Patient's question:
Doctor, I am 32 years old this year, and I have been divorced for 32. Recently, I have been finding it difficult to ejaculate during sex with my wife every night, and I always have a weak stream when I urinate. I went to the hospital for a thorough examination, and the result was benign prostatic hyperplasia.Doctor's answer:
Sir, hello;1. Mild hypertrophy does not require treatment.
2. Estrogen therapy: Oral ethinyl estradiol, 1–3 mg per dose, three times daily, for 1–3 weeks. For acute urinary retention or more severe urinary difficulties, the initial dose may be slightly higher, or use estradiol valerate 10 mg IM every 5–7 days.
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 enlargement is significant, there is chronic urinary retention, a large amount of residual urine (60–100 mL or more), urinary tract infection, impaired renal function, and the condition does not improve with the aforementioned treatments, prostatectomy is recommended.