Pay attention to prostate disease, so that men no longer have hidden troubles

Question 1: What is the prostate?

As the name implies, "prostate" is located in the front of the urination channel.

As we all know, urine is produced by the kidney and transported to the bladder for temporary storage. When the bladder is filled to a certain extent, the prostate will open the "valve" to expel urine from the body.

The prostate is the gland at the front end of the urinary tract, hence its name.

It is located deep in the pelvic cavity, in front of and below the bladder. It is a male unique gonad organ

Can't see or touch.

The urethra passes through the middle of the prostate. The prostate of an adult male looks like a chestnut, weighing about 20g, only 0.03% of the body weight.

It can not only secrete prostate fluid, promote sperm development and maturity, but also control urination and participate in male sexual activities. So despite its small size, it has an important physiological role.

Q2: Can the prostate become inflamed?

Prostatitis, as its name implies, is the "inflammation" of the prostate. Many people take it for granted that the prostate must be infected by bacteria or viruses, but the reality is that most "prostatitis" has no clear pathogen infection.

Prostatitis is divided into the following 4 types:

1.Acute bacterial prostatitis is really caused by bacterial infection. This disease is not what we usually call chronic prostatitis, acute bacterial prostatitis. Once it happens, it is very painful, and the patient's condition is quite serious.

2. Chronic bacterial prostatitis, as its name implies, is also caused by bacterial infection. The clinical proportion of this chronic prostatitis is very small.

3. Chronic anterior row prostatitis needs more academic research organizations to call it "chronic pelvic pain syndrome", which is the type of prostatitis to be highlighted today, that is, through our commonly known "chronic prostatitis", this kind of case accounts for the majority in clinical practice.

4. Asymptomatic prostatitis, completely without clinical symptoms.

Chronic prostatitis (also known as chronic pelvic pain syndrome) is characterized by chronic recurrent discomfort or pain in the pelvic region for a long time (months, even years).

In some patients, there are frequent urination, urgency of urination, perineal distension and pain and other comprehensive symptoms, and some serious patients will have sexual dysfunction and some psychological disorders.

The prostate fluid or semen examination of these patients often has no clear bacterial infection and depends on the diagnosis of clinical symptoms.

Therefore, there are many informal treatments for male diseases such as chronic prostatitis.

Its etiology and pathogenesis are too complex, the effect of clinical research and treatment is often poor, and there is a lack of scientific and effective means, but the current treatment methods will not bring great harm to patients, so this gives these illegal medical institutions an opportunity to take advantage of.

Q3: How did you get chronic prostatitis?

So, how did this "chronic prostatitis" come about?

Let me give you some common reasons.

First of all, due to the infection of pathogenic microorganisms, they usually retrogradely infect the prostate through the urethra and the genital tract. The most common bacteria of this kind is Escherichia coli.

At this point, someone may ask: What is the concept of "retrograde"?

Under normal physiological conditions, urine, semen and prostate fluid of the human body discharge gland secretions from the kidney, testis or prostate through the ureter, vas deferens and prostate duct through the urethra.

So if it rises under certain circumstances, it will cause infection.

In some cases, this may lead to urine reflux, such as "suffocating" urine. After watching a mobile phone, playing mahjong, or drinking with friends, or some people can't find the public toilet because they are forced to take a long-distance bus because of their life, the amount of urine in this case is too much, the duration is too long, and the pressure on the bladder and urethra is not too high, this will produce a reflux effect, It can reverse the urine containing bacteria into the genital tract, thus leading to chronic prostatitis.

2、 Urinary tract obstruction and unsmooth excretion.

For example, stones or foreign bodies such as hyperplasia of prostate and urethra are also easy to produce this countercurrent effect. Therefore, we all know that bacterial prostatitis is mainly caused by countercurrent. Therefore, in daily life, we should pay attention to avoiding urinary retention, drinking more water, forming the habit of frequent urination, and relying on urination to reduce the incidence of infection.

In addition, there are endocrine, autoimmune, neuromuscular, psychological and other complex reasons.

Question 4: Does chronic prostatitis affect sexual function?

