[This article declares: This story is pure fiction, if there is any similarity, it is purely a coincidence, do not sit in the right seat. 】
Wang Dawei is a 61-year-old retired teacher. Recently, he has noticed that he has difficulty urinating, his urine stream has become thinner, and sometimes he has scrotal distention, frequent urination, and increased nocturia.
At first, he thought it was a normal phenomenon of old age, so he didn't pay much attention to it. Until one night, Wang Dawei was in unbearable pain and went to the urology department of the hospital overnight.
The doctor on duty, Li Qiang, received Wang Dawei. He took a careful medical history and then performed a digital abdominal and rectal examination of Wang Dawei.
"Mr. Wang, your prostate is enlarged, and you still have a lot of residual urine in your bladder. This can be the main reason why you have trouble urinating. Dr. Li hit the nail on the head.
Wang Dawei was a little surprised: "Enlarged prostate? Wouldn't it be a bit early to get this problem in your early 60s? "
Dr. Li smiled slightly and comforted: "Actually, prostatic hyperplasia is a common disease in middle-aged and elderly men.
So you don't have to worry too much, the key is to intervene in time. "
"So what now? Do I need surgery? Wang Dawei was a little apprehensive.
"Don't worry, most prostatic hyperplasia does not require surgery in the early stages. It is also recommended that you drink plenty of water, drink less alcohol, exercise moderately, keep your stool clear and your perineum clean, all of which can help improve your symptoms.
If the response to treatment is not satisfactory over time, surgical intervention should be considered. Dr. Lee advised.
Wang Dawei nodded his head again and again as if he had been amnestied. He secretly decided that he must cooperate well with the treatment and fight his stubborn "old friend" to the end.
Wang Dawei's experience is the epitome of many middle-aged and elderly men. Prostatic hyperplasia, commonly known as "enlarged prostate", is a common urinary disorder.
It can be said that it is a "checkpoint" that almost every man has to face in the process of aging.
However, with age, the prostate gland and interstitium gradually proliferate, resulting in the compression and deformation of the urethra and narrowing, which in turn leads to a series of voiding dysfunctions.
Still, we don't need to talk about "glandular" discoloration for prostatic hyperplasia. In fact, the vast majority of patients have benign hyperplasia, the disease progresses relatively slowly, and most of them can effectively control their symptoms through medication and lifestyle interventions.
α blockers and 5α-reductase inhibitors are two classes of drugs commonly used in clinical practice, the former can quickly relieve obstructive symptoms, and the latter can delay the progression of the disease.
Of course, prevention is always the best strategy. Quit smoking and limit alcohol, drink plenty of water, eat a low-fat and low-salt diet, exercise moderately, and avoid sitting for long periods of time and holding urine.
As doctors, in the face of prostatic hyperplasia, a common and hidden health "killer", we should be more vigilant and do a good job in education and screening.
We need to help middle-aged and elderly men face up to this problem, dispel unnecessary fear and shame, and encourage them to take the initiative to seek medical treatment and follow up regularly, so as to jointly protect men's health.
Only the cooperation of patients and doctors can more people survive the "depression" of prostatic hyperplasia and enjoy the joy of family.
Write at the end
Let's hope that with the dual help of medical progress and health education, prostatic hyperplasia will no longer be a "big problem" for middle-aged and elderly men, and more elderly people will be able to embrace a beautiful and calm life in old age with a healthy body!
What do you have to say about this? Feel free to leave your thoughts in the comment section!
Bibliography:
Chinese Society of Urology. Guidelines for the diagnosis and treatment of benign prostatic hyperplasia (2018 edition)[J].Chinese Journal of Urology,2018,39(7):481-491.)
Urology Branch of Chinese Society of Gerontology and Geriatrics. Chinese expert consensus on the diagnosis and treatment of lower urinary tract symptoms/benign prostatic hyperplasia in elderly men[J].Chinese Journal of Geriatrics,2017,36(9):917-921.)
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