A. What is the disease of prostate hyperplasia and is this disease common?
A: Prostatic hyperplasia, benign prostatic hyperplasia, prostate hypertrophy, all refer to the same disease, is due to the proliferation of prostate tissue, which leads to an increase in volume, which in turn causes a series of clinical symptoms. If a man is older than 50 years of age and develops urinary disturbances, the most important cause is prostatic hyperplasia. Through large-scale population surveys, eventually 80% of men will develop enlarged prostate tissue as they age, and about two-thirds of these people (or 50% of the total population) will experience an increase in size, and about half of these enlarged people will require medication or surgery.
What are the dangers?
A: Although prostatic hyperplasia is a benign disease, it is a progressive disease, which means that if no intervention is made, it will gradually worsen. First, it will cause bladder outlet obstruction, local urethral mucosa congestion, affecting bladder function, resulting in symptoms such as urinary urgency, frequent urination, frequent nighttime urination, straining to urinate, prolonged urination time, and a sense of incomplete urination. You may go to the toilet frequently, be afraid to go out, have to wait for a while to urinate and strain, and get up at night resulting in poor sleep, which affects your quality of life. If left untreated, these symptoms will be further aggravated and you may urinate in dripping form, suddenly appear to urinate without coming out (urinary retention), complicate with bladder stones, repeated blood in urine, repeated urinary tract infections, which in turn affects the kidney function.
Third, do you have prostatic hyperplasia? Do I need treatment?
A: Prostatic hyperplasia is a progressive, gradually aggravating disease. The clinical manifestation of your condition varies with the degree of your condition, and the rate of progression of the condition is also different from person to person. Prostatic hyperplasia is the most significant factor in urinary disturbances in older men, but it is not the only cause. The choice of treatment is based on the severity of the symptoms, the general condition, the presence of complications, etc. In order for you to have an individualized treatment that is most suitable to ensure your best interest, you need to have a urological specialist to provide you with consultation and follow up.
D. What are the treatments for prostate hyperplasia?
A: The current treatments are: observation, suitable for patients with mild symptoms and under the guidance of a doctor; medication: including alpha blockers, 5 alpha reductase inhibitors, botanical preparations, herbal treatments, evidence-based treatment; surgical treatment, such as transurethral resection of the prostate (TURP), laser surgery and so on.
V. What is transurethral resection of the prostate? What are the advantages?
A: Transurethral resection of the prostate is the removal of the enlarged prostate tissue through the urethra by means of instruments (electrosurgery, laser) to relieve bladder outlet obstruction. It has the same results as open surgery without the incision of traditional surgery. It is a quick recovery, short hospital stay, less costly, and can also treat lesions such as bladder neck sclerosis, urethral strictures, bladder stones, bladder tumors, and bladder diverticula. Long-term follow-up results show satisfactory short-term and long-term improvement of symptoms.
VI. In what cases does surgery need to be performed?
A: Surgery is required in the following cases.
1) If there is a history of inability to urinate (urinary retention);
2) With bladder stones;
3) Recurrent blood in the urine;
4) Recurrent urinary tract infections;
5) inability of the bladder to empty the urine and high bladder residual urine;
6)caused by ureteral dilatation and hydronephrosis;
7) The effect of regular medication is not good, or you do not want to take medication, but the symptoms are affecting your life.
What are the complications of transurethral resection of the prostate? What are the post-operative precautions?
A: Transurethral resection of the prostate may have complications such as unsatisfactory urination, urethral stricture, incontinence, bleeding, etc. Some of these complications are controllable, some can be treated well with intervention, and some are acceptable, but of course, any surgery has risks, which will be carefully evaluated and explained in detail by the doctor before surgery. After the surgery, or even after discharge, you should pay attention to drink more water, avoid strenuous activities in the near future, take antibiotics for a period of time, if some urinary urgency and a little hematuria is often normal after surgery, and will gradually improve, but if the urine line becomes thin and more blood in the urine, you need to promptly consult a doctor.