So is suffering from "chronic prostatitis" an obstacle to the development of male function? The answer, of course, is no.

As we all know, the normal work of sexual function is maintained mainly by the following factors: different organs and structures of the reproductive system develop normally, the reproductive vascular system is normal, and the neuroendocrine system related to the reproductive organs is normal. Generally speaking, as long as these functions are normal in several aspects, sexual function is not a problem, but some chronic prostate can always be found in patients with inflammation clinically, Sexual dysfunction may also occur, because chronic prostatitis has long-term uncomfortable symptoms that affect patients' sexual excitement, and patients lack scientific and correct understanding of the disease.

Many people believe that chronic prostatitis will lead to sexual dysfunction. As time goes on, long-term anxiety, depression and other emotional factors will indirectly affect male function. Therefore, patients with chronic prostatitis may not affect male function. Scientific and standardized medical treatment will help to achieve all-round

The key to treatment is to maintain psychological peace.

Question 5: What is "prostate hyperplasia"?

With the growth of age, human organs generally shrink and degenerate, but the prostate is affected by androgen.

Hypertrophic glands gradually oppress the urethra, resulting in frequent urination, rapid urination, increased nocturnal urination, and dysuria. This is the so-called "benign prostatic hyperplasia". Of course, when the condition is serious, urine cannot be completely discharged, which is called "urinary retention" in medicine.

There is a seminal vesicle on both sides of the bottom of the prostate, depending on that the thin urethra of the ejaculatory duct is the hole in the prostate and the passage through which semen passes.

Therefore, the prostate is the "throat" for men to urinate and ejaculate.

After the age of 50, the symptoms gradually appear in men, and with the growth of age, the trend of aggravation gradually.

Data shows that the incidence of benign prostatic hyperplasia in elderly men is positively correlated with age.

Question 6: How do you know you have BPH?

The symptoms of BPH vary from person to person, and can be divided into three categories clinically: before urination, during urination, and after urination.

Symptoms before urination: prostatic hyperplasia oppresses the urethra, bladder outlet is blocked, urination is difficult, urine in the bladder accumulates more, and bladder micturition nerve is constantly stimulated.

This is the "frequency of urination" (during the day). The number of urinations exceeds 7.

If you can't wait to urinate, you must go to the toilet immediately. This is called "urgent urination". In serious cases, you may lose control of your pants, which is called urgent incontinence.

These symptoms occur during the day and also at night. A serious person can get up and urinate dozens of times a night, which is called "nocturia" (urinating more than once at night), and will greatly affect the quality of sleep.

Symptoms during urination: due to the stricture of the urethra due to the compression of the prostate gland, urination will lead to symptoms such as waiting for urine, poor urine flow, thin urine line, dribbling urine, and weak urine line. Severe patients can urinate for tens of minutes each time, which makes people very distressed. There is an embarrassing scene called "wind blowing wet shoes".

Symptoms after urination; Because the urine in the bladder cannot be completely emptied, many patients will also have urine flow after urination, even after the pants are lifted.

Question 7: How to treat benign prostatic hyperplasia?

The treatment of BPH can be divided into two categories:

（一） The drugs are generally divided into the following three categories according to different symptoms:

First, the urethral "dilator" is represented by doxazosin and tamsulosin α Adrenaline receptor blocker, quick acting, less side effects.

Such drugs can effectively relax the smooth muscle in the prostate, expand the urinary channel of the prostate, thereby reducing urethral resistance, and ultimately improve the symptoms of dysuria.

Common side effects of such drugs include fatigue, dizziness and postural hypotension. The overall symptoms are mild and most patients can tolerate them.

Category II: Prostate "shrinking agent", represented by finasteride α Reductase inhibitors.

The human survival needs air, water and food. The growth of the prostate also needs a nutrient called "dihydrotestosterone", which is passed by testosterone α Reductase catalyzes transformation.

And 5 α The principle of reductase inhibitors in the treatment of BPH is to block the transformation of testosterone into dihydrotestosterone, thus cutting off the nutrient source of the prostate, ultimately leading to atrophy and death of prostate epithelial cells, making the prostate shrink.

