Benign Prostatic Hyperplasia: Risks, Prevention, and Treatment Options - Urology

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Benign Prostatic Hyperplasia (BPH), commonly referred to as prostate enlargement, is a condition that affects many older men, particularly those over the age of 50. It is characterized by an increase in the number of cells in the prostate gland, leading to an enlarged prostate that can cause urinary symptoms such as difficulty urinating, frequent urination, and a weak urine stream. While BPH itself is not cancerous, it is important to understand the relationship between BPH and prostate cancer, as well as the risks, prevention strategies, and treatment options available.

Firstly, it is a common misconception that BPH is a precursor to prostate cancer. While both conditions can occur simultaneously, having BPH does not mean that a man will develop prostate cancer. However, men with BPH may have an increased risk of developing prostate cancer, which is why regular monitoring and screening are essential, especially as men age. The prostate-specific antigen (PSA) test is often used to screen for prostate cancer, and elevated levels can indicate the need for further investigation.

In terms of prevention and health maintenance, there are several lifestyle changes that can help reduce the risk of developing prostate issues, including BPH and prostate cancer. These include:
1. Diet: A diet rich in fruits, vegetables, and healthy fats can be beneficial. Foods high in antioxidants, such as tomatoes (which contain lycopene), and cruciferous vegetables (like broccoli and cauliflower) may help support prostate health. Reducing the intake of saturated fats and processed foods is also advisable.

2. Physical Activity: Regular exercise has been shown to have a positive impact on overall health and may help reduce the risk of prostate problems. Aim for at least 150 minutes of moderate aerobic activity each week.

3. Weight Management: Maintaining a healthy weight is crucial, as obesity has been linked to an increased risk of prostate cancer.

4. Regular Check-ups: Encourage your father to have regular check-ups with his healthcare provider, including PSA testing and digital rectal exams (DRE) as recommended.

Regarding the use of supplements, such as pollen extract, there is some evidence suggesting that certain natural products may help alleviate symptoms of BPH. However, the effectiveness of these supplements can vary, and they should not replace conventional treatments unless discussed with a healthcare provider. It is essential to consult with your father's physician about the current medication he is taking, such as "活路淨力D" (which may refer to a specific herbal or dietary supplement), to ensure that it is appropriate and effective for his condition.

Currently, if your father is on medication for BPH and is experiencing relief from symptoms, it may not be necessary to add additional treatments unless his symptoms worsen or new issues arise. Medications such as alpha-blockers and 5-alpha-reductase inhibitors are commonly prescribed for BPH and can help manage symptoms effectively.

In conclusion, while BPH is not cancerous, it is important to monitor prostate health closely, especially in older men. Encourage your father to maintain a healthy lifestyle, stay informed about his condition, and communicate openly with his healthcare provider about any concerns or symptoms he may experience. Regular screenings and a proactive approach to health can significantly impact his quality of life and overall well-being.