Post Date December, 03 2023
Prostatic hypertrophy is also known as benign prostatic hyperplasia, which is divided into histologic and clinical benign prostatic hyperplasia. The former is found through autopsy to have a significant increase in prostate volume, or microscopic benign prostatic hyperplasia, but clinically there can be symptoms or no symptoms.
The latter can be determined by the following three factors: ① prostate symptoms (frequency of urination, nocturnal urination, incomplete urination, and laborious urination) Increased prostate volume (prostate volume>20ml); ③ Indication of bladder outlet obstruction (maximum urine flow rate<15ml/min).
In terms of histology, the incidence of BPH in various countries is roughly the same worldwide, which is obviously related to age, that is, the incidence rate increases with age. According to foreign autopsy reports, prostate hyperplasia is 10% at the age of 35, and increases year by year with age, reaching 85% at the age of 85.
Prostate hypertrophy can cause temporary sexual desire hyperactivity. After the age of 55, almost all men have varying degrees of prostate hypertrophy. At the beginning of prostate hypertrophy, patients may experience increased sexual desire that does not match their age, or they may have normal sexual desire but suddenly become stronger. This is due to hyperplasia of prostate tissue, which leads to dysfunction of prostate function, and feedback leads to temporary enhancement of testicular function.
Sex can exacerbate prostate hypertrophy. Sex itself can cause the prostate to remain congested for a long time, causing and exacerbating prostate hypertrophy.
Absolute abstinence is also not conducive to the rehabilitation of prostate disease. A man with a normal personality development inevitably has frequent sexual impulses. Although semen cannot be excreted due to various reasons, there are still physiological changes in the reproductive system such as increased secretion of related glands, vasodilation, and congestion. The prostate is one of the related glands. Therefore, under such sexual impulses, the endocrine increase and homologous hyperemia produced by the prostate cannot be released, which may promote hyperplasia and hypertrophy of the prostate over time.
Elderly patients with prostate hypertrophy should pay attention to the following points based on factors such as age, degree of hyperplasia, and specific status when having sex:
1. The age is around 60 years old, the prostate hypertrophy is not severe, there are no symptoms such as poor urination, and the physical condition and sexual function are good. It is advisable to have sex once a month.
2. "If you are older, have severe prostate hyperplasia, have difficulty urinating, or have urinary retention after intercourse, and are difficult to control with medication, it is not appropriate to have intercourse.".
3. During the treatment of prostate hypertrophy with estrogen drugs, elderly people should not engage in sexual intercourse to avoid inducing impotence.
