Prostate enlargement health education
Overview of prostate enlargement
Prostate enlargement is a common disease in older men, and its occurrence requires two important conditions: aging and a functioning testicle. The main clinical manifestations are urinary urgency and poor urination and other lower urinary tract symptoms. This is a very important part of the process, and it has a significant impact on the physical and mental health of older men and their quality of life. The main drugs used to treat prostate enlargement are alpha-blockers as well as 5 alpha-reductase inhibitors. The main surgical procedure is transurethral resection of the prostate. The majority of patients can get effective relief through standard treatment.
Etiology of prostate enlargement
The two important conditions that must be met for prostate enlargement to occur are age and a functioning testicle. The specific mechanism of prostate enlargement is not clear, but it may be due to a disruption in the balance of epithelial and mesenchymal cell proliferation and apoptosis.
typical symptoms and complications of prostate enlargement
(1) bladder irritation symptoms
Frequent urination is the most common symptom of prostatic hyperplasia, starting mostly with an increase in the number of nocturnal urinations, followed by frequent urination during the day. When the number of nighttime urination is more than 3 times, it means that the bladder outlet obstruction has reached a certain level. In addition, it will be accompanied by urinary urgency, painful urination, and even urge incontinence. Unstable bladder occurs in 50% to 80% of patients with prostatic hyperplasia.
(2) Difficulty in urination
The degree of difficulty in urination is determined by a combination of the degree of bladder outlet obstruction and the functional status of the bladder. Initially, it is manifested as taking a few moments to pass urine when there is an urge to urinate, which is called hesitation and effort to urinate. Subsequently, the urine line may become thin, weak, and short, and even the urine may not form a line, and the urine may be discharged in a dripping pattern.
(3) Residual urine and urinary retention
Patients with prostatic hyperplasia cannot empty the urine in the bladder when they urinate, and residual urine appears in the bladder. The amount of residual urine gradually increases, leading to high-pressure chronic urinary retention. Acute urinary retention may be induced when patients with prostatic hyperplasia experience sudden changes in climate, excessive fatigue, alcohol consumption or upper respiratory tract infection.
Urethral infection, urethral bleeding, bladder stones, acute urinary retention, and uremia.
Treatment of prostatic hyperplasia
Prostatic hyperplasia requires individualized treatment plans based on the patient’s different symptomatology and severity, with medication and surgery as the main treatments. The main goal of treatment is to improve the patient’s lower urinary tract symptoms and enhance the patient’s quality of life. Pharmacological treatment includes alpha-blockers, 5 alpha-reductase inhibitors, and combination therapy. Surgical treatment options include transurethral resection of the prostate (TURP), transurethral resection of the prostate (TUIP), and open prostate removal. Currently TURP is still the preferred surgical procedure for the treatment of prostate enlargement.
Preventive measures for prostate enlargement
(1) Eat less spicy food. The actual fact is that you can find a lot of people who have been in the business for a long time.
(2) Be careful with drugs. Some drugs can aggravate the difficulty of urination, the dose can cause acute urinary retention, which mainly atropine, belladonna tablets and ephedrine tablets, isopropyl adrenaline, etc.. In recent years, it was found that calcium blockers and isoptin can promote the secretion of lactin and weaken the contraction of the detrusor muscle, aggravating the difficulty in urination, so it is advisable to use caution or better not to use certain drugs.
(3) Drink the right amount of water. Drinking too little water will not only cause dehydration, but also detrimental to the flushing effect of urination on the urinary tract, and can easily lead to the formation of insoluble stones due to urine concentration. Therefore, in addition to the appropriate reduction of water at night, so as not to overfill the bladder after sleep, should drink more water during the day.
(4) Do not hold urine. Holding urine will cause overfilling of the bladder, which will weaken the tone of the bladder forcing muscle and make urination difficult, easily inducing acute urinary retention. Therefore, be sure to urinate when you have urine.