An enlarged prostate, often called an enlarged prostate. It is the most common benign disease that causes urination disorders in middle-aged and elderly people. Initially usually occurs after age 40, greater than 50% by age 60, and as high as 83% by age 80. Symptoms such as difficulty urinating increase with age.
Clinical manifestations of benign prostatic hyperplasia: frequent urination, urgency, urinary incontinence, and increased nocturia. Waiting to urinate, thinning of the urine stream, intermittent urination. Feeling of incomplete urination after urination, dripping after urination, etc. Treatments for benign prostatic hyperplasia include watchful waiting, drug therapy, and surgery. The goals of treatment are to relieve symptoms, improve quality of life, delay disease progression, and prevent complications.
When you are over 40 years old, you have more than 2 nocturia, you need to wait for urination, and the urine flow rate is higher than When you are young, it is obviously thinner, urination is laborious, and urine drips after urination, so you should consider the possibility of prostatic hyperplasia. It is necessary to go to the regular hospital urology department for specialist diagnosis and treatment in time.
In the process of diagnosis and treatment, including but not limited to the following aspects:< /p>
1. Test psa: blood test for prostate specific antigen, because the clinical manifestations of prostate cancer are very similar to those of benign prostatic hyperplasia, both of which are manifested as difficulty urinating. If the blood test for prostate-specific antigen exceeds the standard, it is necessary to carry out the diagnosis and treatment procedures for prostate cancer.
2. Understand your medical history and conduct a specialist physical examination: After you arrive at the hospital, the doctor will learn about your medical history in detail. An anal exam will be performed to check the size, texture, induration of your prostate with your fingers, and the tension of the anal sphincter. To help judge the condition and preliminarily judge the postoperative effect.
3. Ultrasonography of the prostate: determine the outer diameter of the prostate and whether there is residual urine after urination.
4. Uroflow rate measurement: Uroflow rate measurement is performed by the patient urinating into a special machine. The machine objectively gives data about the thickness of your urine flow.
Urethrocystoscopy: It can understand the condition of the bladder at the same time, clarify the specific situation of urethral obstruction, and determine whether at the same time Combined with bladder tumor and bladder stones.
Once the diagnosis of benign prostatic hyperplasia is confirmed, treatment can be divided into watchful waiting, drug treatment, surgery and minimally invasive treatment. Mild patients are suitable for watchful waiting. Moderate patients are suitable for drug treatment. For example: oral Harle, Paul Rich. However, drug treatment requires lifelong medication. If the patient cannot accept the lifelong medication, or the drug treatment effect is not effective, it is suitable for minimally invasive treatment of benign prostatic hyperplasia—-transurethral resection of the prostate.
Dandong People’s Hospital Urology Department introduced the German energy booster system KLS in 2014, which is the most advanced prostate gland in the industry Electric cutting energy supply system. It has the characteristics of high efficiency and low temperature of electric cutting and coagulation, and saline as the medium solution will not cause serious complications. Hemostasis is reliable, and the working temperature of 40 degrees Celsius will minimize the impact on the human body. Due to the bipolar electrodes of the system, it is more suitable for pacemaker patients. The energy boosting system KLS perfectly surpasses the surgical methods such as ordinary electric resection, plasma electric resection, and laser enucleation. The energy boosting system KLS is the best treatment method at present for the minimally invasive treatment of benign prostatic hyperplasia. The postoperative effect of the patients was satisfactory. At present, the catheter can be pulled out within 48 hours after the operation, and the urination is thicker than that before the operation. Postoperatively, the number of patients getting up at night was significantly reduced, and the symptoms of urinary urgency were significantly relieved. The Department of Urology of Dandong People’s Hospital currently has more than 2,000 cases of prostate resection experience, and has comprehensive estimates of surgical complications and rich experience in handling. Through the MRI detection of some patients,
Resection of the prostate in the Department of Urology, Dandong People’s Hospital can achieve the prostate capsule. The complete resection of the internal organs greatly reduces the possibility of postoperative recurrence. Prostatic hyperplasia is an age-related progressive disease. With the increase of age, the patient’s urination symptoms will progressively worsen, and with the increase of age, the patient will successively combine hypertension, coronary heart disease, diabetes and other comorbidities. surgical risk. Therefore, patients with benign prostatic hyperplasia should be diagnosed and treated early to increase the benefit time of surgery and reduce the risk of surgery. Improperly delayed surgery may impair bladder function. Even if urethral obstruction is resolved in later surgery, good surgical results may not be achieved due to impaired bladder contractility. In a word: the German energy booster system KLS for minimally invasive prostate treatment has the characteristics of no surgery, less bleeding, faster recovery, and better postoperative effect. The irritation symptoms were significantly reduced. The Department of Urology of Dandong People’s Hospital welcomes all elderly friends to come to our department for consultation, and we will formulate a personalized treatment plan for you according to your condition.