A review of treatment for persistent frequent urination among the 10 symptoms of prostate enlargement

Since a certain day, I noticed my husband waking up frequently during sleep to go to the bathroom.

When asked if her stomach hurts, she said no and didn't give a clear answer.

I thought they would give up, but when they took off their underwear, I could see the front of their panties soaked as if they had urinated.

Since I am in my mid-50s, I had a feeling that this person might also have benign prostatic hyperplasia.

 

Because around the fifth year of marriage, my father-in-law started experiencing hematuria and had a history of prostate cancer.

I remember that my father was around 60 at that time, so prostate enlargement immediately came to mind.

I told my husband that I was worried I might become as severe as my father-in-law, and he said he had already gone to the urology clinic.

It seems like I wanted to keep it to myself to protect my pride as a man ㅜㅜ

 

If the reproductive organ unique to women is the uterus, then the reproductive organ unique to men is the prostate.

 

 

Benign prostatic hyperplasia is defined as lower urinary tract symptoms, which include bladder storage symptoms such as frequent urination (more than 8 times a day), nocturia, strong and sudden urgency (a feeling of needing to urinate), and urge incontinence that cannot be controlled when the urge to urinate occurs; and voiding symptoms such as difficulty initiating urination (taking a long time to start urinating), interrupted stream (discontinuous urine flow), and straining during urination, which are collectively referred to as symptoms of bladder outlet obstruction in men over 50.

- Seoul National University Hospital Medical Information -

 

The exact cause has not yet been clearly identified, but it is believed to be due to aging of the normal functioning testicles. When male hormones are not produced due to castration, the prostate shrinks, which is comparable to menopause, where menstruation stops.

Since genetic factors and family history are also related, those with a family history of prostate surgery for benign prostatic hyperplasia may be aware of symptoms related to benign prostatic hyperplasia, which could be helpful.

 

⚫️Symptoms

✅Frequent urination; a symptom of needing to urinate often

Delayed urination, urinary retention: symptoms that require patience before urination occurs

✅Straining urination: a symptom that requires applying pressure to the lower abdomen to urinate

✅Dysuria, painful urination: symptoms of a narrowing urine stream

✅Short urination: a symptom of interrupted urination.

✅Residual urination: A feeling of incomplete urination even after urinating, with a desire to urinate again.

Post-urination dribbling: the symptom of droplets dripping after urination

Urgency: A symptom of being unable to hold back when needing to urinate

Urgency urinary incontinence: inability to hold urine, leading to leakage onto clothing

Nighttime urination: waking up during sleep to urinate.

 

My husband said he was diagnosed at Koavi Urology.

There are various examinations including medical history, physical examination, urinalysis, prostate-specific antigen test, symptom score sheet, uroflowmetry and post-void residual measurement, pressure-flow study, cystoscopy, and transrectal ultrasound. I remember the blood tests, ultrasound, and cystoscopy.

 

Since a diagnosis has been made, you must be curious about the treatment options.

If the patient can tolerate it, improvement can be achieved through sitz baths, improving urination habits, regulating fluid intake, and dietary therapy.

My husband has been experiencing symptoms such as frequent urination, feeling of incomplete bladder emptying, nocturia, and urge incontinence (although he says it's not him, the frequent yellow staining on his underwear makes me suspect incontinence).

Doctor also suggested trying medication treatment.

 

 

At first, maybe out of embarrassment, I think I wrote "prostate" on the medicine bottle and kept it in a corner of the drawer to take it.

Currently, I am receiving prescriptions for different medications at a nearby hospital (clinic) and taking them together.

 

 

Typically, primary treatment for lower urinary tract symptoms caused by benign prostatic hyperplasia is medication.

Fortunately, the symptoms are improving with medication treatment.

 

⚫️Diet and Lifestyle Guide

It is advisable to increase the intake of carbohydrates, fiber, vegetables, fruits, and fish. Foods such as miso, tofu, and other whole foods are also good. It is recommended to avoid highly spicy foods and to reduce meat consumption (my husband, who is a meat lover, dislikes hearing this the most, haha).

I need to regularly control my weight and try to reduce my visceral fat (my husband, whose belly suddenly increased, is frowning).

It is also not good to hold in urine for a long time, and excessive drinking and fatigue should also be avoided.

I told my husband to remember that especially when taking cold medicine, he should consult with his urologist...!!!!

 

Benign prostatic hyperplasia is closely related to male hormones.

To men who become like a tiger losing its teeth as they reach middle age

It is said to be a very troublesome disease.

There is one more reason why you should not remain silent about prostate enlargement and seek professional help.

It is about the impact on sexual life. My husband also said that it is a detailed explanation and a frequently asked question to the doctor.

One day, if you notice a smell of semen on your husband's underwear or wake up frequently at night to go to the bathroom

Please consider the possibility of benign prostatic hyperplasia.