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Enlarged Prostate (BPH) Symptoms & Treatments – Q&A with Dr Ronny Tan

Morning Express (Chinese: 晨光第一线) is a documentary/current affairs programme produced by Mediacorp Channel 8.

Video Transcript:

The average life expectancy of local males is 80.7 years, and the healthy life expectancy is 73.7 years. That is, men are likely to be ill or bedridden for seven years of their life.

Among the diseases that reduce the healthy lifespan of men and women locally, cancer is the leading cause. Other diseases included musculoskeletal disorders, cardiovascular diseases, psychiatric disorders and so on. Data from the Singapore Cancer Registry showed that there were about 84,000 cancer cases in the five years from 2017 to 2021, and 49 per cent of them were men.

Prostate cancer is the most common cancer among men, followed by colorectal cancer and lung cancer. Doctors say, men can have a blood test to detect prostate specific antigen levels and diagnose prostate cancer.

Within 20 years, we have conducted a relatively large number of PSA tests for prostate cancer. From there, we can diagnose those early-stage prostate cancers.

The Singapore Men’s Health Association, a local non-profit organisation, has been actively promoting men’s health for many years by organising seminars and courses to further raise local men’s awareness of urinary and sexual function and encourage them to seek medical treatment as early as possible, including specialist treatment.

Most women will have an obstetrician and gynaecologist to take care of them after giving birth and then during menopause. Most men don’t have a doctor who sees him specifically for that problem, most of them just see his family doctor, so there’s less of a urologist to take care of him, from when he starts to have voiding problems and sexual function problems.

Dr. Ronny Tan who is also the association’s president, said the association is also working with general practitioners so that patients who come in for further treatment can be referred to specialist care more quickly.

In Singapore, patients typically visit their family doctors if they encounter any issues. Given the abundance of general practitioners in the region, when we inform them about these urological concerns, they often recognize that such problems may also relate to sexual function. It is easier if they have the cognitive action, or see they need him to see the specialist.

In line with this year’s Movember-Prostate Health campaign, the Association also hosted its annual Prostate Health Talk to raise awareness about prostate cancer and benign prostatic hyperplasia among men in the community.

At the same time, NUH is constantly developing new technologies to reduce the side effects of inappropriate treatment.

数据显示,本地男性的平均预期寿命为80.7岁,健康寿命则达到73.7岁。也就是说,男性一生中有7年可能是疾病缠身或卧病在床。

在本地减少男女健康寿命的疾病当中,癌症是首要原因。其他疾病包括肌肉骨骼疾病、心血管疾病、精神疾病等。新加坡癌症注册局的数据则显示,从2017年到2021年这5年间,本地共有约84,000起癌症病例,49%为男性。

男性所罹患的癌症当中以前列腺癌最为普遍,其次是结肠直肠癌以及肺癌。医生指出,男性可透过血液测试来检测前列腺特异性抗原的水平,并诊断是否患有前列腺癌。

20年之内我们有做比较多前列腺癌的PSA,从那里我们就可以诊断出那些比较初期的前列腺癌。

本地非盈利组织新加坡男性健康保健协会多年来积极提倡男性健康,通过办讲座和课程等活动来进一步提高本地男性针对泌尿和性功能的意识,鼓励他们尽早求医,包括专科治疗。

女性大多数啊他们都会有一个妇产科医生照顾他们生育过后、然后更年期,他们会继续看同样的医生啊。男性大多数都不会有有一位专门看他的那个问题,大多数他们只是看他的家庭医生,所以比较少会有泌尿科的医生照顾他,从他开始有排量问题还有性功能的问题的。

也是协会会长的陈万伟医生表示,协会也同家庭诊所合作,让前去看诊需要进一步治疗的病患能更快被转接到专科医治。

因为在新加坡了,如果是有什么问题的话,病患通常是会去找家庭医生,加上家庭医生因为在区域里面都有很多,所以通常如果我们有让他们知道,好像:这些泌尿科的问题,还是性功能的问题。
如果他们有那个认知的话就会比较容易采取行动,还是看他们需不需要叫他来看这个专科医生。

配合今年的十一胡子节,协会也主办年度前列腺健康讲座,希望进一步提高本地男性有关前列腺癌和前列腺增生的意识。

在这同时,国大医院也不断研发新技术,来减少病患在疗程中所面对的不适合所产生的副作用。