Prostate enlargement in young people

The prostate is an organ located in the lower body of the human body. There are many diseases related to the prostate, such as prostatitis, prostatic hypertrophy, etc. Prostatic hypertrophy is a disease that mainly occurs in middle-aged and elderly people, but with the development of society, young people now also have this disease. There are many reasons for this disease, which can be treated. So, why do young people have prostate hypertrophy?

Prostatic hyperplasia (Hyperplasia of prostate), often referred to as benign prostatic hyperplasia (BPH), is one of the common diseases in middle-aged and elderly men, and its incidence is increasing with the aging of the global population. The incidence of prostatic hyperplasia increases with age, but there are not necessarily clinical symptoms when there are hyperplastic lesions. For most patients, symptoms such as difficulty urinating increase with age. The incidence rate in urban areas is higher than in rural areas, and racial differences also affect the degree of proliferation.

There have been many studies on the pathogenesis of prostatic hyperplasia, but the cause has not yet been elucidated. This may be due to the disruption of the balance between epithelial and stromal cell proliferation and apoptosis, and other related factors: androgens and their interaction with estrogens, the interaction between prostate stroma and glandular epithelial cells, growth factors, inflammatory cells, neurotransmitters and genetic factors. It is currently known that prostate hyperplasia requires two conditions: functional testicles and aging. In recent years, attention has also been paid to the relationship between smoking, obesity and alcoholism, family history, race and geographical environment and the occurrence of BPH.

  Drug treatment : 1. Antibacterial treatment: The discovery of the causative pathogen in prostatic fluid culture is the basis for selecting antibacterial treatment. Quinolones such as ofloxacin or levofloxacin are the first choice. 2. Symptomatic treatment: anti-inflammatory and analgesic. 3. Physical therapy: prostate massage, hot water sitz bath, microwave, etc. 4. M receptor antagonists: suitable for patients with symptoms of overactive bladder, such as urgency, frequency, and increased nocturia, but without urinary tract obstruction. 5. α receptor antagonists: can effectively improve prostate pain and urination symptoms, and help prevent urine reflux into the prostate.

Surgical treatment: Suitable for patients with recurrent chronic bacterial prostatitis. 1. Prostatectomy: It can achieve the purpose of cure, but it should be done with caution. 2. Transurethral resection of the prostate: Removal of prostate stones and bacterially infected lesions near the prostate ducts helps reduce reinfection of peripheral zone lesions.

Other treatments: 1. Biofeedback therapy. 2. Transperineal extracorporeal shock wave therapy. 3. Psychotherapy. 4. Treatment with traditional Chinese medicine.