Patient's question:
I am 43 years old this year, and have had constipation for over ten years. Last year, I started experiencing premature ejaculation and rapid ejaculation. A few days ago, I had a thorough medical examination at the hospital, and the results showed a prostate size of 4.32.52.6, indicating prostatic hyperplasia. Additionally, I have frequent urination and urgency, often accompanied by a stinging sensation. I want to know what I should do.Doctor's answer:
1. Frequent urination: This is the initial symptom that reappears in patients with benign prostatic hyperplasia. In the early stages, it is caused by congestion and irritation of the prostate, and it is more pronounced at night. As intestinal obstruction worsens and residual urine volume in the bladder increases, frequent urination also gradually intensifies. This is due to the bladder frequently being in a partially filled state, which increases its effective capacity.2. Urinary retention: When intestinal obstruction reaches a certain severity, it becomes impossible to empty the entire volume of urine in the bladder during urination, leading to residual urine. The larger the residual urine volume, the more severe the intestinal obstruction. Excessive residual urine can cause the bladder to lose its contractile ability, gradually resulting in urinary retention. It may also lead to incontinence, known as overflow incontinence, where a small amount of urine leaks from the urethral opening due to excessive bladder distension.