Can't urinate anymore at the age of 38? Is prostate hypertrophy related to sexual dysfunction? Prostate Treatment Options A Look at
Slow urination and lack of “sexual interest”? Will prostate hypertrophy affect sexual function?
When a man goes to the toilet, he starts to urinate slowly and his urine is not clean. In addition to paying attention to prostate hypertrophy, it may also be a sign of sexual dysfunction? Weng Zhuhao, an attending physician at the Department of Urology at New Taipei City Hospital , said that both prostate hypertrophy and sexual dysfunction are diseases that increase in incidence with age and are easy to occur in men at the same time.
Dr. Weng Zhuhao said that according to research, nearly 70% to 80% of patients seeking treatment for severe urinary tract symptoms may also suffer from sexual dysfunction. Theoretically, severe prostate hypertrophy is relatively likely to cause severe urinary tract symptoms, and these symptoms are related to sexual dysfunction. For example, patients who have urinary retention and have a urinary catheter placed often significantly reduce their “sexual interest”, while patients with milder symptoms are less likely to have this impact.
“The most common symptom of prostate hypertrophy is ‘not being able to urinate’. Some patients even try to urinate for 6 hours but still cannot urinate. Difficulty urinating is more likely to occur in winter than in summer!” Dr. Weng Zhuhao pointed out that prostate hypertrophy It mostly occurs from the age of 50, and some early-onset symptoms appear in the 40s. Clinically, a 38-year-old patient with prostate hypertrophy has been treated. Since the growth rate of the prostate is affected by genes, if the father of the family has a prostate, Hypertrophy, my son also recommends paying attention to prostate health early.
Can a stent be placed for prostate hypertrophy? Just taking medicine does one have to have surgery?
Does prostate hypertrophy require medication or surgery? Dr. Weng Zhuhao pointed out that if the urinary tract symptoms are not obvious in people with prostate hypertrophy, observation can be the first priority. However, if you have disturbing symptoms such as nocturia and urgent urination, you can take medication to control it. The more common ones are alpha-blockers and 5-Alpha-reductase inhibitors. , anticholinergics, Beta-3 adrenergic receptor agonists (Beta-3 agonists), etc., which can be used alone or in combination depending on the patient’s symptoms.
Dr. Weng Zhuhao said that for severe prostate hypertrophy, including urinary retention, bladder stones, recurrent urinary tract infections, severe bleeding, renal edema or severe urinary tract symptoms, invasive treatment methods must be considered. The most common ones are “transurethral prostate curettage surgery” covered by health insurance, or self-paid “laser prostate surgery”, which basically does not cause additional wounds.
Self-financed laser prostate surgery can effectively prevent patients from bleeding, have a shorter recovery period, and cause less pain. It is currently the most advanced option. As for traditional open prostatectomy, it is no longer recommended. In recent years, with the advancement of medical technology, a very small number of people who are unable to undergo surgery due to physical conditions can consider placing a prostate stent, which will also have certain effects.
Can taking aphrodisiacs improve sexual dysfunction and treat prostate hypertrophy?
Taking aphrodisiacs not only improves sexual dysfunction, but also solves prostate hypertrophy? Dr. Weng Zhuhao explained that among the common sexual dysfunction drugs, one of the drugs with a relatively long validity period can not only treat sexual dysfunction, but also improve the hypertrophy of the protective cord. However, the prescription must be evaluated by a physician for indications, and there is no Health insurance benefits. Once severe symptoms of prostate hypertrophy are controlled, the impact on sexual function will naturally improve.
Dr. Weng Zhuhao pointed out that the most common way to treat sexual dysfunction is drug treatment. Some people suffer from “male menopause” with insufficient male hormones, which can be improved by supplementing hormones. Hormone drugs currently include injections, sprays, ointments and other dosage forms. Injections are the most common, usually administered once a month, and only a few patients require intensive injections. In addition, low-energy extracorporeal shock waves are also an option for treating sexual dysfunction and prostate inflammation.
Men taking hormonal drugs should have prostate-specific antigen tested regularly
Taking hormonal drugs (5-Alpha reductase inhibitors) may increase the risk of cancer and depression? Dr. Weng Zhuhao explained that there are currently a few studies discussing the relationship between 5-Alpha reductase inhibitors and depression. Generally speaking, there is no clear correlation or cause and effect, whether it is the probability of suicide or the probability of depression. relation.
In addition, there is evidence that 5-alpha reductase inhibitors appear to reduce the incidence of low-grade prostate cancer, but there is a minimal risk of increasing higher-grade prostate cancer. Therefore, currently, 5-Alpha reductase inhibitors are not included in the indications for preventing prostate cancer in various countries, but are used for the treatment of benign prostate hypertrophy. People taking 5-Alpha reductase inhibitors are also recommended to go to the urology department regularly to track prostate-specific antigen (PSA) and observe whether there are any changes in the prostate.
After the age of 55, it is recommended to test PSA every two years. If you are afraid of urgent urination, drink less water, which may lead to a vicious cycle.
Dr. Weng Zhuhao reminded that prostate hypertrophy can be benign or malignant. If you are over 55 years old and have prostate-related symptoms, it is recommended to track the “Prostate Specific Antigen” (PSA) every 2 years. Young people should also pay attention to “prostate inflammation”. Its symptoms are similar to those of prostate hypertrophy and should be treated and controlled as soon as possible.
Some people drink less water due to urinary tract symptoms such as urgency. Long-term insufficient water intake will increase the pressure on the internal organs and affect the body’s efficiency in removing waste. If you have urinary problems, it is recommended to seek medical treatment from a urologist as soon as possible to avoid a vicious cycle of symptoms. Even affect kidney function.
Further reading:
Unclear peeing isn’t just about a weak bladder! Men must know the 7 signs of “prostatic hypertrophy”
