Is it really, "that's what you should do when you're old?" clinical observations have found that a large number of middle-aged males have gone through months or even years of early signs of neglect before the appearance of obvious urination symptoms, which could have become intervention windows -- unfortunately, most people blame them for fatigue, drinking water or “renal failure” and miss the critical time to slow progress。
Prostate growth is essentially a reactionary increase in gland tissue to hormone change, not a simple “aging”. After the age of 40, the male metabolite dihydrogen testosterone continued to function in the prostate and could induce cell proliferation. This change is silent and not necessarily accompanied by symptoms at an early stage, but once the volume increases, the urination flows like a water tap that is being tightened, the water flows are getting thinner and harder。
Have you noticed how many seconds it takes to pee in the bathroom lately? Or do you always feel like you're clean after pissing? Waiting for urination, thinning of urine wires and leaching after urine are typical manifestations of urination obstruction. What is more subtle is the increase in night urine — not because of the drinking of water at night, but because of the shrinking of bladder capacity due to long-term retributive contraction, when even a small amount of urine triggers urine reflection。
Many people mistakenly assumed that “drinking more water will wash the prostate”, and then forced themselves to drink three or four litres a day. However, when urea is under pressure, overdose increases the burden of bladders, especially when large quantities of water are available before sleeping, which can easily lead to frequent late-night urination and interruption of sleep. It is generally agreed in the guide that reasonable drinking water should be concentrated during the day, in a fair and even volume, and that it is more scientific to limit liquid intake two hours before sleeping。
Another common area of error is “abstinence when older”. Clinical observations have found that long-term total abstinence can lead to prostate gland siltation, stimulating local chronic haemorrhaging, which in turn exacerbates discomfort; and that excessive sexual activity can trigger repeated haemorrhage. Regular and moderate sex life helps to upgrade prostate fluids and reduces the risk of inflammation, but “moderate” requires individualized judgement and cannot be generalized。
The increase in the prostate is per se a benign disease, but in the case of haemorrhagic urine, repeated urinary tract infections, swelling of the waist or sudden urination interruptions, vigilance must be exercised with regard to combining stones, tumours or other complications. A large number of studies suggest that long-term severe barriers may lead to an increase in bladder residual urine, leading to double-sided renal accumulation and even to an impact on kidney function, which is often silent and irreversible。
When should you visit a doctor? If for weeks you have to pee hard, have to pee twice at night, and you have to pee in a hurry. Doctors usually conduct rectal finger tests to assess prostate size and mass, extract blood from prostate specific antigens (psa) and arrange urinary ultrasound. The ultrasound not only measures the volume of the prostate, but also accurately measures the residual amount of urine following urine — a core indicator of the severity of the barrier。
Residual urine is more than 100 ml, i. E., medium-heavy inhibition, requiring active intervention; if it is completely impossible to urinate, and if the abdominal pain is unbearable, it is acute urine and must be treated on an emergency basis. It is often necessary at this time to conduct urine or even to be hospitalized. Acute urination is an important complication of prostate growth, with a significantly higher risk of relapse after the first occurrence。
With regard to drug treatment, alpha receptor retardants, such as tansorosin pine urin smoothing muscles, rapidly improve urination symptoms; and 5 alpha-reductor enzyme inhibitors, such as non-napamine, convert by inhibiting hormones to reduce prostate volume and apply to patients with a significantly increased gland body. Both types of drugs are commonly used in combination, but must be prepared by a doctor, and self-addiction may cover up the condition or cause side effects such as low blood pressure, sexual dysfunction, etc。
Life interventions are the foundation. Avoiding sitting for longer than one hour and getting up every 40 and 50 minutes for three and a half minutes can significantly reduce pelvic veins. Bicyclists for long periods of time have recommended a shift to a light shock cushion to reduce direct oppression of the vagina. The diet should limit spicy, alcohol and espresso, which can increase bladder sensitivity and induce urination。
Controlling sexual life is not abstinence, but finding a comfortable rhythm. Some are unwell once a week, others are more secure several times a month, and it is crucial to see whether the next day will be ablaze and more frequent urine. In the event of a marked deterioration of the post-sexual condition, it is recommended to suspend and consult with the doctor to check whether chronic prostate inflammation or cystal infusion is combined。
Follow-up management cannot be relaxed. Even if the symptoms are mitigated, patients with moderate severity should be reviewed semi-annually for ultrasound, kidney function and psa. As improved symptoms do not amount to debarment, residual urine may persist, undermining its path. Other diseases, such as prostate cancer, can also be detected in a timely manner through prolonged follow-up visits, especially when psa is exceptionally high。
Small daily habits accumulate great health. Ten to fifteen acoustic exercises per day, which enhance the bottom muscle force and assist in the control of urination; 10 minutes of bathing in warm water, which helps to alleviate local insufficiency; and the recording of urine journals, including the number, spacing, effort, leaching or not, can provide doctors with a real basis, far more reliable than oral descriptions。
Much depends on the timing of the intervention. In the early stages of lifestyle adjustment and standardisation, most people can stabilize in the long term and avoid surgery. However, it is not possible to restore some of these functions until the bladder has lost its capacity to contract and the kidney function is impaired. While electrocution of the urethromatic prostate has matured and is safe, it is ultimately innovative and can be sought without surgical control。
The preservation of the prostate is not a quest for “never increase”, but rather for coexistence with the body. Drinking more water means proper and even drinking water during the day; free from urine, sensory urine is discharged in a timely manner; sitting less often leaves space for pelvis circulation; and controlling sex life is to maintain a local metabolic balance. Behind these 16 words is respect for and response to the rhythm of the body。
The deepest wisdom of medicine is not to fight disease, but to read the whispers of the body. The prostate does not scream pain, but it sends a distress signal silently with every urine delay and every night. When it is neglected, it becomes silent and listens to it, and it spends the rest of its life with you. Real health is hidden in everyday choices that you have never noticed but always practiced。
[i] guidelines for the diagnostic treatment of benign prostate hyperplasia (2023 edition). Chinese urology magazine, 2023,44(5): 321-328.
[ii] research on the relevance of urination pathology and quality of life of prostate patients. Chinese journal of science, 2022,36(3):45-49.
[iii] clinical observation of a significant prostate increase in alpha receptor retardant combinations of 5 α-reductive enzyme inhibitor treatment. Clinical urinology magazine, 2021,36(7): 512-516.
