Prostate hypertrophy is an aging phenomenon, and it is also a benign tumor. Because it brings inflammation, urinary tract obstruction, abnormal urination, or complications of kidney □}, it needs to be treated.Treatment methods can be divided into two types: conservative therapy and surgical treatment.Doctors will choose the most appropriate treatment for you according to your condition.
1. Conservative therapy
For patients with weakness, liver, and renal failure, or acute cerebrovascular accidents have not been restored, and are not suitable for surgery, conservative therapy should be adopted to reduce the retention of urine retention and uncomfortable caused by obstruction.
1. Place the hypothyroid tube or artificial bladder □ surgery: When there is acute urinary crickets, it can relieve the pain of closing urine. For about a few days, after the prostate blood recharge is improved, the bladder tension is restored to normal, and then improves before making progress. One -step treatment.
2. Drug treatment
Bladder export relaxation drugs such as Dibenyline, Minipress, Hytin are used to reduce the situation that cannot urinate.Side effects: dizziness, nasal congestion, chest tightness and hypotension.
Anti-male hormone drugs, such as PROSCAR to inhibit male hormones, must take about 3-6 months to slowly improve, and must be taken for life.
Side effects: 3-5%of patients can cause male female breast milk or male sex molybdenum □ 炕 B.
Second, surgical therapy
1. Peridal prostate divorce (referred to as Turp) & hellip; is the most commonly used method to remove the prostate hyperplasia tissue through the bladder endoscopy and insert the surgery removal mirror through the urethra.There is no wound in the abdomen of this surgery, short surgery time, less bleeding, rapid recovery after surgery, less complications, and high safety.
Complications: Most of the patients with prostate hypertrophy are old patients. Although the surgery itself is very safe, the time is short, the bleeding is less, and the recovery is rapid. When an accident, there may also be complications such as continuity bleeding, auxiliary testosteritis, urine retention, urethral narrowing, retrograde ejaculation, urinary incontinence, and impotence, but the incidence is very low.
2. Prostate dehumidaries after the pubic bone: Cut from the lower abdomen without opening the bladder. The prostate is too large, and it cannot be removed by the urethra, and there is severe urethral narrowing.
Advantages: Easy to stop bleeding
Disadvantages: Disposure of pubicitis and bladder neck contracture and narrow.
3. Other treatment methods
1. Microwave high temperature treatment of urethra or rectal clicks
The prostate tissue protein degeneration is used to use high temperature, cell necrosis, atrophy and peeling, so that the urethral urethra that is originally obstructed can be normal.
Indications: mild, moderate prostate hypertrophy and prostate tumors.
complication:
(1) Bleeding (but less than the general traditional meridian prostate and laser bleeding)
(2) Burning
(3) Infection
shortcoming:
1. It takes several weeks to organize the backwardness to see the effect and may be several times of treatment
2. Surgery surgery of the urethral prostate: The laser catheter directly contacts or does not directly contact the prostate, and it is burned, mainly to cause the surface or local tissue gasification evaporation and coagulation necrosis.Put a pubic bladder for the pose of the bladder before surgery to use it as a path of diversion of urine.
advantage:
(1) Due to laser burning, tissue coagulation bad deaths will not be risk of bleeding.
(2) Suitable for patients with bleeding tendencies.
(3) If the patient has taboos that adopt a longitudinal prostate, you can consider this treatment method.
shortcoming:
(1) The bladder building tube needs to be placed for 1-2 weeks.
(2) Urine discharge group: If the necrotic tissue is not completely eliminated, urine excretion will be affected.
3. Prostate urethral duct
The use of a specially designed metal duct will compress the prostate expansion before the urethra, which makes urine unobstructed.
Indications: Suitable for those who have internal medicine discomfort, or those who have acute urinary reserves, can replace the hypogly -kept urinary tube.
Complications: duct movement, hematuria, stones.
Disadvantages: At present, it is expensive and long -term efficacy is yet to be evaluated.
How do ordinary people health?
The prostate hypertrophy causes life trouble, so the health of the prostate is very important.The following points of health care methods are provided for reference.
1. Avoid urination.
2. Avoid smoking and drinking, because the tobacco and alcohol can make the prostate more congested and puffy, making the symptoms more serious.
3. Avoid, take more vegetables, fruits or supplement vitamins at the same time.When you have a cold or when you have a cold, you cannot be taken to contain anti -bile hormone drugs, such as: cold, acidic agent, etc. Such drugs can inhibit bladder contraction, causing the urine to suddenly cannot be solved.
4. Appropriate sexual life.
5. Avoid drinking a large amount of diuretic ingredients before going to bed.Such as coffee, tea or beer.
6. If there is a fever, pain to urinate, or unsolved urine, you should seek medical treatment immediately.
7. Regular health check.
(Editor in charge: Internship Liu Suling)
