Post Date December, 03 2023
Prostatic hyperplasia is a common disease of elderly men. With the improvement of people's living standards and the extension of life expectancy, especially as China has entered an aging society, the number of patients with this disease is increasing.
However, people do not know much about the occurrence of this disease and its harm to the body, and even have various misunderstandings.
Mistake 1: Poor urination is a "natural phenomenon" when people get old. Prostatic hyperplasia is one of the male senile diseases. Its pathogenesis is related to aging, which makes some people think that it is a "natural phenomenon" like aging, gray hair, blurred eyes, and teeth falling off.
However, the prostate has the function of secreting prostatic fluid and nourishing sperm; It also has the effect of controlling urination and transporting semen. If hyperplasia occurs, the urethra will be oppressed and the resistance to urination will gradually increase. In the long run, there will be a series of symptoms such as dysuria, which will gradually worsen with infection, stones, urinary retention, and even lead to uremia. Therefore, great attention must be paid.
Mistake 2: The harm of BPH is not only manifested in poor urination, increased nocturnal urination, inconvenient travel, poor rest, and decreased quality of life. Because the disease is a long-term and chronic process, it will cause serious harm to the urinary system itself and various systems of the body, and will lead to multiple complications, even life-threatening. For example, benign prostatic hyperplasia is associated with urinary tract infection, bladder stones, hematuria, urinary retention, bladder diverticulum, bladder tumor, renal insufficiency, cardiovascular and cerebrovascular diseases or causes the aggravation of original medical diseases, so its harm cannot be underestimated.
Mistake 3: There is no good way to treat simply because many elderly people have BPH, but they don't know which treatment to choose. Others say that drug treatment takes a long time and is expensive, while surgical treatment is risky and too painful. In fact, Director Yang stressed that the timing of treatment for BPH is particularly important. From the perspective of treatment and functional recovery, the earlier the treatment, the better the effect.
According to the degree of hyperplasia and clinical symptoms, we can track and observe them in the early stage and use drug treatment. If one of the following conditions occurs, patients can also be treated with endovascular surgery: chronic urinary retention complicated with urinary tract obstruction, hydronephrosis, azotemia; Acute or repeated urinary retention; Residual urine volume exceeds 60 ml; Refractory recurrent urinary tract infection; Prostatic venous hemorrhage; Bladder stone or tumor; Obvious obstruction symptoms, no residual urine, but abnormal urine flow rate. As long as early diagnosis and early treatment, good results can be achieved.
In addition, the director said that many people thought that the surgical treatment of BPH was the most thorough, but in fact, although the surgical treatment was relatively thorough, it would bring many complications, and many elderly people could not tolerate surgery.
At present, as the internationally recognized "gold standard" for minimally invasive treatment of prostate, transurethral resection of prostate has been selected by the vast majority of hospitals due to its advantages of no surgery, less bleeding, low surgical risk and rapid postoperative recovery.
Internationally, 95%~98% of patients have received this treatment. Mistake 4: BPH cannot be prevented. "BPH cannot be prevented, which is a mistake in understanding." The director pointed out that if life is properly regulated, it can delay its occurrence or prevent its development.
For example, we should try our best to eat light and nutritious food, eat less spicy food, eat more vegetables and fruits, drink more water, and not drink alcohol, especially Baijiu, avoid sitting for a long time, maintain normal urination habits, especially do not hold back urine, have regular sex life, avoid unclean sex life, and use drugs carefully, such as anticholinergic drugs atropine, belladonna tablets, etc. In addition, we must improve our understanding of the disease, understand it early, see a doctor early and treat it early.
