Different stages of prostate treatment decisions

Doctors through anal examination, generally put Hyperplasia BPH by size into three degrees. Have the doctors use a different way to describe the degree of benign prostatic hyperplasia : normal prostate as chestnuts, Mast first degree for large eggs; mast for the second time large eggs; Mast for the third time with oval large. According to the prostate into anatomical position before and after, right and left, the five leaves around the proximal urethra to the inner gland. external to the outer gland. In the normal prostate, prostate outer gland occupy most of the gland is only within a very small at the center position. However, when prostatic hyperplasia, the situation is different. If hyperplasia occurred mainly in inner prostate, but it also closely gland packages around the urethra, therefore, even if only slightly hypertrophy, very easily crushed urethra, resulting in urination problems. Then, even if digital rectal Frederick sentiment found prostatic hyperplasia. Prostate gland hyperplasia different situation, because the outer gland mainly to the lateral growth, although sometimes grow quite big, even reached the third degree, but not urethral compression, it may not urethral obstruction symptoms, or mild symptoms. Visibility, prostatic hyperplasia degree can only show the size of the prostate gland and can not express the extent of lesions. To BPH patients showed the severity of the disease, clinical, usually benign prostatic hyperplasia into three : The first phase of the patients with difficulties in urinating, urinary frequency and nocturia increasing inability to urinate, urinary bladder wall because there trabecular and painless, However, no residual urine; Phase II means the beginning of the bladder detrusor compensatory incomplete, can not be completely discharged and urine appeared residual urine, and often easy to merge chronic bacterial cystitis; As the third period means a long-term effort urination, caused bladder emptying hypodynamy occurred urinary retention, renal insufficiency. If the flow rate results in the judgment, the first patients with the largest average flow rate and flow rate are reduced, more graphic flow in the normal range; 2nd period with maximum flow rate and the average flow rate was significantly lower, voiding significantly prolong the time, Graphic showing a flow-wave curve; Stage III patients with advanced or the maximum flow rate and the average flow rate further. voiding more extended time, the flow of low-graphics mostly curve. Prostate treatment decisions in a phased program for a certain significance. Generally believed that the first phase of the prostate hyperplasia suitable for conservative therapy, the second phase of the early patients can be tested conservative therapy, Conservative treatment of the poor, or the progress of the disease in patients with Stage II and Stage III patients with benign prostatic hyperplasia. Surgical treatment should be considered.