The normal adult prostate is the size of a chestnut and weighs about 20 grams. Prostatic hyperplasia, commonly known as prostatic hypertrophy, is a physiological process in men. Under the action of androgens, prostatic hyperplasia occurs in men starting from the age of 40, and 50% of men in their 50s and 60s have pathological prostatic hyperplasia, and the prevalence can be as high as 90% at the age of 80. As a result, prostate enlargement has become a common condition in older men. The degree of prostate enlargement is not necessarily proportional to the degree of difficulty in urination (urinary obstruction). Sometimes the enlargement is very large, but urination is not difficult. Sometimes urination is difficult and even urinary retention occurs, but ultrasound examination reveals that prostate enlargement is not obvious, because the degree of difficulty in urination has a great deal to do with the location of the part of the enlargement. For example, the part of the enlargement that extends into the bladder is very easy to block the opening of the urethra, and even if it increases in size by less than 10 grams, it can cause serious urinary flow obstruction. This is why it is especially important not to judge the need for treatment by the size of the prostate. In my clinic, I have encountered many patients with prostate enlargement, they often only pay attention to the “size” of the prostate, thinking that the “size” is not too big is not serious. I would like to remind patients with prostate enlargement to pay attention to the symptoms and make an accurate assessment, so that they do not miss the opportunity for treatment. Speaking of symptoms, let’s first look at the main symptoms of prostate enlargement. The first symptom is frequent urination, that is, each time the amount of urine is very small, but the number of times of urination increases, so some elderly people are afraid to go out on the street, go out on the street to look for the toilet first, lest they pee their pants. Frequent urination is more pronounced at night, or even up 5-8 times a night, seriously affecting sleep, and over time, it is easy to induce high blood pressure, coronary heart disease. Then there will be progressive urinary difficulties, this symptom develops slowly, when mild urinary obstruction, the patient wants to urinate, urine, must wait for a period of time, will also occur after urination drip drip urine, when the degree of aggravation is to spend a great deal of energy in order to discharge the urine, and each time is not finished. In the long run, the amount of urine left in the bladder will gradually increase. Excessive residual urine will cause the bladder to lose its ability to contract, thus leading to urinary retention. When the bladder fills with urine during urinary retention, there will be involuntary urine dripping out, which is called overflow incontinence. At this time, ureteral reflux will also occur, which will cause fluid retention in the kidneys and renal function damage, secondary urinary tract infection and stones, and these are serious complications. Symptoms have to be treated, elderly friends know that early can reduce the symptoms through medication, and when there is a need for surgical treatment? The latest concept is that the purpose of surgical treatment for prostate enlargement is to improve the quality of life. So I think that whenever you need to improve the quality of life is when you need surgical treatment, that is to say, if your symptoms do not improve significantly after taking medication, or if you do not want to take medication every day, you should consider surgical treatment. If you have complications such as excessive residual urine, urinary retention, hematuria, bladder stones, recurrent urinary tract infections, hydronephrosis, etc., you have actually missed the best time for surgery, which means that you have to have surgery without guaranteeing the result. In the clinic, I often come across other patients who, after years of pain and suffering, are finally determined to undergo surgery, but due to old age, poor health, serious cardiopulmonary diseases, severe renal insufficiency, bladder hypothyroidism, etc., they can no longer tolerate surgery, or even if the surgery is ineffective, and can only undergo vesicovaginal fistula treatment. For these patients, we feel sorry from the heart. Recently, I was admitted to the Mr. Liu is so, Mr. Liu is more than 70 years old this year, the body is strong, in addition to the prostate problem has no other problems. But this prostate enlargement disease has been plagued by moncler outlet online more than 10 years, this more than 10 years of crime have not been less, not less medicine, but moncler outlet online is not determined to do surgery. This time the urinary retention has no way to hospitalization, and finally made up his mind to do surgery. The first thing you need to do is to get your hands on a new pair of shoes or boots, and then you’ll be able to get them to fit in your pocket. This time, Mr. Liu can really regret. I also encountered some patients in the clinic, want to do surgery but afraid of sexual dysfunction after surgery, incontinence and not willing to surgery. In fact, with the progress of medicine, most of the current prostate surgery using minimally invasive methods, especially the green laser technology used in our hospital, less trauma, less bleeding, fast recovery, almost no sexual dysfunction and urinary incontinence. Finally, we remind elderly patients with prostate enlargement: choose surgery, when it’s time to take the plunge.