The basic knowledge of benign prostate hyperplasia
1.Definition
Benign prostate hyperplasia is common benign disease which can incur
elder and middle men having difficulty in urination. Its main symptoms
are prostatic stroma and the elements of prostate’s hyperplasia in
histology, prostatitis pain enlargement, abnormal lower urinary tract in anatomy, and bladder outlet obstruction in urodynamics.
2.Epidemiology
The incidence of benign prostate hyperplasia will increase as male
people grow up in epidemiology. Originally, the disease is usually found
after 40 years old. At the age of 60, the person with the disease will
account for over 50%, while there will have 83% of persons who will
develop the disease at the age of 80. It is similar to histology in
symptoms. The symptoms of difficulty in urination will increase as the
age grows. In the diagnosis of histology, there are about 50% men who
will develop the serious symptoms in lower urinary tract. According to
some researches, Asian are easier to develop relevant symptoms about
benign prostate hyperplasia than American prostatitis pain.
3.Aetiology
There are indispensable conditions for the developing benign prostate
hyperplasia that are the rise of age and orchises which are functional.
Our domestic researchers have surveyed some elder person, among whose
prostate gland have obvious withered. But specific mechanism of
developing benign prostate hyperplasia is not clear. It is possible
because the infringement of hyperplasia of epithele and interstitial
cells, and the withering of cells causes the case. The relevant factors
include the interaction male hormone with female hormone, prostatic
stroma- the interation of glandular epithelial cells, growing factors,
inflammatory cells, neurotransmitter and heredity.
4.pathology
prostatitis back pain
There are some scientists who class prostate gland into peripheral
zone, central zone, transitional zone, and prostate gland around urinary
tract. All tubercles of benign prostate hyperplasia develop in
transitional zone and prostate gland around urinary tract. In original
stage, tubercles are all interstitial component around urinary
tract;while tubercles in transitional zone will have the reflection of
the hyperplasia of prostate tissue; and the number of mesenchyme will
decrease. In addition, smooth muscle in interstitial tissue is also very
important elements to be made of prostate gland. The smooth muscle and
tissue around urinary tract are controlled by adenine nerve in kidney,
cholinergic nerve, and other enzymatic neurotransmitter, among which
adenine nerve in kidney has a main effect. There is ample α receptor at
the tip of prostate and bladder, particularly α 1 receptor. We will
obviously reduce the obstruction of urinary tract if the adrenalin can
be activated. What is more, the anatomic capsule of prostate has a close
relation with the symptoms of urinary tract. Owing to the existence of
the anatomic capsule, enlarged body of gland is pressed, bulging into
urinary tract and bladder, then causing the aggravation of blocking
urinary tract.
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