What's wrong with frequent and urgent urination? It turns out that it's all the prostate that caused the trouble

According to statistics, the incidence rate of BPH has reached 40% - 50% among people aged 40 years, and nearly 70% - 80%, almost 100% of people in their 50s will have symptoms caused by BPH. In the past, we common people used to call our prostate hypertrophy. The so-called hypertrophy must be enlargement, which oppresses the urethra and leads to blocked urination. This is the simplest description of prostatic hyperplasia and hypertrophy.

Why did 80% of the elderly get prostate cancer?

"During aging, all organs gradually atrophy and the size of the prostate decreases. However, in men, as aging worsens, the prostate gland gradually increases, but it is still unclear why.". Although there is a relationship between the prostate and androgen, the higher the androgen, the larger the prostate. However, this has not been confirmed. Other reasons, such as imbalance in the balance of sexual hormones in the body, as well as those who suffered from prostatitis when they were young and who did not maintain enough prostate care at ordinary times, have led to recurrent prostate diseases. These are the causes of prostate hyperplasia and hypertrophy in the elderly.

Is prostatic hyperplasia a patent for the elderly?

Strictly speaking, there are two boundaries between the onset of prostate enlargement and the onset of symptoms. Symptoms refer to the occurrence of clinical symptoms, such as frequent urination, frequent use of the toilet, and repeated night up and night urination. Symptoms usually appear after the age of 50. However, in fact, the prostate gland begins to increase at the age of 40, and the clinical symptoms appear at the age of 50. Therefore, most countries in the world, such as China and the United States, now set the age mark of BPH at over 50 years old.

Frequent urination, urgency, bifurcations, painful urination, white dripping, etc. may result in prostatitis

What are the early symptoms? They often go to the bathroom repeatedly during the day. Normal people urinate about eight times a day. Some people urinate 20 times a day, and there are still 30 times a day. They simply cannot fully adhere to their work. The term is frequent urination. There is also an urgent need to urinate. For example, if you just drink a glass of water and want to go to the bathroom, normal people can control it, but people with urgent urination cannot control it. If you don't go to the bathroom, you have to pee in your pants.

There is also a tendency to get up late at night. For example, at the age of 40, regardless of what time you go to bed at night, you can sleep until dawn. At the age of fifty or sixty, I always wake up from urination at night. Professor Zhang believes that there are also problems such as endless urination, thinning of the urinary line, and weakness in urination. In the middle and old age, urination becomes closer and closer to oneself. It's also easy to pee on your pants, which is a very embarrassing thing for many people.

When symptoms such as frequent urination, urgency, or nocturnal urination occur, you should go to the hospital for some routine examinations. Many elderly people do not understand and feel that such simple things, how do you do so many projects? In fact, our examination is to rule out other diseases.

What tests are needed to make these differential diagnoses?

First, urine routine, to see if there is infection and red blood cells. If there are infections and red blood cells, one of us will suspect inflammation or whether there are stones.

Second, the urine flow rate is to measure your current state of urination. This is a special machine. When you hold your foot to urinate, it is about 150 milliliters or more, and then stand in front of the machine to urinate, it will measure your urine flow rate. Normally, it is more than 15ml per second, and many people are ticking, and finally it is 5ml or 6ml. This is similar to urinary retention, which is very serious.

Third, urinary ultrasound can measure the size of the prostate, whether it is 30, 50, or 100 grams. In addition, we can also see if there is residual urine, and the blood sampling test is to exclude prostate cancer, called prostate specific antigen PSA (tumor marker). We take this as a routine test. Currently, more and more patients with prostate cancer are detected through this test.

So how many types of prostate are there?

There are many types of prostatitis, such as acute, chronic, bacterial, aseptic, specific, and nonspecific, with different types and treatment options. It is recommended to conduct targeted treatment after examination to achieve the conditions for cure.