The average life expectancy of people and the change in standard of living, its incidence is increasing year by year. Liu Jihua, Department of Urology, Lianyungang Second People’s Hospital
The Urethra passes through the middle of the chestnut-sized organ, the prostate gland, as the testicular function decreases with age, and the male hormone metabolism becomes abnormal, the prostate gland somehow increases in size, small like an egg, large like a duck egg or goose egg, so it will compress the middle of the The actual urethra becomes longer and more curved, the lumen becomes narrower, and the urethra is obstructed, causing an increase in the number of urinations and difficulty in urination. In severe cases, hematuria may also occur. If you have any of these conditions, you need to ask a specialist to do a rectal examination, feel the prostate in front of the rectal wall to see if it is enlarged, or do a cystoscopy, ultrasound, or urine flow rate examination to get a clear diagnosis.
The prostate enlargement is a chronic disease, the duration of which varies. There is a great difference in the severity of symptoms between individuals, so treatment should be differentiated and individualized. The advantages of this therapy are good safety, but slow efficacy and high cost of long-term medication. However, for many patients who cannot be controlled with medication and whose symptoms are worsening, and who have chronic urinary retention, the only option is to undergo surgery.
The purpose of surgical treatment of prostatic hyperplasia is to remove the urinary tract obstruction and restore normal urinary function. There are many different manifestations of abnormal bladder function due to obstruction. Therefore, a comprehensive examination, including urodynamic examination, should be performed before determining the indication for surgery to carefully analyze the condition, understand the relationship between the degree of glandular hyperplasia obstruction and clinical manifestations, and predict whether the symptoms will improve after surgery to avoid unnecessary surgery in inappropriate cases. For patients who still have difficulty in urination, chronic urinary retention or urinary incontinence after surgery, urodynamic examination is also required to clarify the cause.
The traditional open prostate surgery, as the name suggests x, is to cut _pi w each cherry curl _ bladder, hand grg average 2 small r or so. There exists a large incision, more pain, heavy damage, more bleeding, g after P bed rg than ^L, to have 5 to 7 days of rg and other disadvantages. In addition, the basic metabolism of the elderly decreases, the heart and lung reserve function is insufficient, often combined with heart, lung and cerebrovascular diseases, poor surgical tolerance, so the risk of traditional open surgery is higher.
The procedure has been widely replaced by the minimally invasive “transurethral resection of the prostate”. The urethral prostatectomy includes urethral prostatectomy, urethral prostate laser, ablation and vaporization and so on. The basic principle is to use high energy to act directly on the prostate gland, with the high harmonization of the Cusco Alchohol and the gadfly, which is internationally recognized as the “gold standard” in the treatment of prostate enlargement. The surgeon has a clear grasp of the operation from the beginning to the end and has sufficient time to completely remove the larger gland to achieve a perfect result. The procedure is not open, the field is clear, the resection is complete, the bleeding is less, and the indications for surgery are expanded compared to open surgery, so that patients with high-risk and severe prostate enlargement can also be relieved of their pain through surgery, which is a boon to the elderly and frail prostate patients who cannot tolerate surgery. Since this surgery was performed in the 1990s, we have successfully treated about 4,000 patients for prostate enlargement, and many patients over the age of 90 with severe cardiovascular complications have been cured by the surgery. The current procedure is usually completed in about 1 hour and can be discharged 3-4 days after surgery. It has the advantages of less intraoperative bleeding, no blood transfusion, no incision, post-operative extubation, self-voiding, fast post-operative recovery, complete excision, good clinical results, and few complications, etc. It is currently the most ideal surgical method for treating the prostate.
The most important thing is that you can use temporary or permanent prostate stent placement for those whose prostate obstruction is important and whose systemic condition does not allow surgery.
In short, patients with prostatic hyperplasia should usually pay attention to.
1, the correct understanding of prostatic hyperplasia is a common disease in older men, no need to carry the burden of thought.
2, usually should pay attention to develop the habit of not holding urine and drinking less water before going to bed.
3, if there is frequent urination, urinary urgency and other symptoms, should promptly go to the hospital to understand the prostatic hyperplasia, under the guidance of doctors can take appropriate drugs.
4. If there is serious urinary obstruction, surgical removal should be considered so as not to miss the best surgical period. Through this minimally invasive surgery, elderly people can completely achieve the goal of urinating easily and enjoying a healthy life.