Overview of prostatic hyperplasia

  Benign prostatic hyperplasia is a common condition in older men. It occurs most often in men over the age of 50 and used to be called prostatic hypertrophy. As a result of scientific development, it was recognized that the disease is not only the hypertrophy of cells, but mainly the increase in the number of cells, so now it is medically known as benign prostatic hyperplasia, or what we, the people, call prostate hypertrophy.  The prostate gland is a unique organ for men, weighing about 20 grams, like the size of a chestnut, it is located below the bladder, wrapped around the proximal urethra connected with the bladder, and its main function is to secrete prostatic fluid.  The number is histological hyperplasia, which is the result of slicing the prostate tissue under a microscope, and only 20% of patients with histological hyperplasia actually have clinical symptoms. The only patients we diagnose as having prostate enlargement are those who have trouble urinating due to prostate enlargement and really need the help and treatment of a doctor. For those who don’t cause clinical symptoms, although the prostate may be larger, it can’t be diagnosed as prostatic hyperplasia, much less require treatment.  Why is this point repeatedly emphasized? This is because as people’s living standards have improved, health awareness has increased significantly. The actual fact is that you can find a lot of people who are not able to get a good deal on this. The actual fact is that you will find a lot of people who are looking for a good deal more than just the best. I took a look at the report card and the prostate was slightly larger, or a little over 20g. I ask the patient, “What are your symptoms of urination?” The patient often answers, “I have no symptoms.” I said, “In the present case, I can only say that you have a slightly enlarged prostate and cannot diagnose prostatic hyperplasia and do not need any treatment.”  Why do you say that? The reason is that the size of the prostate may stabilize at this level in the future, and the prostate may continue to grow, but as long as there are no obvious clinical symptoms, no treatment is needed. Intervention is given only when the prostate continues to enlarge and cause clinical symptoms, because there is no significant therapeutic effect of drug intervention given in advance.