2020年11月12日星期四

what does a hemorrhoids look like,A few small things about prostate hyperplasia

    The prostate is an inverted cone-shaped organ, which looks like a chestnut. Its normal size is approximately 3.5 cm×2.5 cm×2.5 cm. The prostate is next to the bladder and gradually descends into the urethra, and the back is against the rectum, with the urethra and vas deferens passing through the middle. I often met the old man who came to see the doctor in the outpatient clinic and asked him why he was uncomfortable. He solemnly said to me: "I have a prostate." I said, "I also have a prostate." The prostate is a gonad organ unique to normal men, but women. Nothing. The prostate is guarded at the junction of the bladder and urethra. When the prostate is hyperplasia, it can squeeze the urethra and cause urination obstruction. In addition, the prostate is a valve that controls urination and ejaculation. It closes the urethra on the bladder side during ejaculation to prevent semen from flowing back into the bladder. . The prostate also has endocrine and exocrine functions: as an endocrine gland, the prostate secretes "prostaglandin", which will enter the blood; as an exocrine gland, the prostate secretes prostatic fluid, which is an important part of semen, which nourishes the sperm and enhances vitality And so on.

    Trivial matter one: what evil is BPH?

    Prostatic hyperplasia is the abnormal enlargement of the prostate, which is manifested by the proliferation of the internal cells of the prostate, the enlarged prostate in shape, squeezing the urethra and blocking the bladder outlet, which will cause a series of urination symptoms. Scholars at home and abroad have been studying the cause of prostate hyperplasia for more than half a century, and various theories have emerged one after another, but the exact cause is still elucidated. It is now unanimously recognized that "aging" and "the presence of a functional testicle" are necessary conditions for the occurrence of benign prostatic hyperplasia.

    Trivia 2: Who are more likely to be attacked by prostatic hyperplasia?

    Prostatic hyperplasia is one of the most common diseases in middle-aged and elderly men. Its incidence increases with age. By the age of 60, more than 50% of men suffer from benign prostatic hyperplasia, and by the age of 80, the proportion is as high as 83%. Middle-aged and elderly men are more likely to develop prostate hyperplasia, provided that there are "functional testicles." Domestic scholars have investigated 26 elders of the Qing Dynasty eunuchs who underwent bilateral orchiectomy when they were 10 to 26 years old. The average age of the survey was 72 years old. As a result, the prostate of 21 people was completely inaccessible, and the prostate of the remaining 5 was significantly atrophy.

    Trivial three: What will happen after being attacked by prostate hyperplasia?

    The manifestations of benign prostatic hyperplasia are:

    Urinary storage symptoms include increased frequency of urination, anxious to find the toilet when you have the urge to urinate, inability to hold urine or even urination;

    Symptoms during urination period are mainly dysuria: including long waiting time at the beginning of urination, urinary difficulty, intermittent urination, thinning of the urine line, and shorter range of the urine line, etc.

    Symptoms after urination are incomplete urination, and the urine drips for a long time at the end of urination;

    Complications mainly include hematuria, urinary and reproductive tract infections, renal damage, bladder stones, inguinal hernia, anus prolapse, hemorrhoids and so on.

    Little thing four: How to make prostate hyperplasia appear?

    For middle-aged and elderly men over the age of 50, if symptoms such as increased frequency of urination during the day, increased frequency of waking up at night, or long waiting time for the initiation of urination are repeated or persistent, first consider benign prostatic hyperplasia and need to see a doctor! The doctor will confirm the diagnosis through medical history collection, "prostate symptom questionnaire", digital rectal examination, prostate ultrasound, and urine flow rate.

    Digital rectal examination is a common physical examination method in urology. The doctor uses a finger to touch the prostate through the patient’s anus and across the rectum. This can give a preliminary understanding of the prostate and rectal lesions and anal tension within the finger’s reach.

    Trivia 5: How to drive away prostate hyperplasia?

    The harmfulness of prostate hyperplasia lies in the pathophysiological changes caused by lower urinary tract obstruction. The pathology varies greatly among individuals, and not all of them show progressive development. Part of the disease does not progress to a certain extent, so even if there are mild obstruction symptoms, surgery is not required.

    1. Watchful waiting: For mild symptoms, IPSS scores below 7 can be observed without treatment.

    2. Drug therapy: (1) 5α-reductase inhibitors (2) α1-receptor blockers (3) Others including M receptor antagonists, botanicals, Chinese medicines, etc. M receptor antagonists block the bladder M receptor, relieve excessive detrusor contraction and reduce bladder sensitivity, thereby improving the symptoms of urine storage in patients with BPH. Plant preparations such as Pushitai are suitable for the treatment of BPH and related lower urinary tract symptoms.

    3. Surgical treatment: Surgery is still an important treatment for prostate hyperplasia. It is suitable for BPH patients with moderate to severe LUTS that have significantly affected the quality of life. The classic surgical methods include transurethral resection of the prostate (TURP), transurethral incision of the prostate (TUIP), and open prostatectomy. Currently TURP is still the "gold standard" for BPH treatment.

    Through the above explanation, do you now understand prostate hyperplasia? If you have any related symptoms and related questions, please consult the relevant physicians of the Department of Urology, Lishui People's Hospital.

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