, with the representative medication being Proscar.