When gay men get older, many of them will encounter unspeakable embarrassment, waiting to urinate, increasing the number of times they urinate at night, thinning the urine line, weakness in urination or even the need for catheterization to urinate, people will wonder if the prostate gland is out of order. The actual fact is that you will be able to get a lot more than just a few of the most popular and popular items. Why does prostate enlargement cause urination problems? The prostate is the largest accessory gland in men, located below the posterior pubic bone, before the rectum, above the urethral genital diaphragm fibromuscular gland, wrapped around the prostate segment urethra, chestnut-shaped. The normal size is 75px*62.5px*62.5px, weighing about 20g. The main function of the prostate is to secrete prostatic fluid, supply certain components of semen, controlled by androgens and very important for fertility. Lu Jianxin, Department of Urology, Guang’anmen Hospital, Chinese Academy of Traditional Chinese Medicine From the male physiological structure, the male posterior urethra passes through the prostate, and if the prostate gland is enlarged, it will lead to the posterior urethra being lengthened, deformed by pressure, and narrowed leading to increased urethral resistance and symptoms of the urinary phase such as urinary waiting and weakness, as well as symptoms of the urinary storage phase such as frequent urination and increased nocturnal urination. With the increase of bladder pressure, compensatory hypertrophy of the bladder forced urinary muscle occurs, and the forced urinary muscle becomes unstable and causes related symptoms of the urinary storage phase. If the obstruction is not lifted for a long time, the forceps muscle loses its compensatory capacity. The main causes of upper urinary tract changes secondary to BPH, such as hydronephrosis and renal impairment, are urinary retention due to bladder hypertension and ureteral reflux. It is like because the door is not open well, pushing the door needs to increase the force, continued long-term effort, eventually leading to pushing the door people exhausted completely powerless to push the door. The definition of prostate enlargement is known as benign prostate enlargement on the urology terminology, everyone is also commonly known as prostate enlargement. The 2014 version of the Chinese urological disease “benign prostatic hyperplasia diagnosis and treatment guide” definition: this disease is the most common cause of urinary disorders in middle-aged and elderly men a benign disease. The main manifestations are histological enlargement of the interstitial and glandular components of the prostate, anatomical enlargement of the prostate, urodynamic obstruction of the bladder outlet and clinical symptoms mainly in the lower urinary tract. The reason it’s called BPH is that several studies have confirmed that it is a slowly progressive benign disease of the prostate, with symptoms progressively worsening as the patient ages, but the disease is completely different in nature from malignant tumors of the prostate. The incidence of histological benign prostatic hyperplasia increases with age, and histological hyperplasia begins to occur in men fluent at the age of forty, with the incidence greater than 50% by the age of 60 and up to 83% to 100% by the age of 80. Symptoms such as difficulty in urination increase with age. Approximately 50% of men with a histologic diagnosis of this disease will exhibit moderate to severe clinical lower urinary tract symptoms. It is easy to conclude that two important conditions must be present for BPH to occur: advancing age and functioning testes, and simply put, this disease is the preserve of older men. The symptoms of the urinary storage phase include urinary frequency, urinary urgency, urinary incontinence and increased nocturia; the symptoms of the voiding phase include hesitation, difficulty and intermittent urination; the symptoms of the post-voiding phase include incomplete urination and dribbling after urination. It is important to note that not only the above symptoms may occur in BPH, but also in prostate cancer, urinary tract infection, urethral stricture, some neurological diseases, cardiovascular system, respiratory system and renal insufficiency, etc. In order to prevent misdiagnosis and misdiagnosis, the symptoms must not be treated by the professional urologist according to the symptoms, physical examination, especially anal examination, imaging, and blood test for prostate specificity. The actual prostate gland is a very important part of the body. The purpose of treatment for prostate enlargement is to reduce symptoms, improve quality of life, delay disease progression and prevent complications, and measures can be taken including watchful waiting, conservative drug treatment and surgical treatment. 1, Western medicine treatment: according to the mechanism there are mainly two types: ① α-blockers: α-blockers are by blocking the adrenergic receptors distributed on the surface of the smooth muscle of the prostate and bladder neck, relaxing the smooth muscle and achieving the effect of relieving the bladder outlet power obstruction. A common side effect is postural hypotension. ②5-alpha reductase inhibitor: It is suitable for patients with larger size prostatic hyperplasia. Long-term use can reduce the size of the prostate and improve urinary difficulties. Studies have shown that finasteride is more effective in treating patients with larger prostate size and/or higher serum prostate-specific antigen (PSA) levels. Data from studies have shown that finasteride (5 mg/day for more than 4 weeks) applied before transurethral resection of the prostate reduces intraoperative bleeding in patients with large prostate volumes. In addition, finasteride can reduce the level of serum PSA, taking finasteride 5mg per day for 1 year can reduce the PSA level by 50%. 2, Chinese medicine treatment: Chinese medicine believes that the disease belongs to the original deficiency and the standard real, the original deficiency refers to the patient’s old age, lung, spleen and kidney deficiency, especially the deficiency of kidney energy; the standard real refers to the hyperplasia of the gland forming a bruised mass to compress the urethra, resulting in the retention of water and dampness, containing and turning into heat, emphasizing that kidney deficiency, blood stasis, dampness and heat together cause the disease, the treatment pays attention to dynamic identification, according to different patients at different stages of kidney deficiency, dampness, heat and blood stasis focus on different and choose the corresponding Chinese medicine, attack and supplement The treatment is based on dynamic diagnosis, according to the different stages of kidney deficiency, dampness, heat, blood stasis and the corresponding selection of Chinese herbal medicine, attacking and tonifying. Surgical treatment: For patients whose symptoms have significantly affected their quality of life, especially when medication is not effective or when they refuse to accept medication, surgical treatment can be considered. The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things. 2, Patients with normal heart and kidney function, under the premise of ensuring a daily water intake of not less than 1500 ml, appropriately limit the amount and duration of drinking to facilitate socialization. 3.Optimize urination habits, and those with symptoms of incomplete urination can urinate twice. 4.Bladder training, do not encourage excessive urine holding, but those with obvious symptoms of frequent urination can hold urine appropriately to increase bladder capacity and urination interval. 5.Live a regular life and keep the bowels open. 6.Exercise to strengthen your resistance, and keep your mood relaxed, do not overexert yourself, and prevent factors that can aggravate your symptoms, such as colds.