Post Date December, 03 2023
Prostatic hyperplasia is very common among elderly men. In the early stage, patients usually have no feelings. Its impact on physical health is mostly imperceptible. Many patients with prostatic hyperplasia have difficulty urinating or even can't urinate due to lack of timely treatment, leading to bladder stones, kidney damage, uremia and life-threatening.
The symptoms of BPH can be divided into two types. One is the obstructive symptoms caused by BPH blocking the urinary tract; The other is complications caused by urinary tract obstruction. Patients with one of the following symptoms or existing complications should receive standard treatment in time:
1. Obstructive symptoms caused by prostatic hyperplasia blocking the urinary tract:
(1) Frequency of urination: Frequency of urination is an early signal of prostatic hyperplasia, especially the increase in the number of nocturnal urination is more clinically significant. 2 times per night to 45 times per night or more, indicating the development and aggravation of the disease.
(2) Weak urination, thin urine line and dripping urine: due to the obstruction of the hyperplastic prostate, patients need to use greater strength to overcome the resistance to urination, so that urination is difficult; Hyperplasia of the prostate compresses the urethra, resulting in thinning of the urinary line; With the development of the disease, symptoms such as interruption of urination and continuous dripping after urination may occur.
(3) Hematuria: urine is red or light red.
(4) Urinary retention: For patients with severe prostatic hyperplasia in the late stage, acute urinary retention may occur due to the inability to excrete urine due to cold, drinking, holding urine for a long time or infection.
2. Complications of BPH due to urinary tract obstruction:
(1) Infection: Urinary obstruction is easy to cause infection, and inflammation of bladder neck, posterior urethra and bladder occurs.
(2) Bladder stone: due to urinary obstruction, secondary infection is easy to form bladder stone.
(3) Uremia: When the degree of obstruction gradually increases, hydronephrosis and renal insufficiency are easy to occur, leading to clinical symptoms of uremia. In addition, renal hypertension may occur.
(4) Hemorrhoids and anal prolapse: due to the difficulty of urination and the long-term increase of abdominal pressure, it is easy to cause complications such as hemorrhoids and anal prolapse.
(5) Others: When dysuria is caused by hyperplasia of the prostate glands, patients with a history of hypertension are easily complicated with cardio-cerebrovascular accidents and heart failure. The swollen kidney can be touched with tenderness when the kidney and ureter are obviously hydronephrosis caused by the obstruction of the current columnar hyperplasia. When the bladder is filled, a cystic mass can be felt in the middle of the lower abdomen. Sometimes the mass in the waist is perirenal inflammatory infiltration or perirenal edema.
