Benign prostatic hyperplasia development of the disease more slowly, Often the process of a few years. Initially very obvious symptoms, so patients often unable to correctly recalled the length of the course. Its main performance can be divided into two categories:
(1) lower urinary tract obstruction symptoms
① frequency, nocturia this is the increased frequency of the early symptoms of benign prostatic hyperplasia, the number of nocturnal enuresis number of BPH can often reflect the degree of nocturnal enuresis from 1-2 times developed to 4 ~ 5 times, gradually increasing the degree of obstruction.
② dysuria initially manifested as voiding harder, voiding slow start, we have to wait a long time to urinate, to the future development of voiding difficulties, urinary thinning, interrupted urine line of fire of urine and urinary unable range short, dark urine, to his belly, sometimes there are not flu or voiding urine drop after Lek.
③ hematuria because of the gland hyperplasia surface vessels dilated, and therefore prone to bleeding from hematuria, usually end hematuria, the naked eye can also result in large number of full hematuria, or even because of blood clots in case of urinary retention plug.
④ urinary retention was particularly prevalent in the patients with advanced disease, a serious obstruction, urine from the bladder can not be discharged, acute urinary retention, often from a cold, drinking, excessive or holding back one's urine infection induced.
(2) obstructive complications
Because urine from the bladder can not be normal discharge, it was on the basis of BPH symptoms may arise as follows:
① infection can be complicated by prostatitis, bladder urethritis, Epididymitis and pyelonephritis, and a related symptoms.
② uremia as lower urinary tract obstruction, can cause bilateral hydronephrosis, renal dysfunction, clinical emerged anorexia, nausea, vomiting, anemia, and so on.
③ abdominal mass caused renal and ureteral obstruction obviously stagnant water, the swelling of the kidney can be touched; bladder filling, the center can touch lower abdominal cystic mass.
④ other voiding difficulties due to long-term increase in abdominal pressure voiding, so there will be the, hematochezia, hernia, varicose veins of lower extremity symptoms.
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