Sexual Health
What is the main cause of prostatic hyperplasia? Four misunderstandings in the treatment of benign prostatic hyperplasia
Prostatic hyperplasia (BPH) is one of the common diseases of middle-aged and elderly men, and the incidence of BPH increases with the aging of the world population. The incidence rate of BPH increases with age, but there may not be clinical symptoms when there are hyperplastic lesions. The urban incidence rate is higher than that of rural areas, and ethnic differences also affect the degree of proliferation.
The clinical manifestations of BPH are frequent urination, urgent urination, increased nocturnal urination and laborious urination, which seriously affect the quality of life of elderly men. Therefore, active treatment is needed, and some patients even need surgical treatment.
The lesion originated from the mixed spherical nodules formed by the gland tissue, connective tissue and smooth muscle tissue in the middle or lateral lobe under the mucosa of the posterior urethra. The hyperplasia of bilateral lobe and middle lobe is obvious, which protrudes into the bladder or urethra, compresses the bladder neck or urethra, and causes lower urinary tract obstruction. Long-term pathological changes can cause hydronephrosis and renal function damage, with stones, infections, tumors, etc.
When prostate hyperplasia causes obstruction, the bladder thickens the urinary muscle, and the mucosa appears trabeculae, chambers and rest rooms. Long-term dysuria makes the bladder highly dilated, the bladder wall thinned, the bladder internal pressure increased, and the end of the ureter lost its valve function, resulting in vesicoureteral reflux.
Four misunderstandings should be paid attention to in benign prostatic hyperplasia
Mistake 1: Hyperplasia must be treated
Prostatic hyperplasia is not necessarily a disease. Among the middle-aged and elderly friends with benign prostatic hyperplasia, the prostate hyperplasia outwards, does not oppress the urethra, and does not need treatment. Patients with dysuria usually take reasonable treatment measures according to the size and symptoms of hyperplasia.
Mistake 2: The greater the proliferation, the more serious the disease
Some patients found that prostate hyperplasia was particularly serious after examination, and they were very worried. In fact, the size of BPH has nothing to do with the severity of the disease. As long as the hyperplasia of prostate tissue does not oppress the urethra, even if the hyperplasia is larger, it does not need treatment.
Myth 3: dysfunction caused by surgery
There are many ways to treat benign prostatic hyperplasia by surgery, among which the side effects of laser therapy are small, the operation of prostatectomy is difficult, the resection is not complete, and the recurrence is easy after surgery. Surgical treatment of BPH will affect the function of patients, but will not cause dysfunction. Because the surgical treatment is partial resection of the prostate, and the prostate fluid secreted by the prostate is the main component of the semen, the sexual life of the patient after the operation can be normal, but there may be no sperm.