This world is fair, for example, as people age, although collagen may be lost, prostate enlargement can also occur. It can be said that as long as men live long enough, they will eventually develop prostate enlargement. The incidence of benign prostatic hyperplasia increases from the age of 40-45, reaching 50% by the age of 51-60 and 90% by the age of 80 and above.
 

As a somewhat embarrassing disease, what are the good treatment methods? Let's listen to what Dr. Guan Zhichen, the head of the urology department, has to say today

1、 What are the manifestations of benign prostatic hyperplasia?

The typical clinical symptoms of benign prostatic hyperplasia can be divided into two categories——
 

Symptoms of urinary storage period (irritating)
Frequent urination, urgency, nocturia, and urinary incontinence
 

Diagnosis during urination period
Slow urine flow, difficulty urinating, intermittent urination (intermittent outflow of urine during urination) or hesitancy in urination, split urine flow, and dribbling of urine particles

Of course, these symptoms are also common in many urinary system diseases. Therefore, if the above symptoms occur, it is recommended that everyone go to the urology department of the hospital for examination. Generally speaking, urologists can diagnose prostate hyperplasia through diagnosis and series of examinations.

 

2、 How to treat benign prostatic hyperplasia?

There are many main treatment methods for benign prostatic hyperplasia:

 

01 Drug therapy

The initial medication for most patients is α Receptor blockers usually take effect within a few days. Other commonly used medicines include 5 α Reductase inhibitors M Acceptor antagonists, etc.

 

02 Surgical treatment

Surgical treatment may be considered for patients with poor drug efficacy, severe symptoms affecting normal life, or those who develop symptoms at a young age.

There are currently three main types of surgeries performed at Shenzhen New Frontier United Family Hospital——

 

01. Transurethral prostatectomy (TURP)

TURP It is one of the classic surgical methods, with high applicability, safety, and effectiveness. By inserting an electrocautery through the tip of the penis into the urethra, doctors can detect and remove excess prostate tissue that obstructs urine flow. But the surgery may have a certain impact on sexual function, so it is particularly important to choose a skilled doctor for the surgery. Dr. Guan Zhichen from our hospital has performed over 2000 cases of transurethral resection of the prostate (TURP) since 1998, accumulating rich surgical experience.

 

02. Prostatic Urethral Suspension Surgery (Urolift)

Urolift It is a minimally invasive treatment with minimal impact on patients, short surgical time, 90% of patients do not need to use a catheter after surgery, no sexual dysfunction, and no concurrent diagnosis of retrograde ejaculation. This surgery has been performed in over 100000 cases in the United States and is the first of its kind in southern China UroLift It was successfully completed at Shenzhen New Frontier United Family Hospital.
 

03. Water vapor hyperthermia (Rezum)

Rezum It is a new technology. It uses radio frequency energy to heat water outside the body into 103 ℃ steam, which is precisely injected into the site of prostate hyperplasia, causing cells to die instantly. The denatured tissue treated with hot steam will be absorbed by the human body.
 

 

Rezum There are four characteristics as follows——

• Can effectively alleviate symptoms
 

• Accurate range, without thermal effects on areas other than the prostate and target treatment area
 

The surgery can be performed in the clinic and requires minimal use of anesthetics or analgesics
 

• Almost no sexual function side effects
 

III Rezum Who is suitable for surgery?

Rezum Surgery is suitable for individuals aged 50 and above with a prostate volume of ≥ 30 cm³ And ≤ 80 cm³ The male.

 

Currently in the Shenzhen area, carrying out Rezum There are not many hospitals for surgery,Shenzhen New Frontier United Family HospitalIt's one of them. And at the urology department of Shenzhen New Frontier United Family Hospital, the doctors we visit are all experienced chief physicians.

 

4、 Introduction to the Department of Urology at Shenzhen New Frontier United Family Hospital

Shenzhen New Frontier United Family Hospital's Department of Surgery provides 24-hour adult surgical services and postoperative monitoring for emergency and inpatient patients. We have a professional medical team composed of experienced and highly skilled surgeons, anesthesiologists, and monitoring nurses, following the principles of evidence-based medicine and rapid recovery, providing patients with comprehensive and personalized medical services including diagnosis and treatment.

 

Reception scope

Prostatic diseases
Prostate hyperplasia, prostate cancer, etc
 

Urinary calculus
Kidney stones, ureteral stones, bladder stones, urethral stones, etc
 

Urological tumors
Renal tumor, ureter cancer, bladder cancer, etc
 

Female Urological Surgery
Stress urinary incontinence, nocturia, bladder overactivity, etc
 

andrology
Sexual dysfunction, premature ejaculation, male infertility, penile and scrotal diseases, etc

 

reference material:

[1] Guidelines for Diagnosis, Treatment, and Health Management of Benign Prostatic Hyperplasia, 2022

[2] McVary KT, GittelmanMC, Goldberg KA, Patel K, Shore ND, Levin RM,PliskinM,BeahrsJR,PrallD,KaminetskyJ, Cowan BE,CantrillCH,MynderseLA,UlchakerJC,TadrosNN,GangeSN,RoehrbornCG. Final 5-Year Outcomes of the Multicenter Randomized Sham-Controlled Trial of a Water Vapor Thermal Therapy for Treatment of Moderate to Severe Lower Urinary Tract Symptoms Secondary to Benign Prostatic Hyperplasia. J Urol. 2021 Sep; 206（3）：715-724.doi: 10.1097/JU.0000000000001778.Epub 2021 Apr 19. PMID: 33872051.

[3] McVary KT, El-ArabiA,RoehrbornC. Preservation of Sexual Function 5 Years After Water Vapor Thermal Therapy for Benign Prostatic Hyperplasia. Sex Med. 2021 Dec; 9（6）：100454.doi: 10.1016/j.esxm.2021.100454.Epub2021 Oct 30. PMID: 34731779； PMCID: PMC8766265.