Post Date December, 03 2023
"Prostatic hyperplasia is a common disease in andrology, with the main symptoms of frequent urination, urgency, increased nocturnal urination, and urgent urinary incontinence.". Prostate hyperplasia seriously affects the lives of patients, and there are many complications of prostate hyperplasia! What are prostate hyperplasia?
The symptoms of benign prostatic hyperplasia can be divided into two categories: one is obstructive symptoms caused by the obstruction of the urinary tract by the hyperplasia of the prostate; The other type is complications caused by urinary tract obstruction.
1. Obstructive symptoms are mainly due to prostate hyperplasia blocking the urinary tract. Compression of the bladder neck also involves the bladder's own response to overcoming obstruction.
① Frequency of urination is an early signal of benign prostatic hyperplasia, and increased nocturnal urination is of clinical significance. Generally speaking, the number of nocturnal urinations is often parallel to the degree of prostate hyperplasia. Old people who previously did not wake up at night urinated 1-2 times at night, often reflecting the onset of early obstruction, and developed from 2 times per night to 4-5 times or more per night, indicating the development and aggravation of the lesion.
② Weakness in urination, thinning of urinary lines, and dripping urine. Due to the obstruction of the hyperplastic prostate, patients need to use greater force to overcome resistance in urination, which can lead to laborious urination; Hyperplasia of the prostate compresses the urethra and causes the urinary line to become thinner; As the condition progresses, symptoms such as interruption of urination and continuous dripping after urination may also occur.
③ Hematuria.
④ Urinary retention. In the late stage patients with severe prostatic hyperplasia, acute urinary retention may occur due to the inability to excrete urine due to cooling, drinking, holding urine for a long time or infection when the obstruction is serious.
2. The main complications of obstruction include infection, hydronephrosis, and uremia.
① Infections are just like obstructed rivers that are prone to pollution. Obstruction of the urinary tract in the bladder neck is very likely to be associated with acute urinary tract infections, exhibiting a sudden increase in the frequency of nocturnal urination, urgency, pain, hematuria, and fever.
② Hydronephrosis After a severe and prolonged period of prostatic hyperplasia, due to inadequate compensatory functions in the bladder and upper urinary tract, hydronephrosis in the ureter and pelvis can occur. When hydronephrosis is severe, a "lump" - a swollen kidney can be felt in the abdomen; When the bladder is filled, a "lump" - a swollen bladder - can also be felt in the lower abdomen.
③ In patients with benign prostatic hyperplasia who develop hydronephrosis due to uremia, renal parenchyma compression can cause renal insufficiency - uremia. Appears to have decreased appetite, nausea, vomiting, anemia, etc. Due to the relatively subtle and lack of specificity of these symptoms at first, they are easily overlooked or misdiagnosed as digestive tract diseases. Headache, dullness, lethargy, and even coma are only detected, and it is worth being vigilant.
④ Others: Some patients with benign prostatic hyperplasia may experience changes in libido, some may have hyperlibido, some may have low libido, and a few patients may have blood sperm.
In addition, due to prostate hyperplasia, patients with difficulty urinating and increased abdominal pressure can also cause or exacerbate diseases such as hemorrhoids and hernia.
Prostatic hyperplasia is very common in elderly men, but its degree and development speed are different. Moreover, there are data indicating that this disease is becoming increasingly young. "Prostatic hyperplasia is a chronic process that can cause little sensation in early stage patients, and its impact on physical health is mostly imperceptible. However, some of the complications it causes have to be taken seriously.". The consequences and complications of BPH include:
1) Infectious urinary obstruction is a prerequisite for infection, and it is prone to inflammation of the bladder neck, posterior urethra, and bladder.
2) Acute urine retention.
3) Hematuria.
4) Bladder stones: Bladder stones are easily formed due to urinary obstruction and secondary infection.
5) Uremia: When the degree of obstruction gradually increases, hydronephrosis and renal insufficiency are prone to occur, leading to clinical symptoms of uremia. Renal hypertension can also occur.
6) Hemorrhoids and anal prolapse: Due to difficulty urinating and long-term increase in abdominal pressure, it is easy to cause complications such as hemorrhoids and anal prolapse.
7) Other: When dysuria is caused by hyperplasia of the prostate, people with a history of hypertension are prone to complications such as cerebrovascular accidents and heart failure, which should be paid attention to. "When the obstruction of hyperplasia of the anterior columnar glands causes significant hydronephrosis in the kidneys and ureters, the swollen kidneys can be touched with tenderness.". When the bladder is filled, a cystic mass can be felt in the middle of the lower abdomen. Sometimes the waist mass is a perirenal inflammatory infiltration, or a perirenal swelling.
Therefore, once prostate hyperplasia is detected, it should be treated as soon as possible.
Patients with BPH have an idea of daily care, not eating spicy food, exercising more, quitting smoking and alcohol, and controlling sexual activity. If you have symptoms of BPH, please go to the hospital immediately to avoid delaying the condition! Have you understood the complications of prostate hyperplasia? When you feel that there is something wrong with your prostate, it is most important to go to the hospital as soon as possible.
