Prostate health lecture

Don’t believe in the hundreds or even thousands of prostate health care packages on the market. As long as you follow these three points: “avoid long-term pressure on the gland, have a regular schedule and not hold in your urine, and seek medical advice early if you feel uncomfortable”, 90% of prostate problems can be prevented in advance, and even if problems occur, they can be intervened and cured early.

Last week, I just received a 28-year-old young man from the clinic who works as a game planner. He sat at his workstation for more than ten hours for three days in a row during the online version. He was too lazy to go to the toilet. In the end, he couldn't urinate in the middle of the night and was so painful that he broke into a cold sweat. His colleagues took him to the emergency department. It was found that he had acute prostatitis, congestion and edema, which blocked the urethra, and he needed a catheter for two days. You see, this is a typical problem that comes out of yourself. In fact, the prostate is a chestnut-sized gland in the male pelvic cavity. It guards the junction of the bladder and urethra. It is very delicate. If it is pressed for a long time, frozen, or suppressed, it will cause temper tantrums.

Many people have the impression that prostate problems are only suffered by the elderly. This is not true. Nowadays, patients with chronic prostatitis under the age of 30 account for one-third of urology clinics. Most of them are caused by sitting for long periods of time, staying up late, and holding in urine for a long time. A while ago, a college student came to see a doctor. He sat for six consecutive hours without moving in order to compete for a gaming rank. After that, he suffered from swollen perineum and frequent urination for half a month, and he could not sit still in class.

A while ago, some patients came to me with imported lycopene supplements and asked me if they could prevent prostate cancer. In fact, the academic community has yet to reach a unified conclusion: a European cohort study found that people who take sufficient lycopene for a long time can reduce the risk of prostate hyperplasia by about 20%. However, there are also domestic clinical controlled trials that show that as long as you eat two or three scrambled eggs with tomatoes in your daily diet, you can absorb enough lycopene. There is no additional benefit from taking additional supplements. On the contrary, many cheap supplements are added with unknown additives, which will increase the metabolic burden. I usually tell patients that it’s okay to eat some tomatoes, but there’s no need to spend hundreds of dollars on supplements.

Many people also ask whether prostate massage is a health care tip? This also depends on the situation: For patients with chronic non-bacterial prostatitis and frequent perineal swelling, a school of urological surgery recommends standard prostate massage once a week to help discharge accumulated gland secretions, which can indeed relieve discomfort. ； But another school of thought believes that if there is acute inflammation or prostate calcification, improper massage will cause the inflammation to spread, stimulate gland hyperplasia, and aggravate the problem. I have been following my old director for more than ten years, and what he often said is: Don’t massage it randomly when you are not sick. If you really want to do it, you have to go to a regular hospital to find a doctor. Don’t go to a health center to do it. Last year, I took a patient to a health center to do the so-called "prostate detoxification massage." In the end, the mucous membrane was damaged and infected, and he was hospitalized for a week with a high fever of 39 degrees.

Friends who usually sit in the office, let me give you a little habit. Every time the computer lock screen prompts you to take a break, don't just ignore it. Stand up, get a glass of water, and go to the corridor for a few steps. In just two or three minutes, the prostate that has been oppressed for a long time will loosen up. It is much more useful than buying a prostate cushion worth thousands of dollars. Oh, by the way, there are also friends who like to sit on outdoor stone stools in winter and ice chairs in ice cream shops in summer. They should also correct this problem. The contraction of glands when exposed to cold is particularly likely to stimulate congestion. Many people sit on a bench for half an hour and then go home to urinate frequently and rush to the toilet all night. It is really not a problem.

Uncles and aunts who are over 50 years old, don’t panic. Many people are scared when they are diagnosed with prostate hyperplasia, thinking that it will turn into cancer. In fact, hyperplasia and cancer are two different things. As long as there is no difficulty in urinating or frequent urination that affects your life, you don’t need to take medicine at all. Just do a PSA (prostate specific antigen) physical examination every year. If the indicators are abnormal and you need further examination, the cure rate for prostate cancer detected early is almost 100%.

Today’s talk is about the same. Finally, I would like to give you a reminder: If you really experience frequent urination, urgent urination, perineal swelling, or painful urination, don’t be embarrassed to go to the hospital, and don’t frighten yourself by blindly searching for symptoms. Urology departments are all male doctors, so there is nothing to be embarrassed about. A B-ultrasound and urine routine check will cost tens of dollars, and all the problems will be clear. It is much more reliable than blindly buying health care products or looking for folk remedies. If you have any questions, you can raise your hand and ask.