He urinates more, has dirty urine and has difficulty getting an erection. His prostate is twice the size of an average person! What medicine should I take for prostate hypertrophy?
Is it difficult to take medicine for nocturia and unclean urine? His prostate is twice the size of a normal person
Frequent nocturia and “tick-tick” when urinating? Men should be wary of prostate enlargement and erectile dysfunction? Dr. Wu Jiazhang, director of the Department of Urology at Shuang Ho Hospital of the Ministry of Health and Welfare, pointed out that a man in his 60s was recently treated for irregular urination, nocturia, and urgency. He also complained of erection difficulties and even the effectiveness of aphrodisiacs was gradually declining.
Dr. Wu Jiazhang said that after the examination, it was found that the patient’s prostate volume was about 60CC, which is nearly twice the size of the average person. There was obvious prostate hypertrophy, but the male hormone was only 280ng/dl, which was lower than the normal value of 350ng/dl, indicating merger. Have low male hormones. Through the treatment of prostate hyperplasia drugs combined with low-dose aphrodisiacs and short-acting male hormone injections, not only the smoothness of urination and erection hardness are significantly improved, but the mental state is also well restored.
Will prostate hypertrophy affect sexual function? The probability of erectile dysfunction among this group of people is nearly 50%
Dr. Wu Jiazhang pointed out that there is no direct evidence to prove the causal relationship between prostate hypertrophy and sexual dysfunction, but they have common related factors such as age, good blood vessel elasticity, and the health of vascular endothelium, which will affect prostate health and erectile function. .
Generally, the probability of prostate hypertrophy is directly proportional to age. The probability of 60-year-old men suffering from prostate hypertrophy is close to 60%. This group of men is also prone to hardening of the arteries and narrowing of the vascular lumen, resulting in cardiovascular disease and corpus cavernosum. Difficulty in congesting blood, the probability of erectile dysfunction is as high as 50%.
Dr. Wu Jiazhang said that men with prostate hypertrophy often increase the frequency of nocturia, which affects sleep quality, resulting in insufficient secretion of the male hormone (testosterone), resulting in low sexual desire and difficulty in erection. Men are reminded that when symptoms of urination and sexual dysfunction occur, they should seek medical examination at a urology department as soon as possible and evaluate appropriate treatment methods.
Can taking aphrodisiacs every day improve urination? Medication options for prostate hypertrophy
Treatments for prostate hypertrophy can be divided into non-invasive and invasive categories. Dr. Wu Jiazhang explained that non-invasive treatment is mainly based on drug treatment. The most commonly used drug is alpha ion blocker, which helps the prostate gland relax and reduces the resistance of the bladder outlet to smooth urination. Traditional alpha-type ion blockers are more likely to cause problems such as hypotension and retrograde ejaculation. Today’s new drugs are more specific and can reduce the dosage of drugs if they are complicated by hypertension. Patients can discuss medication with their doctors in a timely manner.
The second type of commonly used drugs for prostate hypertrophy are 5-alpha reductase inhibitors, which prevent testosterone from being converted into dihydrotestosterone (DHT) and achieve the effect of reducing the size of the prostate, but it takes about 3-6 months. Only then will it have an obvious effect. Although some patients have reduced prostate size after taking the drug, they are not satisfied with the improvement of urinary problems. Clinically, it is used in combination with other treatments or drugs that enhance bladder contraction.
In addition, international studies in recent years have found that daily use of low-dose aphrodisiacs can improve urinary urgency, nocturia and frequent urination caused by irregular urination, and is significantly helpful for male lower urinary tract symptoms. Dr. Wu Jiazhang said that drug treatment is the priority for mild prostate hyperplasia. After evaluating complications, side effects, and whether there is a history of stroke or chronic disease, the patient will be given appropriate medication options.
Does prostate hypertrophy require surgery? Seek medical advice as soon as possible if you have perineal discomfort or difficulty urinating.
Dr. Wu Jiazhang said that the invasive treatment for prostate hypertrophy is mainly surgery, which is suitable for patients with severe prostate obstruction or urinary retention, renal insufficiency, ureteral edema, etc. The traditional transurethral prostate curettage surgery has been around for 90 years. However, the effectiveness of the surgery must be matched by the high experience of the surgeon to avoid complications due to bleeding during the curettage process. With the advancement of medical technology today, traditional electrocautery curettage surgery has been relatively reduced, and transurethral prostate laser vaporization and resection surgery has gradually become mainstream.
In addition, various low-invasive prostate surgeries are being developed abroad, but they have not yet been introduced in Taiwan. For example, tying the prostate with a band can help expand the diameter of the urethra, thereby improving smooth urination. Or high-temperature steam is injected into the prostate to cause necrosis of prostate cells and reduce the size of the prostate. Computer calculations are even used to use “water jets” with high-pressure and high-speed water flow to cut the enlarged prostate and improve the patient’s urination condition.
Dr. Wu Jiazhang reminded that the prostate is closely related to the quality of life of men throughout their lives. Many young men have chronic prostatitis, which causes long-term perineal discomfort and difficulty in urinating. They should seek medical treatment as soon as possible and improve their living habits. Middle-aged and elderly men should pay attention to prostate cancer-related indicators, such as regular health examinations and monitoring PSA (prostate specific antigen) to detect malignant tumors as early as possible.
Further reading:
Unclear peeing isn’t just about a weak bladder! Men must know the 7 signs of “prostatic hypertrophy”
