How to Treat Prostate Problems

Prostate problems can be treated through lifestyle adjustments, medication, physical therapy, surgery, etc. Prostate problems may be related to factors such as prostatic hyperplasia, prostatitis, and prostate calcification, and usually manifest as symptoms such as frequent urination, urgency, and difficulty in urination.

1. Lifestyle adjustment

Reducing the amount of time you spend sitting can help improve pelvic blood circulation, and avoiding holding urine for long periods of time can reduce pressure on your bladder. Appropriately increase zinc-rich foods such as oysters and pumpkin seeds. Zinc is helpful for prostate health. Limiting alcohol and caffeine intake can reduce symptoms of frequent urination and maintain a daily water intake of 1500-2000 ml.

2. Drug treatment

Alpha-blockers such as tamsulosin hydrochloride extended-release capsules can relax the muscles of the prostate and bladder neck and relieve the symptoms of dysuria. 5α-reductase inhibitors such as finasteride tablets can reduce the size of the prostate and are suitable for patients with prostatic hyperplasia. Antibiotics such as levofloxacin tablets need to be used when bacterial infection exists. For chronic prostatitis, celecoxib capsules can be considered to relieve pain.

3. Physical therapy

Prostate massage promotes the discharge of gland secretions through professional techniques and is suitable for patients with chronic prostatitis. Microwave hyperthermia uses thermal effects to improve local blood circulation and relieve prostate tissue edema. Biofeedback therapy improves urinary control and pain symptoms by training pelvic floor muscle coordination.

4. Minimally invasive treatment

Transurethral resection of the prostate relieves urethral obstruction by removing part of the hyperplastic tissue, and the postoperative recovery is faster. Prostate laser vaporization uses laser energy to precisely ablate hyperplastic tissue with less intraoperative blood loss. Urethral stent implantation is suitable for elderly patients who cannot tolerate surgery and can temporarily improve urinary function.

5. Surgical treatment

Open prostatectomy is suitable for cases of massive prostatic hyperplasia and requires complete removal of the gland through an abdominal incision. Transperineal radical prostatectomy is the main treatment for prostate cancer, which can completely remove the diseased prostate and surrounding tissue. Robot-assisted surgery has the advantages of precise operation and less trauma, but it is more expensive.

Patients with prostate problems should avoid cycling and other exercises that compress the perineum. Regular levator ani exercises can strengthen the pelvic floor muscles. In your diet, eat more foods rich in antioxidants such as tomatoes and broccoli, and limit the intake of spicy and irritating foods. Pay attention to changes in urination and seek medical attention promptly if hematuria or acute urinary retention occurs. Maintain a moderate frequency of sexual life, neither excessive abstinence nor excessive indulgence. Regular prostate-specific antigen testing and digital rectal examination can help detect lesions early.