What to do if prostate hyperplasia leads to chronic uremia?

What to do if prostate hyperplasia leads to chronic uremia? For severe uremia, indwelling catheterization often requires several months, or even up to a year. Long-term indwelling catheterization is not only uncomfortable but also prone to urinary tract and reproductive tract infections, which is naturally not the best solution.

The best solution is to have a cystostomy and wait for the kidney function to return to normal before having a prostatectomy. If the patient is old and frail and has severe heart and lung disease and cannot tolerate a prostatectomy, a lifelong cystostomy can be performed and the patient can still lead a normal life.

In the early stage of prostatic hyperplasia, the urethra is slightly obstructed. Due to the compensatory function of the bladder, the patient can still empty the urine on time, but the urination time is longer than that of normal people. In the middle stage, the urethral obstruction worsens, the urethral resistance increases, and exceeds the urination capacity of the bladder. The patient will have symptoms such as frequent urination and urgency. The urine in the bladder cannot be completely emptied, so residual urine occurs.

If you are overly tired, catch a cold or drink alcohol at this time, it will cause urethral mucosal edema, aggravate the obstruction, and often cause acute urinary retention.

If catheterization and medication are given in time, urination can generally be restored. In the late stage, urethral obstruction is severe, bladder compensation function is incomplete, and residual urine in the bladder continues to increase. When it exceeds 200 ml, a mass can be felt in the patient's lower abdomen, and urination is not in a line, but in a dripping state.

As the pressure inside the bladder increases, it is transmitted upward to the kidneys, causing the pressure inside the kidneys on both sides to increase, causing water accumulation in both kidneys, damaging kidney function, and leading to chronic uremia.

We know that uremia is a very serious disease, even life-threatening, so patients become particularly nervous when they hear about uremia.

However, uremia caused by late-stage prostatic hyperplasia is different from uremia caused by chronic nephritis. As long as it is treated in time, the prognosis is usually better.

In order to avoid uremia due to prostatic hyperplasia, elderly people should pay attention to the following two points:

First, when you suffer from prostatic hyperplasia, you should pay attention to the symptom of frequent urination. This is by no means a normal phenomenon for the elderly, but a signal of disease, which should be diagnosed and treated in time to prevent further development of the disease.

Second , when you have severe frequent urination, urgency, and continuous urination, you may have a large amount of residual urine and urine retention. At this time, do not be afraid of catheterization and endure it without timely treatment, otherwise uremia will inevitably occur.

Because this type of uremia is caused by severe urethral obstruction, which indirectly affects the kidneys. The kidneys themselves do not have organic lesions. As long as the urethral obstruction is relieved in time, the kidneys can still restore their urinary function. Urea poisoning caused by nephritis is that the kidneys themselves have severely lost their functions due to nephritis. This lesion is irreversible, and the patient can only maintain life through dialysis treatment or kidney transplantation.

The simplest way to prevent and treat uremia caused by prostatic hyperplasia is to insert a urethral catheter as soon as possible to relieve bladder and urethral obstruction, which can quickly restore renal function.

However, some elderly patients with prostatic hyperplasia are afraid of catheterization and delay treatment, which is the root cause of uremia.