Standardize the diagnosis and treatment process of prostate diseases Provide patients with full management services for patients, the 18th International Conference on Cyberpathology, Prostate Disease Forum, Professor Liao Yongbin's interview

Prostate disease is a common condition in adult men and manifests itself differently at different
ages.
At the 18th International Conference on Cyberpathology • Prostate Disease Sub-forum held recently, Professor Liao Yongbin of Jiangmen Central Hospital introduced that in general, young and middle-aged men are prone to prostatitis, middle-aged and elderly men are prone to prostatic hyperplasia, and in severe cases, prostate cancer
even occurs.

Due to the increasingly serious impact of prostate disease on national health, the attention of all sectors of society has been continuously improved, and various media platforms have also released a large number of related reports, which once led to mixed content and even misleading remarks
.

Liao Yongbin stressed, "The appearance of various chaos shows to a certain extent that the current diagnosis and treatment of prostate diseases is not standardized enough, and there are serious misunderstandings
in the public's cognition of the disease.
" ”

Experts appeal

Abandon the stigma and accept standardized diagnosis and treatment

All along, due to the special physiological position of the prostate, as well as the various symptoms that come with the disease, many prostate disease patients will have a strong sense of shame for their illness out of male dignity, and even keep secrets, do not treat in time or do not go to regular hospitals for treatment, resulting in serious
disease development.
Some undesirable medical institutions take advantage of the patient's psychology and casually put the "hat" of the disease on the patient without standardized examination, which not only brings a heavy psychological burden to the patient, but also leads to serious consequences
such as delayed treatment and overtreatment.

Liao Yongbin gave the example
of a prostatitis patient he had treated.
Xiao Wu (pseudonym), a patient who "took many detours", developed symptoms such as distension and pain in the lower abdomen and bifurcation of urination in his sophomore year, so he went to a private medical institution
.
Without a standard examination, doctors diagnosed him with chronic prostatitis due to an overextended
foreskin.

Under the advice of the doctor of the hospital, Xiao Wu has spent tens of thousands of yuan to receive treatment under various names, and the symptoms have not only not improved at all, but also caused a variety of side effects
.
The painful treatment experience ruined his college life and also affected his studies and employment
after graduation.

Later, Xiao Wu went to find Liao Yongbin for treatment
.
After careful examination, Liao Yongbin found that Xiao Wu had prostate congestion and pelvic dysfunction, but his condition was not very serious
.
According to Xiao Wu's condition, Liao Yongbin launched targeted integrative Chinese and Western medicine treatment, supplemented by lifestyle adjustment
.
More than three months later, Xiao Wu recovered
.

"This patient is not an exception, and there are many patients with similar experiences
.
" Many patients with prostate diseases have been misled, spending hundreds of thousands of dollars in treatment fees, treating for more than ten years, not having the heart to fall in love, get married, and unable to work with peace of mind, and their entire lives are in a painful quagmire
.
Liao Yongbin sighed, whenever he saw this phenomenon, he felt
pained.
At the same time, this also made him realize that doctors should not only do a good job in clinical diagnosis and treatment, but also actively carry out science education, clarify the misunderstandings of the disease, and let patients receive standardized diagnosis and treatment
as soon as possible.

Scientific diagnosis, improvement of prostate symptoms

It should be treated with three points and cared for by seven points

Liao Yongbin pointed out that there are two major misunderstandings
in the prevention and treatment of prostate diseases.
The first myth is that patients are easily misdiagnosed as prostatitis
.
According to clinical observation, about 30%-50% of patients diagnosed with prostatitis are misdiagnosed
.
He explained that although patients experience symptoms such as poor urination, this can be caused by prostatitis or because of diseases
such as pelvic dysfunction.

