How to treat prostatic hyperplasia with calcification

Prostatic hyperplasia with calcification can be improved through drug treatment, dietary modification, lifestyle intervention, physical therapy and surgical treatment. Prostatic hyperplasia with calcification may be related to aging, abnormal androgen levels, chronic inflammatory stimulation and other factors. It usually presents with symptoms such as difficulty urinating, frequent urination and urgency, and increased nocturia.

1. Drug treatment

Patients with prostatic hyperplasia and calcification can use tamsulosin hydrochloride sustained-release capsules, finasteride tablets, alfuzosin sustained-release tablets and other drugs as directed by their doctor to improve symptoms. Tamsulosin hydrochloride sustained-release capsules can relax prostate smooth muscle and reduce urinary resistance. Finasteride tablets slow down prostate hyperplasia by inhibiting the conversion of androgens. Alfuzosin extended-release tablets can relieve symptoms such as difficulty urinating. If there is a urinary tract infection, antibiotics such as levofloxacin tablets can be used in combination.

2. Diet conditioning

It is recommended to limit the intake of red meat, spicy food and alcohol to avoid stimulating prostate congestion. Appropriately increase antioxidant-rich foods such as tomatoes and broccoli, as well as zinc-containing foods such as pumpkin seeds and nuts. The daily water intake should be maintained at 1500-2000 ml, but water consumption should be reduced 2 hours before going to bed to relieve nocturia symptoms.

3. Lifestyle intervention

Avoid sitting for long periods of time and get up and move around for 5 minutes every hour. Insist on levator ani exercises to enhance pelvic floor muscle function, 3 groups a day, 15 times each. Empty your bladder regularly and do not hold urine. Pay attention to keeping the perineum warm to avoid aggravation of symptoms caused by cold. Obese people need to control their weight and reduce the pressure on the prostate.

4. Physical therapy

Transurethral microwave thermotherapy promotes necrosis and shedding of prostate tissue through local heating. Extracorporeal shock wave therapy can improve local blood circulation and relieve pain caused by calcification lesions. Prostate massage helps with glandular drainage but is contraindicated during acute inflammation. These treatments must be carried out under the guidance of professional doctors.

5. Surgical treatment

Transurethral resection of the prostate is suitable for patients with moderate to severe urinary difficulty. It removes hyperplastic tissue through electrodes. Laser enucleation of the prostate results in less bleeding and faster recovery, and is suitable for the elderly or those with underlying diseases. Open prostatectomy is reserved for cases of excessive gland size. A urinary catheter needs to be left in place for 3-5 days after surgery to prevent infection.

Patients with prostatic hyperplasia and calcification require long-term follow-up and regular review of prostate-specific antigen and ultrasound. In daily life, avoid activities that put pressure on the perineum, such as cycling. When bathing, you can use a warm water sitz bath to relieve discomfort. If symptoms such as acute urinary retention, hematuria or abnormal renal function occur, seek medical attention immediately. Maintaining a regular schedule and a good attitude play an important role in controlling the progression of the disease.