e&p3 middle-aged men's 'prostate health' self-diagnosis method, check 5 types.

[News FM Lee Ik-seon Choi Soo-young Issue & People]
□ Broadcast Date: October 25, 2024 (Fri)
□ Host: Lee Ik-seon, Choi Soo-young
□ Cast: Lee Sun-kyu, director of Lady Euro Urology Clinic

* The text below may differ from the actual broadcast content, so please check the broadcast for more accurate information.

◆ Lee Ik-seon: Your week-long exhaustion would you like to recharge here? Knowledge Battery to Deliver Health Today, we will be with Lee Sun-kyu, director of Lady Euro Urology. Welcome, director.

■ Hi, nice to meet you. I'm Lee Sun Kyu.

◆ Lee Ik-seon: Is there any special reason why Lady is added to your hospital name?

■ Lee Sun-kyu: I used to treat male women together. In the case of women, they tend to be a little reluctant to visit the hospital if there are men. That's why I need to be more professional with women. I changed my name to Lady with this thought, and women are a little female, but few men come instead.

◆ Choi Soo-young : I'm not going to see Lady

◆ Profit line: making choices and concentrating. But isn't it a little uncomfortable for women when the doctor is male?

■ Lee Sun-kyu: In the case of urology, the number of doctors is almost absolutely male.

◆ Choi Soo-young: But in our manuscript, his main job is a doctor, but his side job is a singer, and this process is not common.

■ Lee Sun-kyu: Even if it's a side job

◆ Choi Soo-young: But you've been in the business for 20 years.

■ It's been a little over 20 years. Actually, I prepared in the late 1990s, so I released a full album in 2004, and I've done about five albums so far.

◆ Choi Soo-young: Then I think you've really changed. Singers are my main job and doctors are like a side job.

■ Lee Sun-kyu: If your day job was a singer, wouldn't it be difficult to solve food, clothing, shelter?

◆ Choi Soo-young: Then is the genre trot?

■ Lee Sun-kyu: Yes, yes, yes, yes.

◆ Lee Ik-seon: Did you also go on a contest program?

■ Lee Sun-kyu: I went to a broadcast that I did five or six years ago.

◆ Choi Soo-young : result is

■ Lee Sun-gyu: eliminated in the 3rd verse


◆ Choi Soo-young: You went to the third round again.

◆ Lee Ik-seon: I see.

◆ Choi Soo-young: If you have your own skills,

◆ Lee Ik-seon: Then I'm most confident about my favorite song. This song is...

■ When I did it, I almost imitated Na Hoon-ah a lot. To tell you an episode, my oldest sister got married when I was in high school, and I sang on the karaoke machine for about 30 minutes to an hour at the reception. Then, the guests said, "Oh, the bride invited a singer, too." They also said,

◆ Choi Soo-young: I didn't expect you to be sophisticated in a bit of a roundabout way. If I ask you one more question, since you're a doctor and a singer, what are you doing here? After living here, you feel that there's a bit of intersection?

■ Lee Sun-kyu: When you say doctors, they come with physical and urological diseases. But while it's a job that helps solve problems, when it comes to singers, they have something in common, such as a song that touches your heart, a story in the middle of the song, or a heart disease that treats the heart disease of those who come to the place with rhythmic movements. In my case, I don't have any hit songs yet, so I can't find anything in common.

◆ Choi Soo-young: You're doing urology and psychotherapy together.

◆ Don't you play your own music in the doctor's office?

■ Lee Sun-kyu: Ah, I usually turn on that radio in the operating room during surgery, but sometimes when my song plays, I ask the patients. Those who get surgery, do you like songs or classical music? Or do you like K-pop? What kind of K-pop songs do you like? I play music that suits my taste.

◆ Lee Ik-sun: Actually, I invited you to ask about your health, but you're interested in music right now, so have you included music review on YTN radio?

■ Lee Sun-gyu: I think he put it in. The title is "Put a blanket on top of the representative song." A song that I've been pushing lately.
No, a lot of people keep thinking it's weird when they hear the title. It's not weird, it's nice.

◆ Choi Soo-young: I'm telling you right away. Doesn't it mean to live a good life?

◆ Lee Ik-seon: I think you'll look for it with a blanket. Knowledge of Health Today, we will learn about men's unspeakable worries about prostate hyperplasia and prostate cancer.

◆ Choi Soo-young: If you have any questions about it. Please send it to paid text 0945 and there is a YTN application that you can use for free, and the YouTube comment window is all open. Please send a lot of them. That's how you can get counseling.

