If you are an older man and you feel the urge to urinate, you have to stand in the toilet for a while before your urine is slowly discharged, and the urine stream becomes thin and weak, you need to know more about “prostate enlargement”.
1, the causes of prostate hyperplasia
The more recognized possible causes of prostate enlargement are.
(1) excessive sexual activity, which causes congestion of the sexual organs and hyperplasia of the prostate tissue due to persistent stasis of blood.
(2) Chronic inflammation of the prostate gland that is not completely cured, or spermatorrhea, etc., making the prostate tissue congested and hyperplastic.
(3) Lack of physical exercise, easy hardening of arterial vessels and poor local blood circulation in the prostate gland can also lead to this disease.
(4) Frequent alcoholism or long-term alcohol consumption, addiction to spicy and other stimulating foods, stimulating the prostate tissue to hyperplasia.
2, the pathological mechanism of prostatic hyperplasia
(1) Due to the increase in resistance to urination caused by prostatic hyperplasia, the bladder forced urinary muscle over-contracted, resulting in compensatory hypertrophy of the forced urinary muscle, the bladder triangle is the most sensitive area of the bladder, so a very small amount of urine can stimulate the triangle, so that people have the urge to urinate, and the frequency of urination at night is more obvious. It is accompanied by delayed onset of urination, weakness of the urinary line, interruption of urination or dripping, etc.
(2) When the bladder forced urine muscle even excessive contraction can not be completely emptying the urine and residual urine, the bladder is in a state of loss of compensation, if the cold, drinking, holding urine and other triggers can cause sympathetic excitation, followed by acute urinary retention; a small number of patients can appear filling incontinence;.
(3) Hematuria is also a common symptom of prostatic hyperplasia, which can be caused by the rupture of mucosal capillaries covering the prostate during bladder contraction, mostly transient.
(4) renal insufficiency is the result of prostatic hyperplasia causing lower urinary tract obstruction and long-term failure to get reasonable treatment.
3, the hazards of prostate enlargement
The bladder bears the brunt of the problem. When the force of the bladder wall is no longer able to completely expel urine from the body, the weak areas of the bladder wall will bulge out, forming a lesion known medically as a diverticulum. As the growth develops further, the bladder wall becomes more dilated, thinner, and weaker, and the patient then experiences urine loss, which is medically known as filling incontinence. The next involvement is the upper urinary tract. Since the bladder is often full and cannot discharge urine effectively, the urine produced by the kidneys cannot be transported to the bladder via the ureter in a timely manner, which inevitably leads to hydronephrosis and compression of the renal parenchyma, impairing the function of the kidneys. The last thing that happens is that the whole urinary tract is blocked and then infections and stone complications follow.
4, the examination of prostate hyperplasia
The following examination methods and items are recommended for early examination and treatment of prostatic hyperplasia.
(1) Physical examination: check whether the patient with prostatic hyperplasia is unresponsive, has anemia, and is not swollen.
(2) Laboratory tests: routine urine tests to look for combined urinary tract infections; routine blood and biochemical tests: lower hemoglobin and higher urea nitrogen suggest uremia.
(3) Anal finger examination: check the anal sphincter tone, pay attention to the size of the prostate, whether the central groove disappears, whether there are nodules, the hardness of the prostate, whether there is pressure pain, etc.
(4) Renal function tests to check for impaired kidney function.
(5) Ultrasound examination: It can determine the size of prostatic hyperplasia and the presence of residual urine and its amount in the bladder, which is preferred for screening.
5.Treatment of prostatic hyperplasia
When prostatic hyperplasia has not yet caused urinary tract obstruction and difficulty in urination, no treatment is needed. If you have symptoms, you should treat them as soon as possible. The majority of patients are of advanced age, and treatment should take into account the general health, especially heart, lung and kidney function. There are two types of treatment: surgery and medication.
Drug treatment is suitable for early mild urinary tract obstruction, or for those whose general condition cannot tolerate resection surgery. Both surgical and pharmacological treatment should be done under the guidance of a hospital and doctor. The “gold standard” of treatment for prostate hyperplasia is transurethral resection of the prostate! The procedure is performed via the urethra without skin incisions and allows for almost complete removal of the hyperplastic glandular tissue.
The indications for surgical resection are.
(1) Recurrent urinary tract infections or hematuria.
(2) Recurrent episodes of acute urinary retention.
(3) Maximum urinary flow rate less than 10 m1/s.
(4) Complicated bladder stones, ureteral reflux causing functional impairment, etc.
6. Prevention of prostatic hyperplasia
For middle-aged and elderly people, it is important to pay attention to prevention and active self-care to improve the quality of life. The cause of prostate enlargement is not yet completely understood, so it is not possible to completely prevent the occurrence of the disease, but older men pay attention to a bland diet, eat more vegetables and fruits, quit smoking and less alcohol, fill in the spicy food, and keep the bowels open, still have some value to reduce the disease and delay the occurrence of the disease.