Answer:

The prostate is a vital part of the male reproductive system. After the age of 50, it tends to enlarge (benign prostatic hyperplasia), pressing on the urethra and causing symptoms like difficulty urinating, frequent urination, nocturia, and urinary retention.

A normal prostate volume is around 20-30 ml. Yours, at 50 ml, is moderately enlarged. You should consult a urologist for appropriate treatment.

In the early stages, an enlarged prostate presents mild lower urinary tract symptoms that don't significantly disrupt daily life. However, these symptoms can cause stress and affect sexual health.

More severe cases involve significant lower urinary tract symptoms requiring medication, which may have side effects like erectile dysfunction, impacting sexual function. The pressure from the enlarged prostate on the urethra can lead to frequent urination and difficulty emptying the bladder completely. This stagnant urine creates discomfort, anxiety, and a lack of confidence during sex.

Doctor Pham Cao Thap (left) performing urological surgery. Photo: Hospital provided

Doctor Pham Cao Thap (left) performing urological surgery. Photo: Hospital provided

Whether or not to abstain from sex depends on the severity of the enlargement. If mild, intercourse is generally fine. In severe cases causing discomfort and psychological distress, consult a doctor for timely intervention to prevent further complications. Treatment options include medication and, if ineffective, surgical procedures like transurethral resection using bipolar or laser, embolization, and water vapor therapy.

To prevent this condition, men should maintain a healthy lifestyle: eat plenty of fruits and vegetables; limit fast food, spicy foods, alcohol, and tobacco; and avoid other stimulants. Drink plenty of water, but reduce intake at night to minimize nocturia, and try to empty the bladder completely when urinating. Regular exercise improves blood circulation, reducing congestion that can affect erectile function. Regular check-ups are crucial for early detection and treatment, preventing the condition from worsening.

Doctor Pham Cao Thap

Department of Urology

Center for Urology - Nephrology - Andrology

Tam Anh General Hospital, Ho Chi Minh City