◆ Lee Ik-seon: The majority of men who go to urology suffer from this prostate hyperplasia, so what exactly is the disease and what symptoms do you have?

■ Lee Sun-gyu: It can be seen as the most common disease after the 50s. It's only in men that this is the prostate that comes to the urology. It's a chestnut-sized tissue that surrounds the urethra right below the bladder and at the beginning of the urethra. But the hypertrophy literally grows. Then, when something happens as it grows, you press the urethra. That's why the urine stem got thinner. So at some point, the urine stem became thinner. This is a typical symptom.

◆ Lee Ik-seon: If it gets thinner, it takes longer to urinate.

■ Lee Sun-kyu: If you go to the bathroom after a long period of time, you can't come out immediately when you go because you want to pee, or if you have to relax a lot, or if you lose strength, you have to pee all at once, but some of them come out, and some of them are left, so there is a residual feeling, so you go to the bathroom many times because your bladder is full. A typical symptom of prostate hyperplasia is that you go to the bathroom many times.

◆ Choi Soo-young: But in that case, I think it might be a little confusing to what you feel as a symptom and whether it's like that because you're getting older.

■ Lee Sun-kyu: What's wrong with this is that prostate hypertrophy slowly comes in. That's why you can't recognize it well at first. Then I became too thin when I turned 6070. Only then will I feel serious and visit the hospital.

◆ Is it too late?

■ Lee Sun-kyu: Well, I've been living without such inconvenience, so you can start treatment again from then on.

◆ Choi Soo-young: The surprising data shows that 51 percent of men in their 60s in Korea have prostate hyperplasia. This means it's one of the two, but is it related to aging?

■ Lee Sun-kyu: This is rare for young people. So usually after 50's, we're about the same age and percentage. 50% of people in their 50s, 60% of people in their 60s and 70% of people in their 70s, and almost 80% of people in their 80s suffer from prostate hyperplasia. So it's certain that aging is known. Another thing that is clearly known is that male hormone aging and male hormones are related to prostate hyperplasia. Other known causes include family history, genetic factors, and eating habits.

◆ Lee Ik-seon: But you said earlier that the cause is that the prostate is enlarged and the pressure is applied, do you mean that aging and male hormones make the prostate enlarged?

■ Lee Sun-kyu: That's right. Increasingly, male hormones. The prostate itself is a male hormone-dependent organ. So, among the therapeutic drugs, if we use male hormone blockers, the increase in prostate gland stops or rather the size tends to shrink little by little. That's why male hormone blockers are also used as treatments.

◆ Profit line: Is it a blocker? Strange

◆ Choi Soo-young: You're not promoting it?

◆ Lee Ik-seon: Isn't it because of a lack of male hormones?

■ Lee Sun-kyu: Because it's affected by male hormones, it keeps growing due to the action of male hormones.

◆ Choi Soo-young: So it's caused by excessive male hormones?

■ Lee Sun-kyu: That's right. Prostate diseases, whether prostate hypertrophy or prostate cancer, are all associated with male hormones.

◆ Lee Ik-seon: As you get older, the proportion of male hormones decreases.

■ Lee Sun-kyu: That's not the proportion, but the overall production may decrease little by little, but the proportion itself does not decrease that much.

◆ Lee Ik-seon: I was mistaken. I thought it was caused by a decrease in hormones,

■ That's why there's something like that. If you take that male hormone blocker, it's related to prostate hypertrophy, and suddenly sex has decreased a little bit.

◆ [Choi Soo-young] That's how it works. By the way, metabolic syndrome such as diabetes and obesity is also prostate hyperplasia, and you talked about eating habits earlier, but is diabetes and obesity also very closely related?

■ Lee Sun-kyu: I told you that the clear cause is aging and male hormones. So, what was the unknown cause? There are so many medical researchers studying metabolic syndrome. Among them, metabolic syndrome is a combination of diabetes, obesity, hyperlipidemia, and high blood pressure, and this is also related to metabolic syndrome. In particular, it is known to be related to the speed at which the prostate increases faster.

◆ Interest line: I see. The question came in already. You can ask questions through the 0945 pay text message before the 0945 well. Listeners, I run a taxi. If you want to pee a little bit because you don't have enough urine, you should pee in advance. Which one is good for your health, holding back or previewing it?

■ I think the middle one is the best. Because if you hold it for too long, when you have too much urine in your bladder, urine is called urine because your bladder urinary muscles contract and squeeze it. Then, if you endure too much, your bladder urination muscles will increase a lot. So if the contraction force is repeated at first, you can gradually lose it. And then, if you keep going even a little, I think it's moderate because if it becomes a habit, it can lead to an irritable bladder.

