The prostate is located at the outlet of the bladder, and the urethra passes through the middle of the prostate. After the prostate hyperplasia reaches a certain degree, it will certainly oppress the urethra that passes through it, and cause difficulty in urination.
However, it is not only prostatic hyperplasia that causes dysuria. Many prostate diseases, bladder diseases and urethral diseases can cause dysuria.
Many prostate diseases, such as prostate calculus, prostate tuberculosis, prostate cyst, prostatitis, prostate fibrosis and prostate tumor, can cause urethral stricture, urethral obstruction or urethral irritation symptoms and cause dysuria.
Some bladder diseases, such as bladder neck contracture, bladder triangle hypertrophy, neurogenic bladder dysfunction, bladder neck tumors and bladder stones, will lead to bladder outlet obstruction, bladder contraction disorder, and cause dysuria.
Some urethral diseases, such as urethral stricture and hypertrophy of seminal caruncle, will block the urethra, causing urethral stricture and dysuria.
Therefore, patients with dysuria should not be presumptuously diagnosed as BPH, but should be treated according to the treatment plan for BPH.
It is necessary to make a comprehensive judgment according to the symptoms, course of disease and the results of auxiliary examination, and actively carry out differential diagnosis to avoid misdiagnosis and mistreatment and delay the disease.
Especially for elderly men, the incidence rate of bladder cancer cancer and prostate cancer is high, and attention should be paid to excluding these malignant tumors during diagnosis.