Patient's question:
Detailed medical condition and consultation purpose: How to treat prostatic hyperplasia causing difficulty in urinationDuration of the current illness and persistence: The illness has persisted for five years, and "Prostakang" has been taken continuously.
Auxiliary tests:
Ultrasound examination: Prostate size: 463233mm, with relatively uniform echo in the glandular region of the prostate.
Doctor's answer:
Hello, benign prostatic hyperplasia (BPH), also known as benign prostatic hypertrophy, is divided into histological benign prostatic hyperplasia and clinical benign prostatic hyperplasia. The former is characterized by a significant increase in prostate volume or microscopic benign prostatic hyperplasia, but it may or may not cause symptoms in clinical practice. The latter can be determined by the following three criteria: ① Prostatic symptoms (frequent urination, nocturia, dribbling, difficulty urinating, etc.); ② Enlarged prostate volume (prostate volume > 20 ml); ③ Indications of bladder outlet obstruction (maximum urinary flow rate < 15 ml/min). Its early clinical manifestations are often: 1. Frequent urination, especially an increase in nocturia, with patients urinating 2 to 5 times or more per night, and reduced urine volume; 2. Difficulty urinating, hesitation, thin urine stream, intermittent urination, etc.; 3. Hematuria; 4. Hypersexuality. If the condition progresses, it may lead to acute urinary retention where urine cannot be completely expelled. Treatment should be tailored to your clinical symptoms and other relevant laboratory test results. It is recommended to undergo the necessary examinations, avoid alcohol and irritating foods, prevent colds and, reduce sexual activity, and take measures to prevent the condition from worsening. Wishing you good health!