A, prostate disease misconceptions.
1, prostatitis is an incurable disease
2, advertisements and Internet inquiries can help you find the best way to diagnosis and treatment
3, people are old, poor urination is normal
4, prostate hyperplasia, treatment or not treatment are the same
5, benign prostatic hyperplasia can not be treated
6, with prostate hyperplasia, it is best to operate early while in good health
7. If the enlarged prostate is removed, there will be no more prostate cancer.
8. If you have BPH, you have to take medication for the rest of your life.
About the prostate
1. Where does the prostate gland grow? How big is it?
At the bottom of the bladder and around the urethra of the prostate
The size of a chestnut, weighing about 20 grams 40* 30* 20 mm
2. What are the functions of the prostate gland?
(1) Secrete prostate fluid
(2) Immune function
3. How many parts of the prostate are there?
(1) Central zone
(2) migratory zone
(3) peripheral zone
4, the prostate gland will have what diseases: (1) prostatitis
(1) prostatitis
(2) Prostatic hyperplasia
(3) Prostate cancer
3. About prostatic hyperplasia.
1. Benign prostatic hyperplasia is a common disease in elderly men
The enlarged prostate gland compresses the urethra, resulting in urinary tract obstruction and lower urinary tract symptoms, called prostatic hyperplasia.
2. The prostate gland has been enlarged twice in a person’s life.
The first time is physiological hyperplasia
The second time is pathological hyperplasia
3, the incidence increases year by year with age
40 years old DD 50 years old DD 70 years old
45 at the age of 50. 6 %
Over 80 years old up to 80%DD100%
4, dihydrotestosterone is the culprit of prostatic hyperplasia of the prostate
The prostate gland is rich in 5a reductase, which can make T — DHT —-
5, the clinical manifestations of prostatic hyperplasia
(1) Urinary frequency is the earliest symptom, and difficulty in urination is mostly ignored
(2) Some patients may have painful urination or hematuria
(3) Urinary retention may occur, and urinary incontinence is a symptom of late stage disease
(4) Upper urinary tract fluid accumulation indicates a very serious condition, which may lead to kidney failure
6.What should I do if I have the disease?
(1) Older men with abnormal urination symptoms should see a urologist as soon as possible
(2). Do not refuse the doctor’s rectal examination.
Rectal examination.
Can determine the size
the presence of suspected cancer
whether the anal sphincter is relaxed
whether there are other lesions in the rectum
(3) If there are nodules or hard texture of the prostate, serum prostate-specific antigen (PSB) measurement is essential
(4) Ultrasound (abdominal. Rectal) can determine the volume of the prostate and the general condition of the urinary tract
(5) according to the symptoms of a score, to understand the severity of the disease
Prostate enlargement can affect the quality of life of patients.
Most people drink less water before going out
Don’t dare to drink water before going to bed
Disturbed sleep
Lack of access to public restrooms
Limited outdoor activities
(6). Receiving treatment
Objective of treatment: To improve symptoms, reduce obstruction, and prevent long-term complications
Treatment method.
Waiting for observation :
Drug therapy (three types of drugs)
Interventional therapy (radiofrequency, microwave, ablation, laser)
Surgical treatment.
a. Open
b. Closed: TURP, vaporization, plasma
IV. About prostate cancer
1. The rate of increase in the incidence of prostate cancer is the highest among all urological tumors.
2. Causes of incidence
It may be related to hormone, race, environment, diet, virus and other factors.
3. Prostate cancer is asymptomatic in the early stage and requires regular medical checkups.
4.The doctor’s finger feeling is very important, elevated PSA is an important indicator, and puncture biopsy should be done for high suspicion.
5.Grade and stage according to the degree of tumor invasion and pathology
6.Stage B2 is suitable for radical surgery
7.Stage C D should be treated with endocrine therapy, stage D may need to add radiotherapy and chemotherapy
8.Prostate cancer progresses slowly and proper treatment can improve survival rate and quality of life