The life of male compatriots has many intersections with urology, and different ages have different focus.
First of all, let’s briefly introduce the urinary system to you. From the name, we can guess that the urinary system is mainly a system responsible for the generation, transportation, storage and excretion of urine. It mainly involves organs such as kidneys, ureters, prostate, urethra, etc. In addition, the male reproductive system, namely the prostate, testicles, epididymis, vas deferens, penis and other organs also belong to the scope of urology. The above organ problems should be found in urology, including tumors, stones, deformities, trauma, infection, andrology, , urinary control and transplantation.
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childhood
cried and brought happiness and hope to the whole family. While new parents are happy, they should also care about whether the boys have congenital diseases.
1. Suburethral cleft. What is the situation? After birth, some children are not at the forefront, but in the middle, root and even on the scrotum. Some children are still bent. At this time, it should be highly suspected that the urethra is cracked.
2.Cryptodidalis. Under normal circumstances, the testicles descend into the scrotum in the later stages of the fetus development in the uterus. However, some boys' testicles are reluctant or unable to descend to the scrotum, which is cryptorchidism.
3. The foreskin is too long . Phimosis and overly long foreskin means that the foreskin completely covers the penis head and urethral opening, which can be easily turned up and completely exposed the penis head. If the penis head can be completely exposed after erection, it means that the pseudo-foreskin is too long. Phimosis refers to the long foreskin and the mouth of the foreskin is too small, and the penis is erect or the foreskin is turned down with your hands, and the glans and urethra cannot be exposed. As shown in the figure below -
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4. Hidden penis. normal small penis is buried in subcutaneous or subcutaneous fat . Therefore, from the appearance, the penis is very short, but its actual length is not short compared to that of the same age, which can be seen at all stages of early childhood to puberty.
5.Hydrite effusion . shows a lump in the groin or scrotum on one or both sides (i.e. a pack will bulge in the groin, or the scrotum will become larger).
6. Congenital ureteral malformation of renal pelvic ureter. clinical manifestations include abdominal mass, pain, hematuria , hydronephrosis , infection, frequent urination , urgency, hypertension , renal destruction, uremia .
7. Inguinal hernia. The typical manifestation of hernia is that when the child is active or crying, there is a lump in the groin at the junction of the lower abdomen and the root of the thigh, and some lumps can even enter the scrotum (as shown below). The lump is more prominent when exerting force or holding his breath, and it can disappear on its own after lying flat.
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middle-aged and young
middle-aged and young male compatriots have complete physical development in all aspects and are in a prosperous period.
Common problems during this period include urinary tract stones, renal tumors, , renal cysts, , urinary tract infection .
Reproductive system related issues, such as erectile dysfunction, ejaculation dysfunction, male infertility , varicocele, abnormal penis erection, prostatitis , testicular epididymitis.
Urinary system damage and acute diseases, such as urethral injury , penis injury, kidney injury, urethral foreign body, testicular torsion.
Pay special attention to testicular torsion is the most common cause of loss of testicles in men during adolescence.
Due to abnormal rotation of the testicles, the sperm cords connected to it also rotate abnormally, causing testicular ischemia, which is common in the left testicles. In the "egg pain" experience during adolescence, 50% to 60% are caused by testicular torsion.
elderly
elderly metabolism slows down and physiological functions decline. Common urinary system problems at this time include urination problems, such as prostate hyperplasia and neurogenic cystitis.
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In addition, it is a urinary tract tumor, such as prostate cancer , renal cancer , bladder cancer , testicular tumor , penis cancer , etc.
The incidence of prostate cancer ranks first among male genital tumors, and is one of the main diseases that threaten the health of middle-aged and elderly men in my country.
recommends that male compatriots who are older than 50 years old and have lower urinary tract symptoms undergo regular prostate cancer screening. Those with family history can go to 45 years old in advance.
Author丨Guangxi Zhuang Autonomous Region People's Hospital Jiang Lijuan
Editing丨Zhang Wanbo
Proofreading丨Zheng Ke
Second review丨Zhang Yue
Final review丨Liu Huiying Zhang Ruxian
final review丨Liu Huiying
