Post Date December, 03 2023
BPH is generally divided into acute and chronic BPH. The etiology and pathology of BPH are different, and can be divided into acute and chronic bacterial BPH, acute and chronic non-bacterial BPH, and chronic refractory BPH. What are the preventive measures for prostatic hyperplasia? The physiological characteristics of the prostate are "five fears". Patients with benign prostatic hyperplasia should pay attention to prevention.
Afraid of crowding
The position of the prostate is between the bladder and the urethral septum. The pubic bone that forms the pelvis in the front is blocking it, and the rectum is squeezing it in the back, so the anatomical position of the prostate is relatively fixed. Some patients' lifestyle will cause prostate compression. For example, riding a bicycle, the hard seat will squeeze on the prostate through the perineum, especially when riding on the bumpy road for a long time, which will cause congestion and edema of the prostate.
Afraid of getting drunk
The prostate is a very sensitive organ to tobacco, alcohol and spicy food. After drinking, the blood circulation of patients with BPH is rapid and the nerves are excited. The prostate will appear hyperemia, cell edema, and the urethra will be squeezed.
Fear of cold
After the prostate is cold, it will appear hyperemia, congestion, stagnation of qi and blood, which will induce aseptic prostatitis and aggravate prostatic hyperplasia. Therefore, patients should pay attention to keeping warm and not sitting on cold ground or stones.
Fear of dirt
The male prostate is only 10-12 cm away from the urethral orifice. The bacteria, viruses, mycoplasma, chlamydia, mold and other pathogens infected by the urethral orifice will retrograde to the prostate and cause infection.
Fear of siltation
When patients with benign prostatic hyperplasia suffer from prostatitis, the acini and small glands of the gland will be blocked, and the secretion of prostate fluid and inflammatory secretions will not be excreted smoothly. These secretions will accumulate in the prostate for a long time, which can aggravate benign prostatic hyperplasia.
How to distinguish prostatic hyperplasia in life?
1. Frequency of urination: early symptoms, especially the number of nocturnal urination increased significantly. The reason for frequent urination is the increase of bladder residual urine caused by obstruction of prostatic hyperplasia. The effective volume of the bladder is reduced and the mucosa of the bladder neck is congested. With the aggravation of obstruction, frequent urination also occurs during the day.
2. Dyurination: Hyperplasia of the prostate oppresses the urethra, resulting in different degrees of dysuria. At the initial stage, it is manifested as waiting for urination, prolonged urination time, thin and weak urine line, and even endless drip. Later, urinary retention gradually occurred.
3. Acute urinary retention: on the basis of dysuria, it is often induced by sudden climate change, cold, fatigue, drinking or constipation. It causes congestion and edema of the urethra and bladder neck, resulting in complete obstruction of the urethra and acute urinary retention.
4. Urinary incontinence: The residual urine volume in the bladder increases with the degree of obstruction. When the residual urine volume reaches or exceeds the normal capacity of the bladder and cannot urinate at will, it is in the state of urinary retention. The urine secreted by the kidney is still continuously discharged to the bladder. When the pressure of the urine exceeds the resistance of the urethral sphincter, the urine can continuously overflow from the external orifice of the urethra. This phenomenon is called overflow incontinence (also known as pseudoincontinence).
5. Hematuria: The capillary damage on the surface of prostate mucosa can cause microscopic hematuria or gross hematuria. Massive bleeding can coagulate into blood clots, causing acute urinary retention.
