How to treat prostate enlargement effectively?

Prostate hypertrophy troubles many men, but in daily life, patients do not pay attention to understanding effective treatment methods. In fact, surgical treatment can be said to be the most important and effective treatment method now, especially suitable for prostate hypertrophy accompanied by conditions such as urethral obstruction or long-term urinary tract obstruction.

1. Surgical treatment

Surgery remains an important treatment for prostate enlargement.

2. Indications for surgery

① There are symptoms of lower urinary tract obstruction, urodynamic examination has changed significantly, or residual urine is more than 60ml;

② Severe symptoms of unstable bladder; ③ Upper urinary tract obstruction and renal damage have been caused; ④ Multiple episodes of acute urinary retention, urinary tract infection, and gross hematuria; ⑤ Complicated with bladder stones.

For patients with long-term urinary tract obstruction, obvious renal damage, severe urinary tract infection or acute urinary retention, a urinary catheter should be placed to relieve the obstruction, and surgery should be performed after the infection is controlled and renal function is restored. If inserting the catheter is difficult or the long intubation time has caused urethritis, suprapubic cystostomy can be performed instead. The indications for emergency prostatectomy should be strictly controlled.

3. Minimally invasive treatment

(1) Transurethral electrovaporization of the prostate is mainly an innovation in electrode metal materials, which makes its biological thermal effect different from the former.

Due to the rapid thermal conversion, it can produce a high temperature of 400°C, quickly causing tissue vaporization or coagulative necrosis, and its hemostatic characteristics are extremely significant.

① Increased indications: The procedure can be performed on glands weighing more than 60g. ② Clear surgical field: Due to the significant hemostatic effect and clear flushing fluid, the surgery is convenient. ③ Reduction of operation time: Since the hemostasis steps are reduced, the surgical resection is accelerated and the operation time is shortened. ④ Reduced complications: water intoxication is less likely to occur (thick coagulation layer), clear surgical field reduces accidental injuries, and sphincter and capsule damage is less likely to occur. ⑤Fast recovery after surgery: shortened flushing time.

(2) Transurethral plasma bipolar resection of the prostate and transurethral plasma TURP are transurethral prostatectomy surgeries performed using a bipolar plasma resection system in a similar surgical approach to monopolar TURP.

(3) Cryotherapy can be performed through the urethra. It is simple to operate and is suitable for older patients who cannot tolerate other surgeries.