What are the clinical manifestations of prostate hyperplasia?

What are the clinical manifestations of prostate hyperplasia? How to treat prostate hyperplasia? Prostate hyperplasia is a very disgusting disease. This disease has caused great trouble to the lives of many people and prevented them from living a good life. Therefore, the best way to deal with this disease is to treat it early. Through treatment, the impact of this disease on the patient's life can be eliminated and the patient can resume a healthy life.

Prostatic hyperplasia (BPH), formerly known as prostatic hypertrophy, is one of the common diseases in elderly men. It is a benign lesion of the prostate, and its cause is related to the imbalance of androgen and estrogen in the human body. The lesion originates from the glandular tissue, connective tissue and smooth muscle tissue of the middle lobe or lateral lobe under the mucosa of the posterior urethra, forming mixed spherical nodules, with hyperplasia of the lateral lobe and the middle lobe being the most obvious, protruding into the bladder or urethra, compressing the bladder neck or urethra, and causing lower urinary tract obstruction. The lesion can cause hydronephrosis and renal function impairment in the long term. It can also be complicated by stones, infection, tumors, etc.

Clinical manifestations of prostatic hyperplasia: Urgent urination (75%) Incomplete bladder emptying (75%) Frequent urination (74%) Painful urination (70%) Fatigue (69%) Prostate pain (67%)

1. Frequent urination: Frequent urination is the earliest symptom, first at night, and then during the day. In the later stage, the residual urine increases after the bladder detrusor fails to compensate, and the effective bladder capacity decreases, which also makes the frequent urination more serious.

2. Dysuria: Progressive dysuria is a prominent feature of this disease, and the symptoms can be divided into two categories: obstruction and irritation. The symptoms of obstruction include hesitant, intermittent urination, terminal dribbling, thin and weak urine stream, incomplete urination, etc. The symptoms of irritation include frequent urination, frequent urination at night, urgency, and pain during urination. The symptoms can be aggravated by cold, drinking, and the use of anticholesterol drugs, psychiatric drugs, etc. Long-term obstruction can lead to uremic symptoms such as fatigue, drowsiness, nausea and vomiting.

3. Hematuria: The capillaries on the prostatic mucosa become congested and the small blood vessels dilate, and are pulled by the filling and contraction of the bladder, causing them to rupture and bleed. Hematuria may also occur when combined with bladder tumors.

4. International Prostate Symptom Score (IPSS): Patients are asked 7 questions about urination, and each question is scored according to the severity of the symptoms (0-5 points). The total score is 0-35 points (no symptoms to very severe symptoms), where 0-7 points are mild symptoms; 8-19 points are moderate symptoms; 20-35 points are severe symptoms. Although the IPSS analysis attempts to quantify the degree of symptom change, it is still affected by subjective factors.

Physical examination: In acute urinary retention, the lower abdomen is swollen, and the filled bladder can be touched in the suprapubic area. Rectal examination shows that the prostate is enlarged, with a smooth and elastic surface, and the central groove becomes shallow or disappears. Prostatic hyperplasia can be divided into 3 degrees according to the degree of glandular enlargement: Grade I enlargement: the prostate is 1.5 to 2 times larger than normal, the central groove becomes shallow, and the distance it protrudes into the rectum is 1 to 2 cm; Grade II enlargement: the gland is moderately enlarged, 2 to 3 times larger than normal, the central groove disappears or slightly protrudes, and protrudes into the rectum by 2 to 3 cm; Grade III enlargement: the gland is severely enlarged, protruding into the rectum by more than 3 cm, the central groove is obviously prominent, and the upper edge cannot be touched by the fingers during examination.

Benign prostatic hyperplasia is a common disease in elderly men. It is caused by multiple factors, including hormones, growth factors, and the interaction between the matrix and the epithelium. Diagnosis is mainly based on symptoms and IPSS scores, rectal examination, B-ultrasound and urodynamics. Pressure-flow measurement is the gold standard for diagnosing bladder outlet obstruction.

How to treat prostate hyperplasia? Everyone knows that prostate hyperplasia has a very serious impact on the lives of patients with prostate hyperplasia. If not treated in time, it will cause great problems to the health of patients with prostate hyperplasia and pose a huge threat to life. Therefore, treatment should be started as soon as possible, and patients must persist during the treatment process.