Sexual Health
How to distinguish the severity of frequent urination and urgency after diagnosis of benign prostatic hyperplasia
Post Date December, 02 2023
Generally, doctors divide prostate enlargement into three degrees: normal prostate enlargement is chestnut sized, first degree enlargement is pigeon egg sized, second degree enlargement is egg sized, and third degree enlargement is goose egg sized. The grading of hyperplasia can only indicate the degree of prostate enlargement, and cannot indicate the degree of obstruction of the urethra by the hyperplasia gland or the severity of the disease. Below, experts will explain to you: How can prostate hyperplasia be classified into severity?
How to classify the severity of prostate hyperplasia after diagnosis?
If hyperplasia mainly occurs in the inner layer of the prostate, which tightly surrounds the urethra, even if it is slightly enlarged, it is very easy to flatten the urethra and cause difficulty urinating. At this point, it is still difficult to detect prostate enlargement even through digital examination of the anus. Sometimes, although the external gland grows very large and even reaches third degree, it does not compress the urethra, so there may be no symptoms of urethral obstruction or mild symptoms. Obviously, the grading of benign prostatic hyperplasia can only indicate the size of the prostate gland and cannot indicate the severity of the disease.
In order to indicate the severity of benign prostatic hyperplasia, doctors clinically divide it into three stages:
The first stage is for patients with difficulty urinating, frequent urination, increased nocturia, weak urination, and trabeculae in the bladder wall due to laborious urination, but no residual urine;
The second stage refers to the incomplete compensation of the bladder wall urinary muscles, which cannot completely eliminate urine and leads to residual urine, often accompanied by chronic bacterial cystitis;
The third stage refers to the decline of bladder emptying function, urinary retention and renal insufficiency caused by long-term urination.
Experts say that patients with benign prostatic hyperplasia should not only be satisfied with the size of the prostate determined by the doctor through rectal digital examination, but should also consider the severity of their own symptoms of poor urination and the results of urine flow rate examination to determine the clinical stage of the disease. If necessary, prostate ultrasound, renogram, and blood urea nitrogen tests should also be supplemented.
