The prostatic hyperplasia, also known as benign prostatic hyperplasia, was formerly known as prostate hypertrophy. Benign prostatic hyperplasia is a physiological process that occurs in men starting at the age of 40, under the influence of androgens.
This is a very important factor in the development of prostate enlargement. 50% of men in their 50s and 60s have pathological prostate enlargement, and the prevalence can be as high as 90% at age 80. Therefore, prostate enlargement has become a common disease in older men. In the early stages of prostate enlargement, there is no obvious effect on the patient’s urinary symptoms, and doctors generally advocate medication to improve urinary symptoms, and there is no need for patients to undergo surgery. However, if
If the symptoms do not change with long-term medication, or even get worse, if the prostate enlargement seriously affects the patient’s urinary function and quality of life, or if complications arise: hematuria, bladder stones, urinary tract infections five or six times a year, or if the prostate enlargement has a high rate of urinary tract infections.
If a patient has a hematuria, bladder stones, urinary tract infections five or six times a year, hydronephrosis, or even declining kidney function, the patient should receive expert advice and opt for surgery. In the clinic, we often encounter patients who are overwhelmed by the pain caused by prostate enlargement and request surgery. The actual fact is that some of these patients are over 70 years old because of their hesitation.
These patients have severe cardiovascular disease, cardiac insufficiency, hypertension, diabetes, chronic bronchitis, emphysema, and pulmonary insufficiency;
Some of them have severe renal insufficiency and are unable to tolerate surgery.
The best time for surgical treatment is lost, and it is difficult to use surgical treatment, some people can only take long-term indwelling catheter or cystostomy tube urination, and the quality of life is further reduced. Some patients are afraid of losing sexual function and incontinence after surgery and are unwilling to undergo surgery. In fact, with the advancement of medicine, most hospitals have abandoned the traditional more invasive open surgery.
The actual fact is that most of the hospitals have abandoned the traditional more invasive open surgery and are performing transurethral prostate removal or laser vaporization surgery, which has no skin incision and the patient recovers quickly after the surgery. The most important thing is that it is the best method of surgical treatment for prostate enlargement in the world.
This is also a laser procedure to remove the enlarged prostate through the urethra, which is much less invasive. The actual surgery is not terrible, so remind the elderly prostate enlargement patients: choose the surgery, when it is time to take a shot.