Post Date December, 03 2023
Prostatic hyperplasia (hypertrophy) is a common and frequently occurring disease in elderly men. Its incidence rate is similar to its age, that is, the incidence rate at 60 years old is about 60%, the incidence rate at 70 years old is about 70%, and so on.
In China, the majority of elderly people with benign prostatic hyperplasia do not attach enough importance to this disease. Some elderly people believe that it is a geriatric disease, and as they get older, most people will do so without the need for urgent treatment; Some elderly people have a strong feudal consciousness and love face, making it difficult to speak up and feeling embarrassed to seek medical treatment in the hospital; Some elderly people are afraid of adding trouble to their families and children, and do not pay enough attention to their condition, delaying it repeatedly; Some elderly people blindly listen and believe in false medical and drug advertisements, which can delay their condition.
A large number of outpatient and surgical case investigations and statistics indicate that almost all elderly patients with this disease have to seek standardized treatment from hospital doctors after experiencing very serious symptoms or complications. About 70% of critically ill patients have lost the best surgical opportunity. For older patients who suffer from serious cardiovascular and cerebrovascular diseases, hypertension, heart disease, diabetes and other diseases, due to physical conditions, they can not bear or accept surgery, and can only take conservative treatment, but can only bear the pain caused by the disease. For serious patients, they can only carry out cystostomy or long-term indwelling catheterization, which brings serious mental and life burdens to patients, It also brings a lot of "trouble" to the patient's family.
Due to the fact that benign prostatic hyperplasia (BPH) is a chronic process of onset, the entire course of disease can last for several years, more than ten years, or even more than twenty years. The clinical symptoms of patients also vary from mild to severe, gradually developing, and worsening. Therefore, it is easy to cause "negligence" of patients and their families towards this disease. However, it should be noted and highly valued that BPH is also prone to complications with other diseases, resulting in extremely serious consequences. The complications are as follows -——
Infection: Urinary tract obstruction caused by benign prostatic hyperplasia is a prerequisite for infection, so it is easy to recur urinary system inflammation such as posterior urethra, bladder neck and cystitis.
Hematuria: This type of hematuria is often intermittent, which can be microscopic hematuria or macroscopic hematuria, mostly occurring after urination.
Bladder stones: Due to urinary obstruction, there is residual urine in the bladder, which is prone to secondary infection and the formation of bladder stones.
Acute urinary retention: urinary tract obstruction caused by prostatic hyperplasia is aggravated, resulting in inability to urinate by oneself.
Uremia: When the degree of obstruction gradually worsens, it is easy to develop hydronephrosis and renal dysfunction, leading to clinical symptoms of uremia. In addition, renal hypertension can also occur.
Hernia, hemorrhoids, and prolapse: caused by difficulty urinating and prolonged increase in abdominal pressure.
Patients with a history of hypertension are prone to complications such as cardiovascular and cerebrovascular accidents and heart failure due to frequent need for forceful urination. Some elderly people experience myocardial infarction, stroke, and even sudden death due to the difficulty of urination and the increased abdominal pressure during urination.
Others: When long-term dysuria occurs due to glandular hyperplasia, abdominal pressure is often increased, and bladder trabeculae, chambers and bladder diverticula are prone to occur, which can lead to weak contractions of bladder and urinary sphincter, and even overflow incontinence.
Therefore, as elderly people, we should have a high awareness and face up to the occurrence and development process of the disease. In order to avoid serious harm to the body caused by complications of prostate hyperplasia, in addition to paying attention to prostate prevention and health care, we should also go to large hospitals or specialized hospitals for regular examinations as soon as possible, and seek formal guidance and treatment plans.
