Interview with Professor Wang Shusheng: Early diagnosis and early treatment allow patients with prostatic hyperplasia to "return to a young state" The 18th International Congress of Network Diseases • Prostate Disease Forum

"Many patients think it's normal

As a degenerative disease, prostatic hyperplasia is more common in older men

Early in the disease is easily overlooked

Seek medical attention promptly if symptoms are detected

In early 2022, Wang Shusheng treated a 56-year-old uremia patient with swelling, anemia and difficulty

The examination found that the patient had urinary tract obstruction due to prostatic hyperplasia, which led to hydronephrosis and renal failure, with a bladder volume of up to 2000 ml and a blood creatinine > 707 μmol/L, which had entered the uremia phase

Early symptoms of prostatic hyperplasia are often overlooked

"I often tell patients with prostatic hyperplasia that urinating after treatment can return to the state they were in when they were younger, and patients often find it incredible

Do not stop the drug without permission

Repeated symptoms can delay the effectiveness of treatment

"Dr.
Wang, my urinary difficulty is 'back in the pre-liberation period.
'
"
A 58-year-old patient complained when he returned
to the clinic.

A few months ago, due to the problem of difficulty urinating, the patient was introduced by a friend to find Wang Shusheng for treatment, and after more than 2 months of drug treatment, the symptoms were significantly improved
.

The patient himself felt that he was "well", so he stopped the drug privately
.

As a result, after more than a month, the symptoms recurred again, and he helplessly found Wang Shusheng again, not understanding "why did he return to the previous symptoms.
"

Wang Shusheng suggested that this is a misunderstanding that patients with prostatic hyperplasia are prone to appear in treatment, that is, they only take medicine when symptoms appear, and once the symptoms are alleviated, they stop the drug privately, and the result is repeatedly delayed treatment, resulting in disease progression, and finally can only solve the problem
through surgical means.

Not only that, but clinicians also have some treatment misunderstandings, of which over-medication is the most common
.

Professor Wang Shusheng described that sometimes as long as patients have similar symptoms, doctors will "go up together with the aircraft cannon", and whether it is symptomatic or not, they will use all kinds of Western medicines and traditional Chinese medicines, resulting in excessive treatment
.

In fact, the combination of drugs needs to be based on the specific conditions of the patient's condition, for patients who only have difficulty urinating and no urinary tract obstruction, the use of proprietary Chinese medicines or botanicals can achieve better treatment results, without the use of more targeted drugs; Patients with prostatic hyperplasia with symptoms of dysuria with urinary tract obstruction and PSA > 1.
8 ng/mL can be treated with targeted drugs such as α blockers or 5α-reductase inhibitors; Patients with PSA < 1.
8 ng/mL can be treated<b10> with finasteride.

Integrative Medicine

The effect of prostatic hyperplasia is remarkable

Treatment of prostatic hyperplasia varies significantly depending on the severity of the condition
.

Wang Shusheng explained that for patients with mild prostatic hyperplasia, dietary adjustment and drug therapy are mainly used to alleviate local symptoms and reduce complications, and at the same time supplemented by proprietary Chinese medicine or botanical medicine to control disease progression; For moderate patients, the treatment strategy of integrative medicine can be used, and a more targeted therapeutic drug can be selected to achieve the effect of relaxing the sphincter, reducing the prostatic hyperplasia gland, and improving symptoms such as dysuria; For severe patients, it is generally necessary to carry out minimally invasive surgical treatment, and the combination of traditional Chinese medicine and Western medicine is used for rehabilitation treatment after surgery, which can achieve better treatment results
.

Whether in the stage of drug treatment or postoperative rehabilitation, the combination of traditional Chinese medicine and western medicine has become one
of the main treatment methods for prostatic hyperplasia.

Traditional Chinese medicine pays attention to dialectical treatment, symptomatic medication, pays attention to the combination of whole and local, can play a systemic therapeutic role, and achieve significant clinical results
.

Professor Wang Shusheng introduced that the commonly used proprietary Chinese medicines in clinical practice have different advantages, such as Xia Liqi capsules, which have the effect of strengthening the spleen and benefiting the kidneys and the water dispersion, which are suitable for mild and moderate benign prostatic hyperplasia spleen and kidney qi deficiency and phlegm stasis, which can play a role
in both symptoms and root causes, attack and supplement, and combine treatment and nourishment.

A multicenter, double-blind, double-simulated, positive drug-controlled study of Xia Li Qi capsules for the treatment of benign prostatic hyperplasia confirmed that Xia Li Qi capsules can not only alleviate the symptoms of patients with weak urination, inexhaustible drip, frequent nocturnal urination, abdominal distension, waist and knee soreness, etc.
, but also reduce the volume of glands, reduce residual urine volume, improve urine flow rate, treat benign prostatic hyperplasia effectively, and have a high
safety.

Based on evidence-based medical evidence, Xia LiQi capsules are recommended by authoritative guidelines for the clinical treatment
of prostatic hyperplasia.

In the latest "Guidelines for the Diagnosis and Treatment of Benign Prostatic Hyperplasia Combined with Traditional Chinese and Western Medicine" (hereinafter referred to as the "Guidelines"), according to the different dialectical typings of BPH, Xia Liqi capsules are recommended for the treatment of prostate hyperplasia, playing a role
in tonifying the spleen and strengthening qi and warming the kidneys and diuresis.

The "Guidelines" pointed out that the spleen and kidney deficiency type prostatic hyperplasia should be healthy spleen and kidney, and recommended Xia Liqi capsules, "can be used to improve waist and knee soreness, urinary frequency, urgency, pain of urination, fine urine line, scrotum dampness and other symptoms, suitable for the treatment of prostatic hyperplasia damp heat stasis evidence
.
"
”

Nowadays, society's understanding of Chinese medicine sometimes goes to two extremes, either thinking that Chinese medicine is useless, or thinking that Chinese medicine can cure anything, which is actually inaccurate
.

"The development of the Chinese nation for thousands of years, before the absence of Western medicine, are relying on traditional Chinese medicine for treatment and health care, it can be seen that Chinese medicine is effective, but in practice should also be dialectical treatment
.
"
Professor Wang Shusheng said that as a doctor, in the final analysis, it is necessary to find ways to cure patients, so we should give full play to the respective advantages of traditional Chinese medicine and Western medicine to better provide medical services
for patients.

In the clinical practice of traditional Chinese medicine, clinicians can observe significant therapeutic effects, but the evidence of multi-center studies of large samples is still insufficient, which affects the popularization of traditional Chinese medicine to a certain extent
.

In this regard, Wang Shusheng appealed, "We hope to carry out more research cooperation with societies and pharmaceutical companies, through large samples, multi-center, real-world research, to better observe the effectiveness and safety of traditional Chinese medicine, and use modern science to make a new interpretation
of traditional Chinese medicine.
"
”

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