However, such drugs need a long course of treatment to play a role. In clinical practice, they are generally applicable to patients with moderate and severe symptoms, and the larger the gland, the better the effect. However, attention should be paid to the effect on sexual function after long-term use.

Class III: bladder "stabilizers", M-cholinergic receptor blockers represented by tolterodine and sorinaxin, and those represented by mirabelone β Adrenergic receptor agonists.

BPH often causes frequent urination and urgent urination, mostly due to the unstable contraction of the bladder. Such drugs are often used together with the above two drugs to achieve the best effect.

According to the different symptoms and individual differences of patients, a reasonable combination of the above drugs can achieve better efficacy.

（二） Surgical treatment

Although drug therapy has a good clinical effect, a considerable number of patients eventually need surgical treatment because of the aggravation of their condition.

There are many surgical treatments for BPH, among which the most classic and mature is "transurethral resection of the prostate (TURP)", which is known as the "gold standard" for BPH surgery.

TURP, referred to as "electrosurgical resection", has a history of more than 90 years. This technology was introduced in China in the 1970s, and has been widely carried out in hospitals above the county level, and has achieved good results.

The main principle is to insert the resectoscope (a special device connected with an external display) to the prostate through the urethra, use the electric cutting ring to cut, remove prostate pieces and flush them into the bladder, suck out prostate tissue pieces after the operation, and finally

Make the urethral stricture under pressure unobstructed.

This operation is similar to digging out the orange flap, leaving only the orange shell. Therefore, the integrity of the urethra has not been damaged, and the postoperative recovery is fast. Today, minimally invasive treatment is still playing a very important role.

In addition to the traditional surgical methods, there are "colorful" laser surgical treatments for BPH, including holmium laser, green laser, red laser, thulium laser, etc.

Its basic principle is to use high-energy laser beam to irradiate prostate tissue to achieve the effect of tissue resection, or even direct gasification. Some of them can also enucleate the hyperplastic gland, which has the advantages of less bleeding and high surgical safety. At present, it has been gradually accepted by the majority of patients.

Question 8: How to maintain the prostate in daily life?

Exogenous food and drugs may affect the physiological function of the prostate.

Some drugs (cold drugs, antiasthmatic drugs, and antiallergic drugs) have anticholinergic effects, which can make the bladder contract weak, the urethral sphincter contract stronger, cause the decline of urination ability and the obstruction of urination outlet. In addition, the degenerative change of bladder function and the influence of prostate hyperplasia in the elderly cause the difficulty of urination to increase.

Food can also aggravate the symptoms of benign prostatic hyperplasia. Stimulating food such as alcohol and pepper can cause congestion and edema of the prostate and bladder neck mucosa and aggravate dysuria. In severe cases, it can cause urinary retention.

The lycopene in tomatoes and other vegetables and fruits, the extracts of pumpkin seeds and saw palmetto also help to delay the hyperplasia of prostate, and long-term use may alleviate the symptoms of prostate hyperplasia.

The prostate is located in the deep part of the pelvic cavity. For example, the bladder is excessively enlarged due to urine holding, and the seminal vesicle is congested due to frequent ejaculation, which will cause the prostate pressure and increase the urethral resistance, thus aggravating the symptoms of dysuria.

Clinically, we often see elderly men who have difficulty urinating due to active urine holding for various reasons, and abstemious sexual life will also help improve the symptoms of BPH.

Playing chess, mahjong and other entertainment activities preferred by elderly men, sedentary causes congestion in the perineum and prostate, oppresses the urethra, and eventually causes dysuria, and even urinary retention in severe cases.

Therefore, it is necessary to ensure proper activities to promote the blood circulation of the prostate.

Shandong Zhushi Pharmaceutical Group Co., Ltd., founded in 2003, has more than 5000 registered employees. After years of development, it has developed into a diversified industrial cluster integrating medical devices, polymers, cosmetics, health food, daily necessities and biological reagent production, enterprise management consulting and training, real estate economy, pharmaceutical transportation, pharmaceutical printing, etc.

Adhering to the concept of life, health and happiness, the Group provides you with full chain health services.

HOT

NEW