1, what is the disease of prostate hyperplasia, is this disease common? Prostate hyperplasia, benign prostatic hyperplasia, and prostate hypertrophy all refer to the same disease, which is due to the proliferation of prostate tissue, which leads to an increase in size and thus causes a range 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. 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. 2. What are the clinical manifestations of prostatic hyperplasia? What are the dangers? Prostatic hyperplasia, although benign, is a progressive disease, which means that it will get progressively worse if no intervention is made. First of all, it causes bladder outlet obstruction, localized urethral mucosa congestion, which affects 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 not urinate (urinary retention), complicate with bladder stones, repeated blood in urine, repeated urinary tract infections, and then affect kidney function. 3. Do I have prostatic hyperplasia? Do I need treatment? Prostatic hyperplasia is a progressive, gradually worsening disease. The clinical manifestations vary with the degree of your condition, and the rate of progression is 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 best suited to ensure your best interests, you need to have a urology specialist to give you advice and follow up. 4. What treatments are available for prostate hyperplasia? The current treatments are: (1) observation, which is suitable for patients with mild symptoms and under the guidance of a physician; (2) medication: including alpha blockers, 5 alpha reductase inhibitors, botanical preparations, herbal treatment, and evidence-based treatment; (3) surgical treatment, such as transurethral resection of the prostate (TURP), laser surgery, etc. 5.What is transurethral resection of the prostate? What are the advantages? Transurethral resection of the prostate is the removal of the enlarged prostate tissue through the urethra with instruments (electrosurgery, laser) to relieve the 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. 6.When does surgery need to be done? Surgery is required in the following cases: (1) inability to urinate (urinary retention); (2) bladder stones; (3) recurrent blood in the urine; (4) recurrent urinary tract infections; (5) inability of the bladder to empty the urine, bladder residual urine; (6) dilated ureters, hydronephrosis; (7) ineffective regular medication or unwillingness to take medication, but the symptoms are affecting your life. 7.Why do we need urodynamic examination? Urinary symptoms are often subjective and influenced by many factors. This test is needed in order to properly evaluate your prostatic hyperplasia, to rule out other diseases, and to ensure the success of your surgery. Of course before surgery the doctor has to make a comprehensive judgment based on symptoms, physical examination and laboratory tests in addition to this test. 8.Why is it necessary to check blood prostate-specific antigen (PSA)? Prostate cancer patients may have elevated blood PSA, and the treatment of prostate cancer and prostate hyperplasia are different. We perform this test in order to identify the two clearly before surgery. However, it is important to note that some inflammation of the prostate, local irritation massage, and even prostatic hyperplasia itself can show elevated PSA. Therefore, it is also important not to panic when you see elevated PSA, but to properly look at the analysis of PSA results and combine them with further tests to get the correct conclusion, which requires the clinical experience and expertise of a urologist. 9.What are the complications of transurethral resection of the prostate? What are the postoperative precautions? Transurethral electrodesiccation of the prostate may have complications such as unsatisfactory urination, urethral stricture, urinary incontinence, bleeding, etc. Some of these complications are controllable, some can be treated well with interventions, 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, and take antibiotics for a period of time. If there is some urinary urgency and a little hematuria, it is often normal after surgery and will gradually improve, but if the urine line becomes thin and there is more blood in the urine, you need to seek medical attention. It is also important that you establish a post-operative follow-up relationship with your surgeon so that you can receive professional advice in a timely manner.