Compared with women, men's health has not received much attention. Most men play the role of a pillar in the family, not saying anything about their hardships or being tired, especially when facing health, especially reproductive health, because they are "male" who are secretive,

Compared with women, men's health has not received much attention. Most men play the role of a pillar in the family, not saying anything about their hardships or being tired, especially when facing health, especially reproductive health, because they are "male" who are secretive, they will choose to bear it silently, and eventually they will have big problems.

Associate Chief Physician of the Department of Mens at the First Hospital of Lanzhou University, Chen Xiaoyong

Benliu News: Which age group is the main age group for prostate disease?

Chen Xiaoyong: The prostate is an important appendage gland for men, and the treatment of prostate diseases is also one of the most important tasks in the field of men's. Men may encounter prostate diseases at all ages throughout their lives. The incidence of prostatitis in middle-aged and young men is relatively high, and the incidence of prostate hyperplasia in elderly men is relatively high. As they age, the prostate will also "grow up". Statistics show that more than 50% of men over 60 will have hyperplasia symptoms, and as high as 83% at the age of 80.

Benliu News: The prostate is the "severely affected area" that affects men's health. What are the most common prostate lesions? What are the symptoms?

Chen Xiaoyong: The most common diseases of include prostatitis , prostate hyperplasia, prostate cancer and other diseases.

Prostatitis is a common disease in men. The patients are mainly young and middle-aged. It refers to prostate diseases caused by a variety of complex reasons, with symptoms of urethral irritation and chronic pelvic pain as the main clinical manifestations. Common symptoms include frequent urination , urgency, bifurcation, incomplete urination , and weakness of urination; swelling and discomfort in the lower abdomen, pain and discomfort in the penis or urethra, pain and discomfort in the groin or scrotum testicles, etc.

Prostatic hyperplasia is common in middle-aged and elderly men, and it may cause symptoms such as frequent urination, urgency, nocturnal urination, and poor urination. Prostate hyperplasia progresses slowly. Currently, most patients have good drug treatment effects. Some patients ultimately need to resolve dysuria and complications through surgical or minimally invasive treatment.

Prostate cancer is an epithelial malignant tumor that occurs in the prostate and is the most common malignant tumor in the male genital system. Prostate cancer is a very slow-moving cancer. In the early stages of the disease, many patients do not know that they are sick. Once the prostate cancer starts to grow rapidly or spread outside the prostate, the condition will worsen sharply.

Benliu News: Why is it said that the prostate is also afraid of cold?

Chen Xiaoyong: When the climate changes drastically in autumn and winter is the peak season for prostatitis, and low temperatures will aggravate the condition of prostatitis. Because at low temperatures, the excitability of the prostate sympathetic nerve will be significantly enhanced, causing the prostate gland to contract, gland ducts and blood vessels to dilate, causing chronic congestion, which will increase the pressure in the urethra, and in severe cases, it can also cause countercurrent.

It is recommended that men pay attention to keeping their lower body warm and not wear too tight pants, especially underwear, as it will affect perineal blood circulation.

Benliu News: In daily life, what bad behavioral habits may lead to prostate diseases?

Chen Xiaoyong: Bad lifestyle has a huge impact on prostate health and should be taken seriously. Among the pathogenic factors, the top five are: low water consumption, excessive smoking, frequent urine retention, appetite for spicy and irritating food, and sitting for a long time and moving less.

Benliu News: Why do patients with prostate diseases prone to mental anxiety?

Chen Xiaoyong : Prostate diseases, especially patients with refractory prostatitis, prostate hyperplasia and prostate cancer patients with prostate cancer who have been prolonged for too long are often accompanied by mental and neurological symptoms, such as insomnia, anxiety, depression, etc., which have a serious impact on the quality of life.

It should be emphasized that men also have menopause syndrome. Androgen disorders can cause men to experience a series of symptoms such as fatigue, obesity, hair loss, , baldness, decreased sexual interest, inattention and memory loss. Men during menopause should also pay attention to the mental health of menopause.

Benliu News: What are the types of prostate treatments?

Chen Xiaoyong: can generally carry out health education, psychological counseling, behavioral treatment, etc., which has positive effects on the treatment of prostatitis. You must also quit smoking and limit alcohol, avoid eating spicy and stimulating diets, avoid sitting for a long time and catch cold, strengthen physical exercise and regular sex life.

80% of patients with prostatitis have different psychological disorders, such as depression, anxiety, etc. For psychological abnormalities, we must first understand the patient's psychological state and provide psychological support and treatment.

Antibiotic , alpha receptor blockers, non-steroidal anti-inflammatory analgesics, 5α-reductase inhibitors, plant preparations, traditional Chinese medicine, etc. have different degrees of efficacy in relieving symptoms.

Benliu News: Taking a hot bath can relieve prostate diseases. Is this statement scientific basis?

Chen Xiaoyong: Take a hot bath to relieve muscle and prostate tension, promote uniform increase in the temperature in the prostate, dilate blood vessels, accelerate blood circulation, promote the excretion of local metabolites and toxins, and relieve discomfort symptoms. Taking a hot bath regularly is undoubtedly very beneficial to patients with prostatitis. It is recommended to have a hot bath at 45-50℃, 1-2 times a day, for 30 minutes each time, and you can also achieve good results.

Benliu News: How to prevent prostate diseases?

Chen Xiaoyong: 1. Drink more water. Drinking more water will cause more urination. High-concentration urine will cause some irritation to the prostate. Long-term adverse stimulation is harmful to the prostate. Drinking more water can not only dilute the blood, but also effectively dilute the concentration of urine.

2. Don’t hold your urine. Once the bladder is full and urged to urinate, you should urinate. Holding urine is not good for the bladder and prostate.

3. Relax more. Excessive stress in life may increase the chance of prostatitis, and you should try to remain relaxed as much as possible.

4. Regular sex life. The prevention of prostatitis should start from young and middle-aged people. Sexual life should be regular, and do not indulge in desire or abstinence. Regular sexual life can cause the adjuvant fluid and other adjuvant fluid to be discharged from the body regularly with the semen, which is of great benefit to the stability of the function of adjuvant glands such as prostate.

5. Keep it clean. Men's scrotum is highly stretchable and secretes a lot of sweat. In addition, poor ventilation in the vagina makes it easy to hide dirt and dirt. Local bacteria often take advantage of the situation. Persistence in cleaning the perineum is helpful for preventing prostatitis.

6. Avoid compressing the perineum and prostate. You should ride less bicycles, motorcycles, horses, and sit less for less. It is best not to ride a bicycle or motorcycle continuously for more than 45 minutes, and it is best not to sit for more than 2 hours in a row for a long time.

7. Regulate life. Try not to drink alcohol, eat less spicy and irritating foods such as chili peppers and ginger to avoid repeated congestion in the prostate and bladder and neck, and aggravate the feeling of local swelling and pain. Since constipation may aggravate the symptoms of prostate swelling, it is advisable to eat more vegetables and fruits to reduce the occurrence of constipation.

text丨Benliu News reporter Ouyang Haijie