Friday, March 28, 2008

In the diagnosis of benign prostatic hyperplasia should be careful

Clinical manifestations of benign prostatic hyperplasia varying degrees of voiding symptoms, but can not bring in the older crowd voiding symptoms sluggish blame benign prostatic hyperplasia.
According to the Beijing prostatic hyperplasia epidemiological investigation, 40-49-year-old male of the age of benign prostatic hyperplasia in the incidence rate of only 10.2 percent, because men under the age of 50 appear in the lower urinary tract symptoms, it would be inappropriate as benign prostatic hyperplasia First consider the diagnosis. Some young and middle-aged patients performance of the lower urinary tract symptoms such as frequency, urinary hesitation or intermittent, such as voiding like benign prostatic hyperplasia, which is due to the emergence of symptoms of bladder neck because of the increase in tension, it can occur in benign prostatic hyperplasia, but also can occur in other urinary tract diseases, the most common chronic prostatitis syndrome, in some of these patients because of prostate secretion retention of the plot, prostate volume is very high, B-examination also found that the larger than normal. Differential diagnosis depends on the experience of urology doctors from digital rectal examination in touch texture of the prostate, prostate secretions inspection, in combination with clinical analysis. Not digital rectal examination alone rely on the B-to diagnose prostate hyperplasia, this diagnostic procedure is not standardized, it may make a doctor makes a wrong diagnosis, as well as adversely affect the condition.
For patients nervous system disease, or diabetes not be controlled, can cause bladder control the nerve lesions occurred, affecting the bladder detrusor urinary function, as well as cervical and bladder detrusor not coordinated, and which have obstacles or voiding the bladder instability symptoms. Of these patients, the nervous system and detailed urodynamic examination is very necessary, even if the patients are indeed benign prostatic hyperplasia, prostate surgery for the blind, its therapeutic effect may be very bad, not necessarily because of benign prostatic hyperplasia voiding dysfunction is the cause of the culprit. Have a history of pelvic surgery or trauma patients due to pelvic nerve injury, the occurrence of the above can be a similar situation, the doctor must not inadvertently treatment.
BPH patients in gross hematuria, the urinary system that should be taken as a whole inspection ruled out after malignant tumor can be considered hematuria from benign prostatic hyperplasia. Doctors must not inadvertence, the timely treatment of cancer patients lose the opportunity.
Patients to doctors history, it is necessary to carefully memories of what used drugs because many drugs can affect urinary function. If the history of sexual transmitted diseases is not to hide, some sexually transmitted diseases can also cause lower urinary tract sequelae of voiding symptoms, confusion in the diagnosis of benign prostatic hyperplasia.

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