◆ Choi Soo-young: I think the middle level will be ambiguous. So,

◆ Interest line: It's worse.I'm driving a taxi.

■ Lee Sun-kyu: Since you're a taxi driver, I'm really craving it because of your job, but if you don't go, can you drive a long distance again? In this case, it's also a good idea to take a look in advance when you feel like it.

◆ Choi Soo-young: Then it would be right to go and do it when there is a little intention.

◆ Profit line: How many times a day is it within the normal range to pee?

■ Lee Sun-gyu: Usually, 4 to 6 times a day

◆ Lee Ik-seon: One day?

■ Lee Sun-gyu: Yes, so it's appropriate to see the time three or four times a week, so it's appropriate to see it every three or four hours. Basically, it's normal not to wake up at night.

◆ Profit line: If you say 3 to 4 hours apart, 6 to 8 times a day is normal, if you go over 2 times a day?

■ Lee Sun-kyu: If we go more than 8 times, we'll call it morbidity medically. But on average, it's within 8 times, but I drank a lot of water that day.If you've had a lot of coffee, green tea, or something like that, you can't say it's empty urine if you go there one or two more times.

◆ Choi Soo-young: But I like drinking, so I go there a lot when I drink.

■ Lee Sun-gyu: Because I drank a lot of water.

◆ Choi Soo-young: You have to hit it separately.

◆ Lee Ik-seon: The reason I asked you that is because you are a seventh grader. It means you are in your 70s, but is it an hypertrophy to have to urinate more than 15 times a day as the amount of urine decreases? That's the question.

■ Lee Sun-kyu: First of all, whether it's asymmetric or not, you can do a rectal examination or an ultrasound examination, and the normal prostate size is about 15-20g. Then you have to use it to see if it's much bigger than that. Of course, there are many cases of frequent urination 15 to 20 times because there is hypertrophy. In this case, the treatment is determined by whether this is accompanied by an irritable bladder. So I think you should go to the hospital and get a diagnosis. If it's 15 to 20 times, it's quite tiring to live your daily life.

◆ Lee Ik-seon: But in less than an hour, he urinates again. I've already had enough urine, but in less than an hour, I'm going to have enough urine.

■ Lee Sun-kyu: If so, ask those patients, do I drink a lot of water? Then no. I don't eat much. Okay. Then I keep peeing 3 to 400cc in less than an hour. Do I lose weight? Then, the weight remains unchanged. You drink a lot of water. That's why you eat a lot without even knowing it. If you keep urinating that much within an hour or two without water intake, you probably lost weight.

◆ Lee Ik-seon: I see. Yes, we have this segment every Friday, and the response is good. To reduce the knowledge of health, we are listening to the words related to urology with Lee Sun-kyu, director of the Lady Euro urology clinic. We're talking today, but you can ask us questions that we haven't covered. 0945 You can use the YTN app YouTube real-time comment window. Yes, Issue & People, we are taking questions today with Lee Sun-kyu, director of the urology department, to reduce the knowledge of health together on Friday. I got another question in between. Okay, I'll hurry up and watch it. The listeners are doing a great job. My urine color is as clear as clear water. There's no foam. The person next to me is yellow. I've also seen people with a lot of foam, do you think I'm okay? That's the question.

■ Lee Sun-kyu: It's okay. The longer the urine is stored in the bladder, the darker the urine color comes out. Or you may be affected by some medication or food, so the urine color is yellow and a little red. I don't judge abnormal symptoms just by that. The most important thing to pay attention to is whether the color of the hematuria urine comes out red or colored, you must go to the hospital regardless of the reason.

◆ Choi Soo-young: There's a high possibility that it's some kind of disease. Then?

■ Lee Sun-kyu: Blood flow means that the urine is mixed with blood. Then it could be an inflammatory disease, it could be a stone, it could be a tumor.

◆ Interest line: I see. Are there any good and bad foods?

■ Lee Sun-kyu: In the prostate, this is not only for the prostate, but for general health. Tomatoes are known to be good for the prostate. Tomatoes contain a lot of lycopene, which can prevent prostate cancer.

◆ Profit line: Okay. I've even seen the listeners.

◆ Choi Soo-young: The Korean Society of Urology conducted a survey of 500 men in their 50s to 70s, but 52% of prostate hypertrophy patients did not visit hospitals here. But if we leave it like this and leave it still, what disease will this lead to later?

