The Remedy for Benign Prostate Hyperplasia (bph) and Frequent Urination

The personal experience from patients is that the lower urinary tract symptoms are caused by benign prostatic hyperplasia. The patients pay most attention to the lower urinary tract symptoms. I-PSS and QOL are the most common methods to judge the severity of the benign prostatic hyperplasia patients. The main reason for the patients to look for the remedy is that the lower urinary tract symptoms and the decline of the life quality. Therefore, the lower urinary tract symptoms and the decline degree of the life quality are the most important basis for the remedy selection.

At present, watchful waiting and medicine remedy are the main methods to cure the benign prostatic hyperplasia.

• Watchful waiting

Parts of the patients think that the lower urinary tract symptoms do not affect their life quality. The lower urinary tract symptoms are acceptable to tolerant. So they will not choose the medicine remedy or the surgical treatment. And they will consider these symptoms are not caused by urinary tumors. Thus the patients normally decide the remedy of watchful waiting before the indication of the operation. While watchful waiting does not mean not to cure the disease. Watchful waiting should be the non-medicine and non-surgical curing method. It includes patient education、guide to the way of life and follow-up visit and so on. For majority of the benign prostatic hyperplasia patients, watchful waiting can be a kind of suitable treatment way.

The contents of the watchful waiting are as follows:

（1）patients’ education

The patients who accept watchful waiting should be provided the relevant benign prostatic hyperplasia disease knowledge. They should learn the lower urinary tract symptoms and the clinical progress of benign prostatic hyperplasia. The patients should especially learn the effect and prognosis of the watchful waiting. At the same time the patients should be provided the relevant prostatitis cancer knowledge. The benign prostatic hyperplasia patients normally pay attention to the danger of the prostatitis. The study shows that there is no difference of the prostatitis cancer relevance ratio between the patients with lower urinary tract symptoms and the patients without lower urinary tract symptoms.

（2）The guide of the lifestyle

Appropriate restrictions on drinking water can relieve the frequent urination, such as appropriate restrictions on drinking water at night and in the public social occasions. The water intake should not be less than 1500 milliliter every day. Ethyl alcohol and coffee have the diuretic effect and the stimulation effect. They can cause urine increased、frequent urine、urgent urination and so on. Therefore the intake of the ethyl alcohol and coffee should be limited. The skill of bladder emptying should be guided, such as the repetition of urination. The patients should be trained to mentally relax in order to divert the attention of urination.

（3）The guide of drug combination

The patients suffering benign prostatic hyperplasia use many kinds of drugs at the same time because of the combination of the other diseases. The doctors should know and evaluate the details of the combination drugs of the patients. The constipation should be cured at the same time.

（4）The follow-up visit is the important clinical processes for the patients who accept the watchful waiting of benign prostatic hyperplasia.

The first follow-up visit should be started after six month when the watchful waiting has been started. Later the follow-up visit should be done every year. The aim of follow-up visit is mainly to learn the developing condition of the benign prostatic hyperplasia of the patients. And the aim of follow-up visit is mainly to learn if the clinic progress appears. The aim of follow-up visit is to learn the relevant combination of benign prostatic hyperplasia and the absolute surgical indications. Furthermore, the doctor will change the curing method into the medicine curing or the surgical treatment according to the wish of the patient. The contents of the follow-up visit should include the medical history、score of I-PSS and QOL、physical examination、routine urine test、serum PSA、ultrasonic testing including post-void residual volume and score rising of the symptoms. When the follow-up visit has been done for five years, 36% patients in the watchful waiting group will be transferred to the surgical treatment group. 64% patients will remain stable.

Traditional Chinese medicine treatment

The traditional Chinese medicine has an indelible contribution to the development of medicine and health. And it has an indelible contribution to the health of Chinese nation. There are a lot of traditional Chinese medicines used in the benign prostatic hyperplasia clinic treatment now. The details of biological mechanism action are not explained because of the complicated ingredients of the traditional Chinese medicine and plant preparations. Carrying out the basis study of the traditional Chinese medicine is beneficial to the further consolidation of the international standing of the traditional Chinese medicine.

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