Symptoms of prostatic hyperplasia: 5 things you must know

Prostatic hyperplasia is more common in middle-aged and elderly men. The increase in age, the quality of living environment, smoking and other factors directly affect the onset of the disease. Prostatic hyperplasia also greatly affects people's quality of life. With the increasing severity of the aging population, prostatic hyperplasia has become an important disease in medical research.

Symptoms of prostatic hyperplasia:

1. Hematuria:

The capillaries on the prostate mucosa are congested and the small blood vessels are dilated. They are pulled by the enlarged gland or rubbed against the bladder. When the bladder contracts, it can cause microscopic or macroscopic hematuria, which is one of the common causes of hematuria in elderly men. Cystoscopy, metal catheterization, and sudden bladder decompression during acute urinary retention catheterization can easily cause severe hematuria.

2. Urinary tract infection:

Urinary retention often leads to urinary tract infection, which may cause symptoms such as urinary urgency, frequent urination, and difficulty urinating, accompanied by urinary pain. When upper urinary tract infection occurs, fever, back pain, and systemic poisoning symptoms may occur. Although patients usually have no symptoms of urinary tract infection, there may be more white blood cells in the urine, or bacterial growth in urine culture, and treatment should be given before surgery.

3. Bladder stones:

Lower urinary tract obstruction, especially when there is residual urine, the urine stays in the bladder for a longer time and can gradually form stones. When accompanied by bladder stones, symptoms such as interrupted urine stream, pain at the end of urination, and the need to change body position to urinate can occur.

4. Kidney function damage

Renal function damage is mostly caused by ureteral reflux and hydronephrosis. The main complaints of patients when they seek medical treatment are often loss of appetite, anemia, increased blood pressure, or drowsiness and slow consciousness. Therefore, for elderly men with unexplained symptoms of renal insufficiency, prostatic hyperplasia should be ruled out first.

5. Lower abdominal mass

Long-term lower urinary tract obstruction may cause a lower abdominal mass due to a full bladder diverticulum or an upper abdominal mass due to hydronephrosis.

Prostatic hyperplasia requires long-term reliance on increased abdominal pressure to assist urination, which can cause complications such as hernia, hemorrhoids, and rectal prolapse.