■ Lee Sun-kyu: You'll probably have to go to the hospital if your symptoms worsen later because you're uncomfortable. But if you're in a remote place where you can't find a hospital, or if you can't afford it, the urinary tract infection can rot the stagnant water, so anything like that, or if there's a lot of residual urine left, there can be bladder stones. If you put pressure on it, it may come out little by little, but some chance may not come out forever. It's not uncommon to visit the emergency room because you suddenly drank too much or took cold medicine the day before or because you caught a cold, and then you couldn't urinate at all.

◆ Lee Ik-seon: I heard that there is a self-diagnosis method that can recognize my prostate health. I think it would be good for you to listen to the one voice you said and check it out at this opportunity. What diagnostic method should be used and how many of them should be included?

■ First of all, if you feel like you've urinated less frequently, that means you have residual urine. Then there is this symptom of urination and then urination again within 2 hours.If you have a break in your urine during urination and then you have to go to the bathroom right away because you can't hold your urine well, or if your urine stem has become thinner compared to before, or if you have to pee or strengthen your urine after standing for a long time, this is called the main course. This is the case, or more than once in the past month, I have gotten up to urinate in a single night's sleep. If you have frequent urination at night, I think you have prostate hyperplasia if you have at least three of these cases.
◆ Choi Soo-young: Did you just say six?

◆ Profit line: 1, 2, 3, 4, 5, 6, 7,

■ Lee Sun-kyu: If you feel uncomfortable with just one or two things, you can visit the hospital.

◆ Interest line: Does that apply to women?

■ Lee Sun-gyu: Because women do not have prostate,

◆ Profit line: So something's wrong with it

■ Of course. Women often visit the hospital because of symptoms such as irritable bladder or incontinence.

◆ Choi Soo-young: Then I visited you if you have any questions. But how do you treat it? Do you take medicine?

■ Lee Sun-kyu: First of all, it depends on how mild or severe the symptoms are. After that, it depends on how enlarged the prostate is. So if the symptoms are mild or the size of the prostate is not that large, we do medication. So, there are two major treatment drugs among drug therapy, and one is a drug that helps to open the urethra in the bladder neck a little easier to urinate. This has a disadvantage that you have to take it for a lifetime, such as high blood pressure or diabetes drugs, because the fundamental treatment effect is temporary. Another thing is an androgen inhibitor, so I use a male hormone blocker. In this case, we don't use it as a monotherapy right away. Because the therapeutic effect does not appear immediately, but it takes a few months to achieve the therapeutic effect, so it is used in combination at first. However, the reason for using this is that prostate growth is delayed or suppressed. So we use it together to prevent the prostate from getting bigger.

◆ Choi Soo-young: Actually, men actually have a fear of the prostate because of cancer. If we neglect it or miss the treatment period, it will be a bigger problem later. But I heard that hypertrophy and prostatitis are similar.

■ Lee Sun-kyu: At first, he has no symptoms. Because in the early stages of prostate cancer, there are no self-awareness symptoms. If it grows and affects the surrounding organs, symptoms will appear, and the prostate itself will not have many symptoms. So when it gets bigger and affects the bladder, which is the surrounding organ, similar symptoms such as prostate hypertrophy appear together. First of all, symptoms appear due to prostate cancer, and when you visit a hospital, it often progresses to some extent. That's why early screening is the most important thing.

◆ Choi Soo-young: No, it's not. So, since we say we don't have any symptoms of awareness about cancer, is there anything that can be considered a sign?

■ Lee Sun-kyu: Very little. So I know if this is prostate hypertrophy. Usually, if prostate cancer grows due to prostate cancer, wouldn't it press the urethra, which is an organ around it? Then, you will have the same symptoms as prostate hypertrophy. However, the slightly different thing is that it can be accompanied by blood flow, so it's hard to figure out whether it's prostate cancer or hypertrophy with just symptoms.

◆ Lee Ik-seon: It's not stage 1 enough to get hematuria, is it?

■ Lee Sun-kyu: Hematuria may come out because of severe prostate cancer, but in most cases, it is more frequent because of abnormalities in the kidney ureter bladder.

◆ Lee Ik-seon: Cancer is usually dangerous, but among them, there is a perception that thyroid cancer is a mild cancer.

■ Is it prostate cancer?

◆ Lee Ik-seon: No, thyroid cancer. So is prostate cancer on the circulatory side? Are you strong?

■ Lee Sun-kyu: It belongs to the circulation side. Of course, the malignancy of the cells varies depending on the stage next, but in the case of prostate cancer, of course, there are few ways to prevent any cancer that occurs in our body. But isn't our goal to detect early through a medical examination? So above all, prostate cancer is what needs early detection. If prostate cancer is detected early, it is so important that it will not interfere with your life.

◆ Lee Ik-seon: Which test can detect prostate cancer?

