What are the main reasons for an enlarged prostate?

An enlarged prostate may be related to age, chronic prostatitis, abnormal androgen metabolism, pelvic congestion, prostatic hyperplasia and other factors.

1. Age growth

As we age, prostate tissue gradually enlarges, which is a common physiological phenomenon. The prostate volume of middle-aged and elderly men may increase year by year, but there are individual differences in the growth rate. In most cases, there are no obvious symptoms. If it is accompanied by difficulty urinating or increased nocturia, the possibility of pathological hyperplasia should be considered.

2. Chronic prostatitis

Chronic prostatitis may cause repeated congestion and edema of prostate tissue, and long-term inflammatory stimulation can cause fibrous tissue hyperplasia. Patients are often accompanied by symptoms such as perineal distension and pain, frequent urination and urgency. Treatment requires the use of tamsulosin hydrochloride sustained-release capsules, Qianlieshutong capsules and other drugs as directed by the doctor, combined with warm water sitz bath.

3. Abnormal androgen metabolism

Abnormal androgen levels in the body may stimulate excessive proliferation of prostate cells. Such patients may have elevated serum prostate-specific antigen levels and need to use finasteride tablets and other drugs to regulate hormone metabolism and regularly review prostate ultrasound.

4. Pelvic congestion

Long-term sitting, cycling or irregular sexual life may cause obstruction of pelvic venous return, leading to continued congestion and swelling of the prostate. In daily life, long-term compression of the perineum should be avoided, and proper levator exercises should be performed to improve circulation. If necessary, follow the doctor's advice and take Longshushu Capsules to relieve symptoms.

5. Prostatic hyperplasia

Prostatic hyperplasia is a pathological enlargement and is related to an imbalance in the proportion of glands and stromal cells. Typical symptoms include progressive dysuria and thinning of the urine line, which can be controlled by drugs such as doxazosin mesylate tablets. If combined with urinary retention or renal impairment, transurethral resection of the prostate may be required.

Patients with urinary abnormalities should limit their intake of alcohol and spicy food and avoid holding urine for long periods of time while sitting. It is recommended that prostate ultrasound be performed annually, and men over 50 years old can be tested for prostate-specific antigen regularly. When symptoms such as obvious thinning of the urine stream and frequent nocturia occur, you need to see a urology department in time to determine the cause and then provide targeted treatment.