Post Date December, 03 2023
Many middle-aged men have frequent urination and increased nocturnal urination. They should be alert whether it is prostatic hyperplasia (prostatic hypertrophy). Professor Guo Zhenghui, assistant dean of Sun Yat-sen Memorial Hospital and urologist of Sun Yat-sen University, explained that men's prostate generally began to proliferate after the age of 30, and related symptoms appeared after the age of 50. Increased nocturia is one of the manifestations of prostatic hyperplasia.
More nocturnal urination should be paid special attention to
Professor Guo Zhenghui said: "The frequency of urination is the early signal of prostatic hyperplasia, especially the increase in the number of nocturnal urination is more clinically significant. People who do not wake up at night have to urinate 1 to 2 times at night, often reflecting the onset of early obstruction, one of the symptoms of prostatic hyperplasia, and the development from 2 times per night to 4 to 5 times per night or more, indicating the development and aggravation of the disease." Therefore, once men have increased nocturnal urination, We should go to the urology department of the regular hospital for necessary examination to make a diagnosis.
In addition, due to the obstruction of hyperplastic prostate, the patient needs to use greater force to overcome the resistance in urination, so there are also symptoms of laborious urination. Hyperplasia of the prostate will compress the urethra and cause the urine line to become thinner; With the development of the disease, symptoms such as interruption of urination and continuous dripping after urination may also occur.
For patients with severe prostatic hyperplasia, sometimes the congestion and edema of glands and bladder neck can be caused by cold, drinking, holding urine for a long time or infection, resulting in the inability to discharge urine and acute urinary retention.
If the symptoms are not obvious, first "observe and wait"
In life, many patients with BPH are found in physical examination. Their symptoms are not obvious, and problems such as frequent urination have little impact on the quality of life, and there is no obvious distress, and there is no obvious change in a long time. "For these patients, we usually 'observe and wait' first, that is, we will not give any treatment for the time being and only observe the changes of their condition," Professor Guo Zhenghui said.
Patients should pay attention to that during the "observation and waiting" period, they need to be followed up at least once a year. The follow-up contents include understanding the changes of symptoms, digital rectal examination, B-ultrasound examination of prostate, urine examination, determination of urine flow rate, etc., and by comparing the results with the previous examination, they can judge the hyperplasia of prostate and whether they need to receive active treatment.
Once the patients waiting for observation have obvious clinical symptoms, such as frequent urination, urgency of urination, nocturnal urination, incontinence, pain in urination, which interfere with life, or have serious complications such as hematuria, they should go to the hospital for further examination and treatment.
The operation is not complete
For most mild to moderate patients, medication can be taken to improve the symptoms of laborious urination and frequent urination and control the development of prostatic hyperplasia.
Professor Guo Zhenghui said: "Only patients with poor drug treatment effect or those who refuse to accept drug treatment, and the current hyperplasia of the glandular column with recurrent urinary retention, recurrent hematuria, recurrent urinary tract infection and other complications, can recommend surgical treatment."
Nowadays, there are many ways of surgical operation. "Whether it is open surgery, or transurethral resection or laser resection of the prostate, the principle is to remove the hyperplasia of the prostate tissue. A small number of patients will relapse after surgery, because the capsule of the prostate is still in the body, and the capsule may also get sick. Therefore, patients after surgery should go to the hospital in time for re-examination if it is not timely." He reminded.
(Intern editor: Huang Junda)