■ Lee Sun-kyu: The basic thing is blood tests. It doesn't cost even 10,000 won for blood test medical insurance. That's why this is called a test PSA test. There is something wrong with the prostate-specific antigen test. Then it goes on to the next stage, and if there's nothing wrong with this, you can forget it and stay for a year.

◆ Lee Ik-seon: But should I put this item or take it out if I go to the hospital and do it during the blood test? This is how I ask questions. It costs more to do a test that can find out more, but is prostate cancer a basic blood test?

■ Lee Sun-kyu: Usually, urologists do it, but have you tested for prostate cancer after the age of 50? They always ask me that. So if you haven't tried it, it doesn't cost a lot of money, so I recommend you to try it.

◆ Lee Ik-seon: So I have to ask the general health center to add this as an additional item when I do a general health check-up, right?

■ You have to put it in as an item.

◆ Choi Soo-young: Okay. I'm also having a checkup this year, so I'll add an additional item. But there's a theory like this. So, there are articles saying that men born in winter have larger prostate and more prostate cancer than men born in summer, and there are articles circulating on the Internet as Kadera. But really, this birth season has an effect. You mentioned various nutritional and genetic factors earlier. Does this birth time also have an effect?

■ Lee Sun-kyu: I'm the host of YouTube, and I've mentioned this on YouTube once. So when I actually looked at it like this, there was a place where I did this research. There are research reports that people born in winter have a slightly larger prostate and have a higher incidence of prostate cancer than in summer. According to them, I speculated that this prostate disease may be related to the season of birth, that is, the sunlight exposed in the early pregnancy.

◆ Choi Soo-young: The amount of sunlight?

■ Lee Sun-kyu: But we're pregnant and giving birth, and it's not something to do considering the season.

◆ Lee Ik-seon: It's not that, but babies born in the winter. If you look at the time of pregnancy, it is likely to be spring or summer. But back then, we saw a lot of sun.

■ Lee Sun-kyu: I know. I got a lot. But this is just something again.

◆ Choi Soo-young: When we come out, we always ask about things that are on the market to check the facts.

◆ Profit line: Okay. I was really curious about this. Listeners enjoy riding in the fall. There is a saying that riding a bicycle for a long time will put pressure on the prostate and impair sexual function. Is it true? That's the question.

■ Lee Sun-kyu: This has been known since I was a resident. If you ride a bicycle for a long time, you get pressure and heat. So it can cause decreased blood flow, which can affect sexual function, and another can cause damage to the pelvic nerve. Then, the nerves related to sexual function pass through the pelvic nerve. So it's also written in the book that it can have a bad effect on sexual function.

◆ Lee Ik-seon: Is that true for both men and women? Is it only for men?

■ Lee Sun-kyu: I'm not a woman. So for people who ride a lot, don't you think saddles and bicycle saddles come out because they say prostate saddles? So, it is recommended to ride for an hour at least for urinary health and rest for at least 10 minutes.

◆ Choi Soo-young: Let me introduce one more text here. Listeners, I bought a large amount of medicine that is good for the prostate at home shopping, but after taking it, I don't think it's effective or not. What do you think about this? That's the question.

■ Lee Sun-gyu: Have you seen the case where a urologist recommends this drug? In most cases, people who are lazy and embarrassed to visit the hospital are advertised a lot through the media. You buy it and eat it. Of course, there are people who eat it, and there are people who don't. Honestly, about 20% of it is effective even when we make flour like prostate medicine. That's what we call the placebo effect, the placebo effect. Of course, it doesn't matter if you take it and it's effective, but the biggest problem with taking this medicine is that you don't visit the hospital. Because I take this medicine, I can examine other diseases that I may miss if I visit the hospital. In particular, the biggest problem with the prostate is prostate hyperplasia, which can cause inconvenience in living, but there is nothing related to life. Instead, if prostate cancer is left unattended, it can be directly related to life, so you may miss these tests. That's the biggest problem.

◆ Lee Ik-seon: Yeah. Today's segment combines batteries and Dadaiksong, so we're going to play our director's song at the end. Lastly, a word to our listeners.

■ But the weather is getting colder. As the season gets colder and colder, the moisture released by sweat almost comes out of urine when the weather is warm, so urological diseases that you didn't know may be found one by one. If you are a little uncomfortable, I recommend you to visit a nearby urology department and get regular tests.

◆ Lee Ik-seon: Thank you very much. I was with Lee Sun-kyu, director of Lady Euro Urology, a knowledge battery that conveys health. I'll let you hear one more bite of that song later. Thank you, director.

■ Thank you.