Produced | Wuhan Central Hospital
Author | Guo Yonglian, Director of Urology, Wuhan Central Hospital
Ke Xinwen, Attending Physician, Department of Urology, Wuhan Central Hospital
Editor | Hu Xin
People in middle age are most afraid of losing the two “fronts”. One is the hairline and the other is the prostate. But what you are afraid of comes from, but these two lines are the easiest to go wrong.
Especially the prostate, as The “Ouchi” of the man’s lower body, for Urinary and reproduction Those things have a direct right to speak. Obviously shouldering heavy responsibilities, but they “strike” when they disagree.
- prostatitis
One of the common diseases in adult men is a benign inflammation.
About 50% of men will suffer from prostatitis at some point in their lives. In young and middle-aged men, hormones are overflowing, and the prostate is prone to repeated stimulation and inflammation.
Main symptoms: frequent urination, urgency, pain or discomfort in the perineum.
- Benign prostatic hyperplasia
Commonly known as prostate hypertrophy, it is a benign proliferation of prostate tissue cells.
Men will have prostate hyperplasia when they are getting older. It is only a matter of time. After prostatic hyperplasia, the urinary tract becomes narrow, and the most direct impact is the narrowing of urine flow, the bifurcation of urine, and the inability to urinate.
- Prostate cancer
Prostate cancer is the malignant proliferation of prostate tissue cells, which mostly occur in the peripheral zone of the prostate. Unlike other cancers, prostate cancer develops relatively slowly and is one of the “most friendly” tumors for men.
In recent years, with the changes in people’s living habits, the incidence of prostate cancer has increased significantly. There is no scientific evidence to prove that there is a direct correlation between prostatitis, benign prostatic hyperplasia and prostate cancer.
1. Does prostate cancer affect sexual function?
It must have an impact! Some patients will have erectile dysfunction, blood sperm and other problems from the beginning of prostate cancer. Some patients lose their sexual function because of complications after radical surgery.
Because during the operation, In order to remove the disease as much as possible, usually damage the neurovascular bundles around the prostate , Leading to erectile dysfunction remaining in most patients after surgery.
However, in recent years, with the development of minimally invasive techniques, surgery to preserve the “neurovascular bundle” has become more and more mature. With this type of surgery, more than 70% of patients can restore normal sexual function within one year after surgery.
2. Does prostate cancer have to be cured?
It must be cured, and as soon as possible! For patients with early prostate cancer, surgery or radiotherapy is expected to achieve the goal of radical cure. The 10-year survival rate can reach 90%. After active and standardized treatment, the 5-year survival rate of advanced patients can reach 60%. If left untreated, the vast majority will die of prostate cancer within 10 years. Therefore, early detection, early diagnosis, and early treatment are necessary!
3. How to find prostate cancer early?
Timely and regular screening is an effective method for early detection of prostate cancer.
Early screening items include: Serum PSA test (a blood sample); digital rectal examination.
These types of people should be screened in time:
- All men aged> 50 years;
- Age> 45 years old and a family history of prostate cancer;
- Age> 40 years old and basic PSA> 1ng/ml;
Early prostate cancer does not have any specific symptoms, mainly manifested as urination problems such as frequent urination and urgency.and so It is recommended that middle-aged and elderly men with urinary discomfort should go to the urology department of the hospital for prostate cancer screening.
- How to stay away from prostate cancer?
At present, the cause of prostate cancer is not clear. However, according to the results of epidemiological investigations, its incidence is mostly related to the family history of cancer. Male immediate relatives have prostate cancer, or female immediate relatives have breast cancer , The risk of owning prostate cancer is significantly higher than that of ordinary people.Another factor is lifestyle habits, such as Long-term smoking, greasy diet (high animal fat, fried food), excessive calcium supplementation Wait.
So if you want to stay away from prostate cancer, you must first Quit smoking quickly!The diet should also be lighter , Eat more tomatoes, broccoli, beans, fish, etc. In addition, don’t sit still all day, just take two steps, Exercise more, exercise more , Control your weight.
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