4.26.2009

Clinical manifestations of benign prostatic hyperplasia

The symptoms of benign prostatic hyperplasia can be divided into two categories is due to hyperplasia of prostate obstruction resulting from obstruction of urinary tract symptoms; The other is a result of complications caused by urinary tract obstruction.

1, obstructive symptoms of benign prostatic hyperplasia was mainly due to urinary tract obstruction. Bladder neck caused by oppression, but also includes its own to overcome the obstruction of the bladder have a response.

① frequent urination is an early signal of benign prostatic hyperplasia, in particular nocturnal increase in the number of more clinical significance. In general, the frequency of the number of nocturnal often parallel the degree of benign prostatic hyperplasia. The original Night of the elderly can not afford to appear at night 1 or 2 times of urination, and often reflect the advent of early obstruction, and development from the 2nd night to night 4 to 5 times or even more, describes the development and increase the lesion.

② inability to urinate, urine and urine thin line drops Lek. Because of the obstructive prostatic hyperplasia, urination in patients with the use of greater force to overcome resistance, as well as voiding effort; hyperplasia of prostate urethral pressure will be deflated to urine thin line; As the disease progresses, there may also be interrupted voiding, post-voiding not drop Lek symptoms.

③ hematuria.

④ retention. Advanced prostatic hyperplasia in patients with severe, severe obstruction may be cold, drinking, or too much time憋尿causes infection can not be discharged urine and acute urinary retention.

2, obstruction of the main complications of infection, hydronephrosis, such as uremia.

① infection is not as easy to open the river pollution, the urinary bladder neck obstruction is easy to combined acute urinary tract infection, showing a surge in the number of nocturia, urgency,尿痛, such as hematuria and fever.

② severe benign prostatic hyperplasia hydronephrosis, after a long time, due to compensatory bladder and upper urinary tract dysfunction, ureter and renal pelvis can lead to stagnant water, stagnant water can be severe abdominal palpable "mass" - Swell kidney; bladder filling the abdomen may be the next touch "mass" - the bladder swell.

③ uremia-induced development of hydronephrosis in patients with benign prostatic hyperplasia, as the real pressure on the kidneys, can cause renal failure - uremia. Show loss of appetite, nausea, vomiting, anemia and so on. Such symptoms as a result of relatively subtle at first, the lack of specific, easily overlooked or misdiagnosed as gastrointestinal diseases and delay or even until headache, retardation, lethargy and even coma was found that alarming.

④ other: some patients with benign prostatic hyperplasia may be changes in sexual desire or eroticism, sexuality and some low, a small number of patients have Hematospermia.

In addition, because patients with benign prostatic hyperplasia-induced voiding difficulties, increased abdominal pressure, but also can cause or aggravate hemorrhoids, hernia and other diseases.

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