The prostate is a male reproductive organ, the shape and size of a chestnut, located at the exit of the bladder and wrapped around the beginning of the urethra, the prostate secretes fluid is a component of semen, plays a role in fertility, but as men age, the prostate can bring a number of diseases, including three common diseases for benign prostatic hyperplasia, prostate cancer and prostatitis.
1, benign prostatic hyperplasia
The most common cause of urinary disorders in middle-aged and older men is a benign disease that usually occurs after the age of 40, with an incidence of greater than 50% by the age of 60 and up to 90% by the age of 80. The symptoms of benign prostatic hyperplasia generally appear after the age of 50, and the disease develops slowly, with symptoms that can be mild and severe at times. The most common symptom in the early stage is frequent urination, more obvious with the increase of night urination, difficulty in urination is the most important symptom, the aggravation of the disease can appear residual urine, urinary incontinence, urinary retention, hydronephrosis, renal function damage, and can be combined with urinary tract infection, hematuria, stones, inguinal hernia, prolapse, internal hemorrhoids, etc.
The main treatments for benign prostatic hyperplasia are.
(1) waiting for observation.
(2) Drug treatment.
(3) surgical treatment.
At present, surgical treatment is mainly carried out through the urethral prostate minimally invasive surgery.
2.Prostate cancer
In recent years, the incidence of prostate cancer among elderly men in China has been on the rise. In early stage, prostate cancer is asymptomatic, but in late stage, when the tumor invades or obstructs the urethra or bladder neck, lower urinary tract obstruction such as urinary obstruction and bone metastasis symptoms may appear.
For early stage prostate cancer, radical prostatectomy and radiotherapy are the most effective treatment methods. Radical prostate cancer surgery should achieve three goals, in order of importance: eradication of tumor, preservation of urinary control function and preservation of sexual function. There are open surgery, laparoscopic surgery, and robotic surgery for radical prostatectomy. In advanced prostate cancer, a combination of endocrine therapy, chemotherapy, and Chinese herbal medicine is required.
3.Prostatitis
It is a fairly common disease among adult men, and some data show that about 50% of men will be affected by prostatitis at some point in their lives.
The symptoms of prostatitis are mainly, pain in the pelvic area such as perineum and perianal area, and symptoms such as urinary frequency, urinary urgency and effort to urinate, some patients can be accompanied by symptoms of sexual dysfunction such as loss of libido, erectile dysfunction, premature ejaculation, and abnormal semen parameters. Acute bacterial prostatitis can be accompanied by systemic symptoms such as chills, fever and obvious urinary symptoms. The goal of treatment for chronic prostatitis is mainly to relieve pain, improve urinary symptoms, and improve quality of life.
Chronic prostatitis should be treated with a comprehensive treatment strategy that includes.
(1) anti-infective treatment.
(2) Improvement of symptoms of dyspareunia.
(3) application of analgesics.
(4) Treatment with Chinese herbal medicine.
(5) local massage of the prostate.
(6) physical means such as microwave, radiofrequency, laser, etc.
(7) psychotherapy.
(8) treatment measures for patients with symptoms of sexual dysfunction such as hypoactive sexual desire, erectile dysfunction, premature ejaculation, and abnormal semen parameters
(9) Self-care measures, regular medication visits, strict abstinence from alcohol and spicy stimulating foods, etc.
With the aging of society, the absolute number of people suffering from prostate disease is increasing year by year, so if patients with symptoms of prostate disease, they should seek medical attention in time to avoid delaying treatment.