Patient's question:
I and a close friend have both been diagnosed with benign prostatic hyperplasia. Our dietary habits are quite similar, it seems. However, the symptoms of our conditions aren't exactly the same. I mainly have issues with urination, such as urgency. He sometimes experiences premature ejaculation, but I haven't.Doctor's answer:
The prostate is divided into two layers: the inner layer consists of the mucosa and submucosal glands surrounding the urethra; the outer layer is the prostate gland itself. The latter forms the main body of the prostate, with a fibrous membrane separating the two layers. Prostate hyperplasia primarily occurs in the inner layer, in the glandular stroma of the posterior urethra from the bladder neck to the verumontanum, now referred to as the transition zone. Under microscopic examination, this area is clearly visible. The glandular stroma contains mild fibrotic tissue, with a structure based on fibrotic connective tissue and smooth muscle. It also features reduced glandular cysts and fibrotic ductal epithelium, which appear papillary and weakly directed toward the cyst lumen, forming mixed nodules of stromal glandular tissue. Patients with prostate enlargement can learn about conventional treatment while understanding it.