Prostate hyperplasia, also known as prostate hypertrophy in the past, is caused by the prostate gland becoming enlarged and hypertrophied, compressing the urethra and causing a series of symptoms related to difficulty in urination. The incidence of prostatic hyperplasia in elderly men in China is lower than in developed countries, but with the improvement of living standards, the incidence in China is gradually increasing. Here, we give you an answer to some questions related to prostate enlargement that older people are concerned about. 1, what is the prostate? The prostate gland is a unique accessory gland for men, it is located in the pelvis, under the bladder, before the rectum, the urethra passes through the center of the prostate. The normal prostate is shaped like a chestnut, conical in shape, bottom up, tip up, 4 cm wide, 3 cm long, 2 cm thick, and weighing about 20 grams. The prostate gland secretes prostatic fluid which is an important component of semen and has an important role in the normal function of sperm, the same prostate is also important for controlling urination, ejaculation. 2. Is prostate hyperplasia and prostatitis the same thing? The actual fact is that you can get a lot more than just a couple of hours to get a lot more than just a couple of hours. The two types of prostate hyperplasia and prostatitis are two completely different diseases. They are both lesions of the prostate gland, and both can have symptoms of frequent and urgent urination, but the pathogenesis is completely different. The actual fact is that you can find a lot of people who are not able to get a good deal on this. Sometimes prostate enlargement can occur at the same time as prostate cancer. The two lesions can be identified by PSA, ultrasound, CT and other imaging tests, as well as tissue biopsy. 3. What are the common manifestations of prostate hyperplasia? The main symptom of prostate hyperplasia is the progressive worsening of difficulty in urination, which can be accompanied by frequent urination, urgent urination, delayed onset of urination, weakness of the urine line, intermittent urination or dripping. Some patients may experience acute urinary retention or even filling incontinence after exposure to cold, alcohol consumption, or holding back urine. In addition, hematuria, bladder stones, and urinary tract infections are also relatively common. 4.Can prostatic hyperplasia heal itself? What are the consequences of not treating it? What is the effect of medication? The symptoms of prostatic hyperplasia tend to worsen and rarely heal on their own, and eventually require medication or surgery. Severe urinary frequency can affect sleep and usually prevents you from going out of the house, which seriously affects the quality of life. Hematuria, urinary tract infections and urinary retention, which are complicated by prostatic hyperplasia, can have a significant impact on the physical fitness of the elderly. If not reasonably treated for a long time, it can lead to chronic renal insufficiency. In addition, because of the long-term forceful urination, it can induce hemorrhoids, prolapse, hernia and other diseases. At present, the drugs commonly used to treat prostatic hyperplasia are alfuzosin, Halo, Nadol, Paulette, retention of urine, etc. Some of these drugs can relieve the symptoms of frequent urination and difficult urination, and some can reduce the size of the prostate, but they need to be taken for a long time and are only effective for some patients. 5.When does prostate hyperplasia need surgery? What are the common surgical procedures? At present, drug treatment is not considered to be significantly effective. Patients with urodynamic tests showing a maximum urinary flow rate of less than 15 ml/sec and a prostatic hyperplasia symptom score of greater than 15 can be considered for surgery. If there is a combination of urinary retention, bladder stones, recurrent episodes of hematuria or urinary tract infections, surgical treatment is even more necessary. Of course, the specific situation requires the urologist to make a decision after combining the patient’s symptoms, test results, and physical condition. There are two main types of surgery for prostate hyperplasia: open surgical excision and transurethral resection. In the past, most hospitals in China used open surgery, whose representative procedure is transcatheter prostatectomy on the pubic bone, characterized by a simple procedure, but the surgery is traumatic for the patient, slow recovery, and often combined with cardiopulmonary and endocrine disease, can not tolerate this type of surgery. The main reason for this is that it is a simple procedure, but it is very traumatic and slow to recover from the surgery, and many patients who cannot tolerate open surgery can also tolerate this procedure. The Urethral electrodes are now considered the “gold standard” of surgical treatment for prostate hyperplasia. 6. Will prostate enlargement recur after surgery? There is a possibility of recurrence after surgery, but because the prostate tissue grows slowly (about 5 grams every 10 years), if enough of the hyperplastic tissue is removed during surgery, there is rarely a recurrence.