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How to distinguish prostatic hyperplasia and chronic prostatitis?

Many patients are confused with prostatic hyperplasia and chronic prostatitis. Although prostatic hyperplasia is quite much like chronic prostatitis in early stage, these are two different diseases. What are the signs and symptoms of prostatic hyperplasia and chronic prostatitis? How to distinguish between prostatic hyperplasia and chronic prostatitis?

Prostatic hyperplasia can be a hyperplasia in the prostate that oppresses the prostatic urethra or affects the bladder urethral obstruction. Patients have the signs of frequent urination and dysuria. The prostate is divided into two layers, the inner layer will be the mucosa across the urethra as well as the submucosal gland; the outer layer will be the prostate related. The pathology of prostatic hyperplasia is primarily the prostatic hyperplasia with the inner layer. The prostate matrix forms multiple fibromuscular nodules and stimulates the proliferation of prostatic epithelial cells, eventually forming a matrix adenoma to compress the urethra along with the prostate related. Prostatic hyperplasia occurs mostly in older men.

Chronic prostatitis is divided into bacterial chronic prostatitis and aseptic chronic prostatitis. Bacterial prostatitis is often a disease the location where the bacteria are retrogradely transurethral for the prostate to cause prostate edema and congestion. Aseptic prostatitis can be a disease in which the prostate retains inflammatory reactions including congestion and edema without pathogenic conditions. Regardless from the kind of chronic prostatitis, inflammation happens in the glands, and there is no glandular hyperplasia, and nodules appear. Chronic prostatitis occurs mostly in young adults.

There are two main clinical symptoms of prostatic hyperplasia, the first is bladder irritation; one other is urinary tract obstruction. Bladder irritation symptoms are mostly frequent urination, urgency, nocturia, and urge incontinence. Frequent urination is definitely an early signal of benign prostatic hyperplasia, specially the increase frequency in nocturia is much more clinically significant. The more variety of nocturia, the greater severe of hyperplasia. If the aged that do not use a night urine, 1 day he have frequent night urine, he ought to be alert to the possibility of prostatic hyperplasia. Obstructive symptoms are urination weakness, urinary line thinning and urine drip. Because the prostate hyperplasia obstructs the urinary tract, the patient should use more force to beat the potential to deal with urinating, and also the urinary line becomes thinner; since the disease progresses, there may be symptoms including interruption of urination and incomplete drainage after urination.

Chronic prostatitis can also cause bladder irritation. Such as frequent urination, urinary tract burning when urinating. Unlike prostatic hyperplasia, patients with chronic prostatitis could also be combined with pain and radiate towards the head from the penis during urination, along with bulging discomfort inside posterior urethra, perineum and anus. The pain is just not limited towards the urethral perineum but also towards the back.

Although prostatic hyperplasia happens in seniors. However, the younger generation also can develop prostatic hyperplasia, and benign prostatic hyperplasia is much like chronic prostatitis noisy . stage from the disease, and the age is more easily misdiagnosed as prostatitis. Prostatic hyperplasia and chronic prostatitis in addition to the difference in symptoms, anal finger examination and B-ultrasound might be effective to help identify. Prostatic hyperplasia can lead to shallowing in the central groove with the prostate. Chronic prostatitis generally doesn't make the central groove for being shallow, and the anus might be identified. And B-ultrasound can instruct hyperplasia from the prostate in patients with prostate hyperplasia, but chronic prostatitis of patietens generally no proliferative prostate.

In the treatment, prostate hyperplasia is especially addressed with surgery, and chronic prostatitis mainly uses long-term anti-inflammatory treatment. The treatment of chronic prostatitis with pure Chinese medicine preparation of diuretic anti-inflammatory pills is a useful one. Diuretic anti-inflammatory pills possess the effect of promoting the circulation of blood and removing blood stasis. By adjusting the physiology in the prostate, it help patients returns to normalcy.

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17/10/2018 10:53