What are the complications of prostatic hyperplasia in the elderly

Prostatic hyperplasia in the elderly is a disease with a high incidence rate in clinical practice, and it is also eliminatedprostatitisIn addition to another major disease. Many elderly people choose to be patient after suffering from this disease, which is not advisable, because there are many complications of prostatic hyperplasia in the elderly, and not actively treating it will lead to the deterioration of the condition. So, what are the clinical complications of prostatic hyperplasia in the elderly?

1. Bladder neck contracture

Patients with symptoms of lower urinary tract obstruction and no significant prostate enlargement on digital rectal examination should be considered for the diagnosis of bladder neck contracture, except for possible protrusion of the glandular lobe towards the bladder.Bladder neck contractures are thought to be secondary to inflammatory lesions.

2. Prostate cancer

Prostate cancer, particularly ductal cancer, may present with urinary tract obstruction. Some patients have prostate cancer at the same time as prostatic hyperplasia, and the blood pSA (prostate-specific antigen) is elevated, mostly > 10.0 ng/ml. Digital rectal examination of the prostate surface is not smooth and rocky. Transrectal biopsy is preferred, with B-ultrasound guidance, and the diagnosis can be confirmed by pathological examination.

3. Neuropathic bladder, detrusor sphincter dyssynergia

It is also manifested as abnormal urination in the lower urinary tract, urinary incontinence and other manifestations. A detailed history of injury should be obtained to check for the levator ani reflex, which should be ruled out primarily by urodynamic studies such as filling bladder manometry, urethral manometry, and simultaneous pressure/flow rate testing.

4. Weak bladder (aging of the bladder wall)

The manifestations are urinary retention, abnormal lower urinary tract urination, and a large amount of residual urine, which should be distinguished from prostatic hyperplasia, and factors such as injury, inflammation, and diabetes should be excluded, mainly by urodynamic testing.Special urethral pressure charts are used to identify by simultaneous pressure/flow rate testing. Bladder pressure chart shows low bladder pressure, no systolic pressure waveform, etc.

[Tips]: The elderly have worked hard for the family for most of their lives, and should enjoy the blessings in their later years, if they suffer from prostatic hyperplasia in the elderly at this time, it will make the patient suffer a lot of pain. Therefore, in order to stay away from the invasion of prostatic hyperplasia, the elderly should pay attention to exercising frequently in their daily life, not being sedentary, and drinking plenty of water to keep the urinary tract smooth.