Can prostatic hyperplasia cause uremia? What are the treatment misunderstandings of prostatic hyperplasia

Uncle Shi (pseudonym), 75, suffers from prostatic hyperplasia. He urinates a few drops every day, but he does nothing. Uncle Shi just thinks that he is old and has been enduring it. Recently, he felt sick and vomited after meals, and was sent to the hospital by his family. Doctors found that severe urinary retention caused uremia and acute renal failure. In fact, such cases are not uncommon. Some elderly people even do not pay enough attention to prostate hyperplasia, and their kidneys are irreversibly damaged, and they rely on dialysis for life.

In the early stage of BPH, the urethra is slightly obstructed. Because the bladder has a compensatory function, the patient can still urinate on time, but the urination time is longer than that of the normal person. In the middle stage, the urethral obstruction will worsen, and the patient will have symptoms such as frequent urination and urgency of urination. The urine in the bladder cannot be completely emptied, so residual urine will appear. At this time, if you can catheterize and use medicine in time, you can still resume urination. In the late stage, the urethral obstruction is serious, the compensatory function of the bladder is not complete, and the residual urine in the bladder continues to increase. Due to the increase of the internal pressure of the bladder, it is transmitted to the kidneys, causing the increase of the internal pressure of both kidneys, causing hydronephrosis in both kidneys, damaging the renal function, and leading to uremia.

Uremia is a very serious disease, even life-threatening. However, uremia caused by prostatic hyperplasia in the later stage is different from uremia caused by chronic nephritis. As long as the urethral obstruction is removed in time, the kidney can still recover its function. However, the reason why there are elderly patients with BPH is that they do not pay attention to their thoughts, and the delay in treatment is an important cause of uremia.

Old friends should pay attention to the following two points. First, when suffering from prostatic hyperplasia, attention should be paid to symptoms such as urgency of urination. This is not a normal phenomenon for the elderly, and timely diagnosis and treatment should be made to prevent further development of the disease. Second, when the frequency of urination is serious, the urination is urgent, and the urination is endless, there may be a large number of residues and urine stagnation. At this time, do not force treatment for fear of catheterization. Otherwise, uremia may occur.

With regard to the treatment of BPH, many patients have made mistakes, which often bring certain harm to patients.

Mistake 1: Hyperplasia must be treated

Prostatic hyperplasia is not necessarily a disease. Some middle-aged and elderly friends with BPH do not have any discomfort in life. This is because BPH is outward. This situation does not cause pressure on the urethra, so it does not need treatment. Patients with dysuria usually take reasonable treatment measures according to the size and symptoms of hyperplasia.

Mistake 2: The greater the proliferation, the more serious the disease

Some patients found that prostate hyperplasia was particularly serious after examination, and they were very worried. In fact, the size of BPH has nothing to do with the severity of the disease. As long as the hyperplasia of prostate tissue does not oppress the urethra, even if the hyperplasia is larger, it does not need treatment.

Myth 3: dysfunction caused by surgery

There are many ways to treat benign prostatic hyperplasia by surgery, among which the side effects of laser therapy are small, the operation of prostatectomy is difficult, the resection is not complete, and the recurrence is easy after surgery. Surgical treatment of BPH will affect the function of patients, but will not cause dysfunction. The surgical treatment is partial resection of the prostate. The prostate fluid secreted by the prostate is the main component of the semen. The sexual life of the patient after the operation can be carried out normally, but he may not have the spirit.

Myth 4: Hyperplasia can lead to prostate cancer

There is no clinical evidence that BPH can lead to prostate cancer. The prostate includes two parts: the prostate capsule and the prostate body. The prostatic hyperplasia occurs in the prostate body, while the prostate cancer occurs on the prostate capsule. There is no direct relationship between the two.