Prostate disease is a particularly common disease. When a boy slowly grows into a teenager, then marries and has children, and then retires, men of all ages may suffer from prostate diseases, such as prostatitis, prostate hyperplasia, and prostate cancer. Protecting the prostate can not only make men healthy, but also make their spouses happy. How to maintain the prostate is a subject that every man must face.
There are four major monsters in the prostate
Prostate gland is a unique organ for men. In the eyes of doctors, it has four major abnormalities.
The first is that it keeps on. As people age, most of their organs will eventually shrink, which is a normal aging phenomenon. But the prostate is different. It will continue to grow after people get old. At present, this is still a mystery in medicine. But it is certain that the continuous growth of the prostate is closely related to the androgen secreted by men's testicles.
The second strange thing is to hide deeply. The prostate gland is very hidden, deeply hidden in the male pelvis, and cannot be touched on the body surface. The front of the prostate is the pubic bone, the back is the rectum, and the upper part is connected with the bladder. Only when the doctor puts on gloves and reaches into the rectum can he touch it.
The third strange thing is that you put on too much. The prostate body is only the size of a chestnut, but there are several pipes in this small organ, such as urethra and ejaculatory duct.
Fourth, the prevalence rate is high. The prevalence of prostatitis, prostatic hyperplasia and prostate cancer is very high. In a man's life, more than half of men will suffer from prostatitis; 40% of Beijing men over 50 years old have BPH; In the last decade, the incidence of prostate cancer in Beijing has increased by 200%.
Prostatic hyperplasia can be self-tested
Prostatic hyperplasia is what the common people call hypertrophy of the prostate, which is traceable. In the early stage, the main manifestations are as follows:
1. Frequency of urination: first of all, the frequency of urination occurs at night, and then in the daytime. The effective volume of the bladder decreases in the later stage, which also makes the frequency of urination more serious.
2. Difficulty in urination: mainly progressive difficulty in urination, such as thin and weak urine line, endless urination, sometimes urinating on shoes and pants; Frequent urination, excessive nocturnal urination, inability to hold urine, and always getting up at night, affecting the life of the next day.
3. Hematuria: Capillary hyperemia and small vessel dilation on the prostate mucosa, and rupture and bleeding caused by the filling and contraction of the bladder. Hematuria may also occur when bladder tumor is combined.
There is an internationally recognized simple self-test table for BPH. Patients can test it by themselves, which is simple and easy. The following questions can be answered according to the situation in the last month:
1. What is the frequency of feeling that the bladder is not completely emptied after urination?
2. How often do you have to urinate again within 2 hours?
3. How often do you stop and start again when urinating?
4. How often is it difficult to delay urination?
5. How often do you feel weak urine flow?
The subject can score 0 according to "Never"; "Less than 1/5" 1 point; "Less than 1/2" 2 points; "About 1/2" 3 points; 4 points for "more than 1/2"; "Almost always" 5 points, determine the score from "0" to "5".
6. How often do you have to urinate by pressing or tightening your abdomen?
7. How many times do you usually wake up from going to bed to getting up the next morning?
The subject can determine the score from "0" to "5" according to "Never", "1", "2", "3", "4" and "5".
The total score of the above seven questions is 0 to 7 points for mild symptoms, 8 to 19 points for moderate symptoms, and 20 to 35 points for severe symptoms.
Generally, patients with mild symptoms should go to the hospital for further prostate B-ultrasound, prostate specific antigen (PSA) and other related examinations, and observe for 3 months, and follow up regularly; People with moderate symptoms generally need medication; Surgical treatment should be considered when drug control is not good for patients with severe symptoms. In addition, if any of the seven questions scores more than 3 points, then even if the total score is not high, it is necessary to consider the corresponding treatment plan.
Regarding the prevention and treatment of BPH, I found that most patients have three misunderstandings in clinical practice, which need to be noted.
Mistake 1: The survey found that 40% of men over 50 years old in Beijing have BPH, but 70% of them never go to the hospital to see the disease. They think that it is normal for them to urinate when they are old. Prostatic hyperplasia is not an inevitable manifestation of aging and can be treated completely. For example, you can perform laser surgery to remove the enlarged prostate. The laser surgery treatment method is now very mature. The amount of blood loss in the surgery is the same as the amount of blood you draw in the physical examination. It can be recovered in a day or two.
Mistake 2: Many patients go to the doctor for laser surgery. But before the operation, it is necessary to determine how big the prostate is, whether there are complications, and whether it has taken medicine before. These problems are not clear. Doctors cannot operate. Only when the standard is met can the operation be performed. This standard should be judged by the doctor.
Mistake 3: Many medical institutions publicize that a single injection is enough to treat prostate disease, which can be eradicated. This is wrong. The cause of prostate enlargement has not been solved in medicine until now, and there is no radical cure. Even if the operation is performed, only the hyperplastic part will be cut off. As mentioned earlier, the prostate will continue to grow, so it may recur in the future.
Prevention of prostatitis
To some extent, male aging starts from the prostate. The body is still very strong, but when urinating, it has felt profuse, even slight pain, which is the alarm of the prostate.
The common symptoms of prostatitis are frequent urination, urgency, pain in urination, tumefaction of the lower abdomen and perineum, affecting sexual function. However, prostatitis is not terrible at all. It can be cured completely. The premise is to choose a formal medical institution. There are "two needs and three don'ts" to prevent prostatitis:
To stop smoking and limit alcohol: clinical research shows that nicotine can stimulate the excessive secretion of prostate and induce inflammation. Alcohol will promote the expansion of capillaries, make the prostate tissue hyperemia and edema, and cause discomfort. Excessive drinking also affects testosterone secretion.
To keep defecation unobstructed: The back of the prostate is the rectum. Normally, there is almost no defecation in the rectum, but there will be residual defecation in the rectum of constipation patients. Many bacteria will affect the surrounding organs through the rectal mucosa, and also affect the prostate.
Don't eat spicy food: many active substances in chili peppers will stimulate the prostate, resulting in long-term repeated hyperemia, ejaculation pain, urethral burning, and poor urination.
Don't be sedentary: driving, cycling, wearing tights, etc. for a long time, like sitting for a long time, will directly compress the prostate and cause gland congestion.
Don't hold your urine: the lower segment of the male urethra is usually infested with bacteria. When urinating, these bacteria will be washed away. Frequent suffocation of urine will weaken the scouring effect of urine, increase bacterial reproduction, and retrograde to the posterior urethra, which may cause prostatitis.