Post Date December, 03 2023
Prostatic hyperplasia can cause various complications. Here are some complications of prostatic hyperplasia.
Complications of benign prostatic hyperplasia: infection and stones
Prostatic hyperplasia can cause hyperemia of the prostate mucosa and endless urination of the bladder. "Because the bladder is connected to the outside through the urethra, the urine in the bladder is not strictly sterile, and the metabolites in the urine are easily utilized by bacteria, causing bacterial reproduction to cause infections in the bladder, prostate, and seminal vesicles.". After infection, the metabolic products of bacteria increase and deposit and crystallize organic substances in the urine to form stones, known as bladder stones. Stones also exacerbate dysuria and infection, and stimulate the formation of severe urinary frequency in the bladder.
Complications of benign prostatic hyperplasia: acute urinary retention and hematuria
Due to the hyperplasia of the prostate gland, urine rheology is fine, and if there are certain incentives (such as colds, fever, and alcohol consumption), it can cause sudden involuntary urination, lower abdominal distension, and severe pain, which is unbearable. Moreover, due to the effects of hyperplastic prostate congestion, varicose veins, intravesical infections, and/or stones, patients can develop significant gross hematuria, and in severe cases, blood clots can be excreted, leading to massive bleeding and shock, requiring emergency surgery to save lives.
Complications of benign prostatic hyperplasia: urinary incontinence
Generally, urinary incontinence can be divided into three categories. One type is true urinary incontinence: the inability of the sphincter to contract and control urination due to nerve damage, resulting in an involuntary outflow of urine. The second type, called tension urinary incontinence, is due to the low tension of the urethral sphincter, which is not sufficient to control urine. This type of disease is common in elderly and fertile women. The third type is filling urinary incontinence, which is caused by excessive residual urine in the bladder. Once urine is discharged from the ureter, it "squeezes" the urine in the original bladder and is discharged from the urethra, resulting in urinary incontinence. This type of urinary incontinence is found in patients with urethral obstruction, such as urinary incontinence caused by chronic urinary retention in the late stage of prostatic hyperplasia.
Complications of benign prostatic hyperplasia: chronic urinary retention and hydronephrosis
Chronic urinary retention refers to the continuous urination of the bladder, and a certain amount of urine remains in the bladder. As the condition worsens, residual urine increases. When the bladder reaches a certain level, it becomes decompensated and expands. When the pressure in the bladder reaches a certain level, the valve action of the ureter entering the bladder wall disappears, causing urine to flow upward along the ureter. Due to the pressure effect, the renal pelvis expands and water accumulates, leading to an increase in renal volume and a thinning of the renal cortex. This is a serious complication of late prostate hyperplasia.
Complications of benign prostatic hyperplasia: upper urinary tract obstruction and renal failure
Due to the reflux of urine in the bladder to the ureter and kidneys, and the urine in the bladder is contaminated by bacteria, it can cause infection of the renal pelvis, calyces, and renal parenchyma. Due to multiple reasons such as increased pressure in the renal cortex, decreased blood flow, bacterial infection, and thinning of the cortex, renal function is severely damaged, ultimately leading to renal failure.
Complications of benign prostatic hyperplasia: other complications
Prostatic hyperplasia can also cause hernia, hemorrhoids, and anal prolapse. The occurrence of these three diseases is due to prostate hyperplasia causing difficulty in urination. Patients need to increase abdominal pressure to excrete urine. Prolonged increases in abdominal pressure can cause hernia, hemorrhoids, and anal prolapse. In addition, frequent urination, especially at night, leads to poor sleep, and long-term poor sleep can cause elevated blood pressure and neurasthenia.
