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Causes of benign prostatic hyperplasia (positive prostatic hyperplasia) and surgical methods

by 춘시기러버 2023. 1. 10.
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1. Definition of prostate hypertrophy

Typical diseases caused by prostate problems include prostate hypertrophy, prostate inflammation, and prostate cancer. In this post, I posted about benign prostatic hyperplasia, which is common in middle-aged men over the age of 50.(The name was changed from benign prostatic hyperplasia to benign prostatic hyperplasia. The weak is "BPH") Positive prostatic hyperplasia is a common disease in men, and it is a representative male disease that is very frequent, with 50% of middle-aged men over the age of 50 and 80% of men over the age of 80. benign prostatic hypertrophy does not necessarily require surgery unless there are urinary obstruction complications, and various drug treatments are possible.

2. Function of the prostate and the cause of benign prostatic hyperplasia

The prostate, one of the male reproductive organs, produces and secretes some of the components that make up the semen. It contains sperm in the sperm, passes through the sperm cells, and the fluid produced in the sperm cells meets the sperm. The generated semen passes through the surveyor and enters the urethra. There is a prostate at the border of the urethra, and the prostate produces more than 35% of the semen. Prostate fluid produced in the prostate is responsible for nutritional supply to sperm and functions to prevent the semen ejected out of the body from solidifying after assessment. The semen is alkaline and neutralizes acidity in the vagina to protect sperm, and the odor unique to the semen comes from prostate fluid. The main cause of benign prostatic hyperplasia is endocrine disorder, which is often associated with the aging process, but the exact cause is not yet known. Based on these causes, amphibian prostatic hypertrophy is included in environmental and dietary factors based on genetic influences such as family history. On average, studies show that men who consume enough fruits and vegetables have a relatively low risk of developing the disease, and men who frequently consume foods high in zinc and butter. Smoking, drinking, and obesity are also included in the representative risk factors for benign prostatic hyperplasia.

 

3. Symptoms of benign prostatic hyperplasia

Unlike prostate cancer, which occurs outside the prostate, prostate hypertrophy is characterized by developing inside the prostate. Prostate hypertrophy gradually compresses the urethra and eventually leads to partial or complete obstruction. The disease is characterized by a gradual progression of the disease without being known externally and without any special problems. Don't think of it as the number of frequent urination due to aging, but if the urine line becomes thinner and the amount of excrement suddenly decreases, it is recommended to see a specialist for an examination. In the early days, only the stem of urine is thin, but in severe cases, it can drop by drop. In addition, you may feel residual urine even after urination and you may not be able to hold your urine before bed. In some cases, incontinence may be accompanied.

 

4. Conservative Drug Therapy and Surgical Surgery

The treatment of benign prostatic hyperplasia is treated with full consideration of prostate size and symptoms or complications. Like drug therapy, it is divided into conservative therapy and invasive surgical therapy, and there are many different surgical methods. The initial conservative treatment is to watch the progress and judge the situation. It is a conservative treatment by improving eating habits, and typically, a diet that does not consume caffeine or artificial sweeteners can be performed. In addition, you can watch the progress of symptoms by avoiding taking congestion remover and aromatic cholinesics and limiting excessive water intake in the evening. However, if you see symptoms of obstruction while watching the progress, you should start active medication and surgical treatment. The ultimate goal of drug therapy is tissue relaxation, which reduces prostate size or urethral pressure. There are many different types of medication. The first is to administer androgen inhibitors. It inhibits the activity of androgen in the prostate and induces the action of reducing the size of the prostate by inhibiting the enlargement of the prostate tissue. This drug works if administered continuously, and symptoms often improve after about 3 to 6 months of administration. However, the side effects of this drug cannot be ignored. Side effects include erectile dysfunction, decreased sexual desire, and decreased assessment. Second, you can take alpha blockers. This drug was originally used to treat high blood pressure. However, it promotes smooth muscle relaxation in the prostate, inducing smooth muscle relaxation, thereby facilitating the flow of urethra through the urethra. Surgical therapy is primarily the amputation of the prostate. Transurethral prostatectomy is a procedure that removes prostate tissue by inserting an ablation mirror into the prostate through the urethra, and is considered the clearest surgical treatment. Prostate resection has improved symptoms in more than 80%, and side effects are also considered low surgical treatment. In addition, surgical treatments include transurethral microwave thermotherapy.

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