Talking about prostate enlargement

  As the pace of life continues to accelerate, the number of patients with benign prostatic hyperplasia is increasing, and according to information, there is a trend towards younger patients with benign prostatic hyperplasia.  The prostate gland is made up of glands and muscles, and these tissues grow with age. Their excessive increase in value can cause BPH. The increase in prostate tissue causes the urethra to be squeezed, thus causing difficulty in urination. Many older people who have prostate enlargement experience psychological stress and think that prostate enlargement is cancer. However, the two diseases may coexist.  It is generally believed that BPH is caused by the activity of a male hormone called dihydrotestosterone. According to foreign statistics, about half of men over 40 years of age suffer from BPH, and up to 80% of patients over 80 years of age, and the incidence is increasing year by year in our country, making it one of the common urological diseases in China. It is clinically proven that about 60% of men over the age of 50 have an enlarged prostate that can be palpated by fingertip.  Benign prostatic hyperplasia can cause difficulty in urination. In addition, it can interfere with the daily life of the patient, such as: having to reduce water intake before going out; having to reduce water intake before going to bed; not getting enough sleep at night; limiting access to public places where there are no public toilets; limiting participation in outdoor activities, etc. This can cause great inconvenience to the elderly.  If elderly people have the following symptoms they should be alert to prostate enlargement: frequent urination, increased frequency of urination; frequent nocturnal urination; inability to hold urine – urinary urgency; feeling of incomplete urination; delay in starting to urinate; intermittent urination; incontinence; painful urination, etc.  If the specialist confirms the diagnosis of prostate enlargement, formal treatment is needed. There are more treatment methods, including medication; transurethral electrodes; transurethral laser enucleation; transurethral radiofrequency ablation; microwave therapy, etc. The most common is still drug treatment as well as transurethral electrodes.  The majority of prostate enlargement can be controlled by medication, and with the continuous improvement of medication, most patients can now get satisfactory results by oral medication.  There are two main types of drugs that are effective in treating prostate enlargement: 1. a1 receptor blockers: including phenobenzyme (dextramine), such as prazosin, santa, gautrim, halal, etc. The adverse effects are mainly dry mouth, nasal congestion, dizziness, weakness and upright hypotension, which can disappear after stopping the drug.  2, reduce the volume of the prostate drugs: Paulownia (Proscar), a 5a ~ reductase inhibitor, Schenectady (Prostat), a rye pollen extract, can inhibit the binding of dihydrotestosterone and its receptors, Burgundy, can reduce the volume of the prostate, can be anti-inflammatory and anti-edema.  If the following conditions occur, surgical treatment must be considered: the presence of acute urinary retention, residual urine in the bladder greater than 100ml, complications in the upper urinary tract, intractable hematuria or recurrent urinary tract infections, and complications with bladder stones, it is important to consult with a specialist.  In conclusion, prostate enlargement is a common disease among the elderly and it is important to be vigilant and treat it promptly after discovery to improve the quality of life of the elderly.