Prostate enlargement, symptoms vary at different stages!

Medically speaking, prostate enlargement is actually prostate hyperplasia, which is a disease that middle-aged and elderly people are prone to. Especially in our country, where aging is becoming increasingly serious, this disease has become one of the common clinical diseases. What are the obvious symptoms of prostate hyperplasia?

1. Symptoms of urinary retention

(1) Frequent urination and increased nocturia Frequent urination is an early symptom, which begins with an increase in the number of nocturia, but the amount of urine each time is small. After the bladder detrusor fails to compensate, chronic urinary retention occurs, the effective capacity of the bladder is reduced, and the interval between urinations is shortened. If accompanied by bladder stones or infection, frequent urination becomes more obvious and is accompanied by pain during urination.

(2) Urinary urgency and urinary incontinence When there is lower urinary tract obstruction, 50% to 80% of patients experience urinary urgency or urge incontinence.

2. Symptoms during urination

Dysuria: As the gland enlarges, mechanical obstruction worsens, dysuria worsens, and the degree of lower urinary tract obstruction is not proportional to the size of the gland. Due to increased urethral resistance, the patient's urination starts late, urination time is prolonged, the range is not far, and the urine stream is thin and weak. The urine is forked, and there is a feeling of incomplete urination. If the obstruction worsens, the patient must increase abdominal pressure to help urinate. Breathing causes abdominal pressure to increase or decrease, resulting in interrupted and dripping urine flow.

3. Post-urination symptoms

Incomplete urination and increased residual urine: Residual urine is the result of bladder detrusor failure to compensate. When the residual urine volume is large, the bladder is over-inflated and the pressure is very high, which is higher than the urethral resistance, urine overflows from the urethra by itself, which is called overflow incontinence. Some patients usually do not have much residual urine, but when they are cold, drink alcohol, hold urine, take medicine or have other reasons that cause sympathetic nerve excitement, acute urinary retention may suddenly occur. The symptoms of urinary retention in patients may be better or worse. Some patients may have acute urinary retention as the first symptom.