In addition, the prostate is also an emotional organ, which means that bad emotions are likely to affect
it.
Because the prostate gland and its surrounding organs are rich in α-adrenergic receptors, when stimulated by bad emotions, it can cause sympathetic nerve activity, resulting in increased pressure in the urethra, and the prostate glandular ducts also hinder the excretion of prostatic fluid due to contraction, resulting in congestion, which in turn leads to symptoms similar to prostatitis, such as bifurcation of urine, urine dripping, poor urination, lower abdominal distension pain, etc.
, but in fact, these symptoms are not necessarily completely caused
by prostatitis 。 Professor Liao Yongbin emphasized, "Therefore, the treatment of prostate diseases pays attention to three points of treatment and seven points of nursing, focusing on the emotional and psychological regulation of patients, so that patients can improve their living habits, and the disease may even be cured
.
" ”

Liao Yongbin stressed that if prostatitis is diagnosed, attention should be paid to the rational use of antibacterial drugs
in treatment.
In patients with prostatitis, chronic bacterial prostatitis accounts for only a minority, most of which is caused by functional disorders, for such patients, there is no need for a large number of antibacterial drug treatment, but the need to relax smooth muscle and strengthen anti-anxiety treatment
.

However, in clinical practice, patients are often misled and have problems such as abuse of
antibacterial drugs.
For example, some patients begin to take antibacterial drugs
after performing prostate massage, check and find white blood cells.
In fact, this belongs to tissue prostatitis and does not require anti-inflammatory treatment
at all.
Liao Yongbin sighed, "Patients want to completely remove this white blood cell, in fact, they have entered the 'dead end' of treatment.
"
”

Liao Yongbin pointed out that another misunderstanding is that patients with prostatic hyperplasia do not have early intervention
.
Professor Liao often said that prostatic hyperplasia is God's punishment for older men, and almost 95% of the elderly end up unable to get to this hurdle
.
In fact, prostatic hyperplasia can achieve good therapeutic effect in early intervention, but many patients fail to realize that it may be a problem of prostatic hyperplasia when symptoms such as poor urination and increased nocturia occur at the beginning, so they fail to receive treatment
in time.
By the time the disease progresses to severe disease, acute urinary retention and acute poor urination occur, bladder function has been severely damaged, significantly affecting the prognosis of
treatment.

Liao Yongbin described, "The prostate gland is like a balloon, once it blows too big, even if the air is released, the size of the balloon cannot return to the past
.
" "Therefore, many patients with severe prostatic hyperplasia fail to intervene early, resulting in problems such
as dysuria and increased nocturia after surgery, even if they receive surgical treatment in the later stage.
"

For the treatment strategy of prostatic hyperplasia, Liao Yongbin stressed, "The combination of traditional Chinese medicine and western medicine can not only improve the symptoms in time, but also protect the bladder function and kidney function, and improve the quality of life of
patients.
" He introduced, taking the Chinese proprietary medicine Xia Liqi capsules as an example, it has the effect of strengthening the spleen and benefiting the kidneys, relieving the water, and is suitable for mild and moderate benign prostatic hyperplasia, spleen and kidney qi deficiency and phlegm stasis, which can improve the symptoms of weak urination, dripping and drainage, frequent nocturnal urination, and lower abdomen swelling, while improving the patient's diet and sleep quality
.

In a study of benign prostatic hyperplasia treated with Xialiqi capsules, it was found that Xialiqi capsules can alleviate symptoms such as weak urination, inexhaustible dripping, frequent nocturnal urination, lower abdomen distention, and soft waist and knees, and reduce glandular volume, reduce residual urine output, improve urine flow rate, and treat benign prostatic hyperplasia effectively and safely
.

Based on evidence-based medical evidence, Xia Liqi has been recommended by the "Guidelines for the Diagnosis and Treatment of Benign Prostatic Hyperplasia and Health Management" for the treatment of damp heat stasis obstruction of prostatic hyperplasia to improve symptoms
such as waist and knee soreness, frequent urination, urgency, dysurination, thin urine line, and scrotum dampness.

"Whether it is drug treatment or surgical treatment, it is actually a step
in the whole process of prostate disease treatment.
" Liao Yongbin proposed that clinicians should take the whole process of prostate disease management as the goal of treatment, including prevention management, treatment management and follow-up management, and one of the three links is indispensable, so as to quickly improve symptoms and maintain long-term treatment effect
.

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