Four major misconceptions in patients with uremia caused by benign prostatic hyperplasia

Mr. Shi (pseudonym), who is 75 years old, suffers from benign prostatic hyperplasia. He urinates a few drops every day, but he doesn't take it seriously. Mr. Shi just thinks it's normal for people to grow old and keeps enduring it. Recently, he has had nausea and vomiting after meals, and was taken to the hospital by his family. Doctors found that severe urinary retention caused uremia and acute renal failure. In fact, such cases are not uncommon. Some elderly people may not even pay enough attention to prostate hyperplasia, causing irreversible damage to their kidneys and relying on dialysis for life.

In the early stage of benign prostatic hyperplasia, mild obstruction of the urethra occurs. Due to the compensatory function of the bladder, the patient can still empty urine on time, but the urination time has been extended compared to normal people. In the middle stage of development, urethral obstruction worsens, and patients experience symptoms such as frequent urination and urgency. Urine in the bladder cannot be completely emptied, resulting in residual urine. If urinary catheterization and medication can be done in a timely manner at this time, urination can generally still be restored. In the late stage, urethral obstruction is severe, bladder compensatory function is incomplete, and residual urine in the bladder continues to increase. Due to the increase in bladder pressure, it is transmitted upwards to the kidneys, causing increased pressure in both kidneys, causing hydronephrosis in both kidneys, damaging renal function, and ultimately leading to uremia.

Uremia is a very serious disease, even life-threatening. However, uremia caused by prostate hyperplasia in the later stage is different from uremia caused by chronic nephritis. As long as the urethral obstruction is relieved in a timely manner, the kidney can still recover its function. However, some elderly patients with benign prostatic hyperplasia may delay treatment due to insufficient attention in their thinking, which is an important cause of uremia.

Elderly friends should pay attention to the following two points. Firstly, when you have prostate hyperplasia, you should pay attention to symptoms such as frequent urination and urgency. This is not a normal phenomenon for elderly people, and timely diagnosis and treatment should be carried out to prevent further development of the condition. Second, when you have severe frequency of urination, urgency of urination, and profuse urination, there may be a large number of residues and urinary retention. At this time, do not be afraid of catheterization and do not insist on timely treatment, otherwise uremia may occur.

For the treatment of benign prostatic hyperplasia, many patients have misconceptions, which often lead to patients choosing the wrong treatment method and even causing certain harm to them.

Myth 1: Hyperplasia must be treated

Prostate hyperplasia is not necessarily a disease. Some middle-aged and elderly friends with benign prostatic hyperplasia do not experience any discomfort in their daily lives. This is because the prostate is expanding outward, which does not cause pressure on the urethra and therefore does not require treatment. Patients with urinary disorders should take reasonable treatment measures based on the size of hyperplasia and the severity of symptoms.

Myth 2: The greater the proliferation, the more severe the disease

Some patients find that their prostate hyperplasia is particularly severe after examination, which makes them very anxious. In fact, the size of prostate hyperplasia is not related to the severity of the disease. As long as the enlarged prostate tissue does not cause pressure on the urethra, even if the hyperplasia is large, it can still be left untreated.

Myth 3: Surgery can cause sexual dysfunction

There are various methods for surgical treatment of benign prostatic hyperplasia, among which laser therapy has fewer side effects. Prostate resection surgery is often difficult to perform and is not completely resected, making it prone to recurrence after surgery. Surgical treatment of benign prostatic hyperplasia can have a certain impact on the patient's sexual function, but it does not necessarily cause sexual dysfunction. Since the surgical treatment is to partially remove the prostate, and the prostatic fluid secreted by the prostate is the main component of semen, the sexual life of the patient after the operation can be normal, but there may be azoospermia.

Myth 4: Hyperplasia can lead to prostate cancer

There is no clinical evidence to suggest that benign prostatic hyperplasia can lead to prostate cancer. The prostate includes two parts: the prostate capsule and the prostate body. Prostate hyperplasia occurs in the prostate body, while prostate cancer occurs on the prostate capsule, and there is no direct relationship between the two.