If the prostate enlargement develops around the urethra, there may be only mild manifestations or even no symptoms; if it develops towards the bladder neck, serious symptoms may occur even if the enlargement is not large. Patients usually show an increase in the frequency of urination in the early stage, which is more obvious at night. Each urination is often incomplete, leaving residual urine, which over time can lead to congestion and edema in the bladder neck. As time goes by, the bladder muscles become fatigued, urination is weak, residual urine increases, and prostate congestion and edema are obvious, making the urine line slim and bifurcated. Sometimes the urine does not form a line and drips out, sometimes the urine line splits into two strands and you have to wait half a minute to a minute to go to the toilet before you can urinate. In the later stage, if the amount of residual urine is equal to the normal bladder capacity, urine will automatically overflow as soon as the sound of running water is heard or when the reflex is caused by other stimuli. The process of occurrence and development of prostate cancer is divided into two steps: the existence of pathological prostate cancer first, and then the transformation from pathological prostate cancer to clinical prostate cancer. Hyperplasia and cancer are two completely different pathological processes. To date, there is only evidence that androgens can contribute to the transformation of pathological prostate cancer to clinical prostate cancer, and there is no evidence to contribute to the production of new prostate cancer or to the transformation of prostate hyperplasia to prostate cancer. The pathologic anatomy revealed that prostatic hyperplasia occurs in the prostate tissue surrounding the urethra, whereas prostate cancer is most often seen in the peripheral tissues of the prostate. This suggests that the two are distinctly different in their mechanisms of occurrence and that there is generally no interconversion between the two. However, one should be alert to the fact that a significant proportion of patients with prostate enlargement have prostate cancer in combination, making them prone to clinical misdiagnosis and underdiagnosis. It has been reported that prostate cancer is found in 10% to 30% of patients who undergo transurethral resection of the prostate. This is due to the fact that the enlarged prostate presses the urethra and the bladder needs to contract hard to overcome the resistance to discharge the urine out of the body. Over time, the bladder muscles will become hypertrophic. If the pressure on the bladder cannot be relieved for a long time, the residual urine in the bladder gradually increases, the bladder muscle becomes ischemic and hypoxic, becomes inert and the bladder cavity expands. Eventually the urine in the bladder will back up into the ureter and renal pelvis causing hydronephrosis and in severe cases uremia. 2, bladder stones in the elderly are also related to prostate hyperplasia in the case of a smooth urinary tract, there are generally no stones in the bladder, even if there are stones falling from the ureter into the bladder can be discharged with the urine. This is not the case in older people with prostate enlargement, where the lower urinary tract is obstructed and the urine is retained in the bladder, and the stone salts in the urine are deposited as nuclei, which in turn form bladder stones. The incidence of prostate enlargement combined with bladder stones can be more than 10%. 3, prostate hyperplasia may induce hernia (small intestine gas) and other diseases in the elderly Some patients with prostate hyperplasia will have difficulty urinating symptoms and need to force and hold their breath to urinate. As a result of frequent straining, the intestines protrude from the weakness of the abdominal wall and form a hernia. Sometimes patients also develop hemorrhoids and varicose veins in the lower extremities. 4, cause infection prostate enlargement patients often have varying degrees of urinary retention situation, the residual urine in the bladder is like a pool of stagnant water, once the bacteria multiply it will cause uncontrollable infection. 5, causing urinary retention and incontinence urinary retention can occur at any stage of the disease, mostly due to changes in the weather, drinking alcohol, exertion, etc. that cause sudden congestion and edema of the prostate. Excessive residual urine can cause the bladder to lose its ability to contract and the urine retained in the bladder can unconsciously overflow from the urethra. This phenomenon of urinary incontinence is called filling incontinence and the patient must receive emergency treatment. In addition, although patients with prostatic hyperplasia who only have glandular hypertrophy without lower urinary tract symptoms such as bladder outlet obstruction can be left untreated, such hazards must not be ignored and should seek timely medical attention to receive guidance and treatment, while good treatment should be able to prevent long-term complications. Therefore, self-care is very important. 1, to prevent cold from late autumn to early spring, the weather is unpredictable, and the cold often aggravates the disease. Therefore, patients must pay attention to the cold, to prevent colds and upper respiratory tract infections, etc. The actual fact is that you can find a lot of people who have been in the business for a long time. 4, to avoid infection will cause overfilling of the bladder, so that the bladder force urinary muscle tension is weakened, urination difficulties occur, easily induced acute urinary retention, so be sure to do urine on the discharge. 5, avoid overwork Overworking can cause weakness in urination, which can easily cause urinary retention. 6, avoid sedentary often sedentary will aggravate hemorrhoids and other diseases, but also easy to make the perineum congestion, causing difficulties in urination. Often participate in sports and exercise, etc., to help reduce symptoms. 7, drink the right amount of water drinking too little water will not only cause dehydration, but also can not play the role of urination on the urinary tract flushing, but also easily lead to urine concentration and the formation of stones. Therefore, in addition to the appropriate reduction of water at night to avoid overfilling the bladder after sleep, you should drink more water during the day. 8, careful use of drugs some drugs can aggravate the difficulty of urination, a large dose can cause acute urinary retention, including the main atropine, belladonna tablets and ephedrine tablets, isoprenaline, etc.. In recent years, it was found that calcium blockers and isoptin (verapamil) can promote prolactin secretion, and can weaken the contraction of the detrusor muscle, aggravating the difficulty of urination, so it is advisable to use these drugs with caution or preferably not. 9, timely treatment should be timely and thorough treatment of prostatitis, cystitis and urinary tract stone disease, etc. 10, massage and acupuncture points massage the abdomen, point pressure under the umbilicus Qihai, Guan Yuan and other points, is conducive to bladder function recovery. Slight pressure massage after urination can promote bladder emptying and reduce residual urine. It is worth reminding that this disease develops slowly and has a long course, so it is better if prevention can be started from middle age. 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. If the symptoms are not satisfactorily controlled after taking medication, surgical treatment can be chosen. The actual fact is that you can find a lot of people who are not able to get a good deal on this. If the prostate is particularly enlarged, or accompanied by bladder stones, bladder diverticulum, etc., it is advisable to do open surgery; if the patient’s prostate is only Ⅰ~II degree enlarged, or only the middle lobe is enlarged, transurethral electrosurgery of the prostate can be taken. The procedure is recognized as the “gold standard” of prostate enlargement treatment because it has less damage, less bleeding, less surgical risk and shorter hospital stay compared to traditional open surgery, and the treatment effect is comparable to open surgery. We recommend that men start screening for prostate cancer at the age of 50, and that they have an annual finger check and prostate-specific antigen (PSA) test with a physician at the age of 50 and above. For those with a family history of prostate cancer, we recommend starting the above screening at age 45.