Sexual Health

The prostate is enlarged at a young age.

Some young people are scheduled to have a medical checkup, but an ultrasound reveals an enlarged prostate.The actual fact is that you will be able to get a lot more than just a few of these.The actual fact is that you can find a lot of people asking me, and I often laugh and say, “You don’t need to treat this enlarged prostate.

 

The most important thing is that you have to be able to get a good idea of what to do. The actual fact is that you will be able to get a lot more than just a few of these.

 

1, enlarged prostate = enlarged prostate?

 

The actual fact is that you will find a lot of people who are not able to get a good deal on a lot of things.

The prostate enlargement and prostatitis are both possible.The enlarged prostate is only an imaging description, while prostate enlargement and prostatitis are clinical diagnoses.

 

The actual size of the prostate is considered an enlarged prostate.

 

In clinical practice, we often use transrectal ultrasonography to determine the size of the prostate.The volume of the prostate = 0.52 x width diameter x length diameter x thickness diameter, and the normal width, length and thickness of the prostate are about 40, 30 and 20 mm respectively.

 

Studies have shown that the incidence of histological prostatic hyperplasia gradually increases with age, with 20% in the 41-50 age group, 40% in the 51-60 age group, 70% in the 61-70 age group, 85% in the 80-90 age group, and 100% in the 90 age group.This shows that prostate enlargement and prostate volume increase with age is an inevitable process.

Clinically, prostate enlargement is classified into 3 degrees according to the size of the volume:

Degree I: 1.5 to 2.0 times normal, about the size of an egg;

Degree II: 2.0-3.0 times normal, about the size of a duck egg;

Ⅲ degree: 3.0-4.0 times normal, about the size of a goose egg.

 

3, the relationship between prostate enlargement and clinical symptoms Yes?

 

Because the enlarged prostate is only an imaging description, there is a correlation between the ultrasound finding of an enlarged prostate and the severity of clinical symptoms, but not necessarily a positive correlation.

 

In other words, the larger the prostate, the more severe the clinical symptoms! We often see patients who have an enlarged prostate on the ultrasound in clinical examinations without any clinical manifestations.

The urethra of men is like a “tunnel through the mountain” in the middle of the “mountain” of the prostate, so whether the enlarged prostate causes clinical symptoms depends on the pressure of the prostate on the urethra, the key to the onset of the disease is the location and extent of the enlarged prostate. The actual size of the prostate is not the absolute size of the prostate!

 

The actual fact is that the actual size of the prostate gland is not the absolute size.

 

If you have an enlarged prostate found by ultrasound, without any clinical symptoms, you do not need treatment.

 

Patients with mild to moderate urinary tract symptoms of an enlarged prostate, as long as their quality of life has not been significantly affected, can be placed on watchful waiting, which means no treatment will be taken. (Studies have shown that 85% of patients who underwent watchful waiting remained stable at 1 year of follow-up and 65% had no clinical progression at 5 years)

 

Many patients with prostatitis, where ultrasound shows not only an enlarged prostate, but also uneven prostate echogenicity, prostate stones, and even calcified foci forming in the prostate, do not require medical intervention as long as they do not have any clinical symptoms.

In summary, enlarged prostate volume is not the only criterion for prostate needing treatment, but should be integrated to understand the patient’s urination and clinical symptoms before taking appropriate treatment measures.

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