Welcome Back to Watch Out! Prostate Problems Will Occur Someday!
This week we are going to discuss surgery to resolve BPH and how adjust lifestyle to prevent BPH.
For patients with severe symptoms and less improvement by drugs, surgery is a must. The common practice is called transurethral resection of the prostate (TURP). In short, it is to put a tube into the urethra via an endoscope, slowly push it until it is near the prostate, and then scrape off the hyper-proliferative prostate to improve the compression of the urethra and bladder.
There are three common surgical methods at present:
Monopolar TURP
Bipolar TURP
Laser prostatectomy
The main advantage of lasers is less bleeding of the wounds. In order to reduce bleeding and increase the safety of the surgery, people who have heart disease, abnormal blood coagulation or abnormal renal function are recommended to choose this method. However, according to research, using Bipolar TURP is not worse than laser surgery. It is important to find a doctor who is serious, skillful and considerate for the patient.
If you have mild Benign Prostatic Hyperplasia there is no need for treatment, but the following adjustments to your lifestyle can slightly improve the symptoms:
Drink water but not excessively (you can drink 1500-1800 c.c. a day); try to drink during the day and drink less at night.
Train your bladder not to go to the toilet immediately when you want to urinate (distract yourself and try to accumulate up to 200 c.c. or more to improve urine storage function as best as you can).
Do Kegel exercises in your free time (try to purposely interrupt the urine when you are urinating as part of the exercises).
Avoid drinking or eating spicy things; avoid stimulating the sympathetic nerves or cause the symptoms to worsen.
Eat more fruits and vegetables; avoid constipation (the rectum is behind the prostate, so constipation will suppress the prostate).
Pay attention to drug use: some drugs may cause symptoms to worsen (such as antispasmodic drugs).
Many people wonder if there is anything they can eat to improve prostate hypertrophy. Currently there is only evidence that lycopene can improve symptoms slightly. The human body cannot synthesize lycopene by itself, so we can only intake lycopene from food. The content of lycopene in red and yellow vegetables and fruits is relatively high (for example, tomato, papaya, watermelon, etc.). These fruits and vegetables can be taken in moderation. Lycopene is also a good antioxidant, which is somewhat helpful to the human body.
In sum, we hope everybody can understand this common situation well. Prostate hypertrophy is not a taboo disease, and it is a disease that most people may face. Thanks to the advancement of modern medicine, there are already many cheap and effective treatments. Don’t be shy; take good care of your health so that you can have health and happiness in your life.
References:
Berry, SJ, Coffey, DS, Walsh, PC, et al. The development of human Benign Prostatic hyperplasia with age. J Urol 1984;132:474.
台灣良性攝護腺前列腺肥大症臨床診療指引
Medical treatment of benign Prostatic Hyperplasia, UptoDate
Clinical manifestations and diagnostic evaluation of benign prostatic hyperplasia, UptoDate
Transurethral procedures for treating benign prostatic hyperplasia, UptoDate
Medpartner.club-benign prostate hyperplasia cause treatment
