Post Date December, 03 2023
Although prostate hyperplasia is a common disease in elderly men, it is not unique in young adults. There has been a group of reports in China, ranging in age from 28 to 45 years old, with an average age of 38.4 years. The course of disease ranged from 5 to 38 months, with an average of 17.9 months. All patients were diagnosed by digital rectal examination, B-ultrasound, cystoscopy, and CT before surgery. All cases had symptoms such as frequent urination, urgency, laborious urination, hesitation, thinning of urinary lines, and dripping of urine.
The clinical characteristics of benign prostatic hyperplasia in young adults are:
1. Easily misdiagnosed as chronic prostatitis. Due to the early manifestations of frequent urination, urgency, hesitation in urination, laborious urination, and dripping urine, the clinical manifestations are very similar to chronic prostatitis. Combined with age factors, both subjective and objective, patients and medical personnel are prone to misdiagnosis as prostatitis.
"Young and middle-aged patients with benign prostatic hyperplasia are prone to psychiatric symptoms such as dizziness, irritability, anxiety, memory loss, and sexual dysfunction.". The patient is currently in the prime of life, and due to a series of symptoms such as difficulty urinating, they have a serious impact on life and work, are prone to mental and psychological disorders, and are prone to the impression of "premature aging" and "inferiority complex" towards themselves.
3. The increase in nocturnal urination frequency was not significant. Increased nocturnal urination is a major symptom of benign prostatic hyperplasia. The frequency of nocturnal urination in most young adults is within 2 times.
4. After suffering from benign prostatic hyperplasia in their young age, they are proactive in cooperating with treatment and have a strong desire to relieve it; In addition, there are serious concerns about surgery and its possible complications. Therefore, while making detailed preoperative preparations, we should also carefully do a good job in the patient's psychological work, and try to eliminate concerns about surgery as much as possible. Overall, the treatment of benign prostatic hyperplasia in young adults, whether using open hand surgery or transurethral surgery, is effective. However, it is important to note that during surgical treatment, thorough resection may be achieved to avoid residual glands, so as to avoid recurrence of hyperplasia or cancer in the future.
