Is surgery needed for overactive bladder developed after medication therapy for BPH 20251029 скачать в хорошем качестве

Is surgery needed for overactive bladder developed after medication therapy for BPH 20251029

People with enlarged prostates who have difficulty urinating may experience uncontrollable urination after taking medication. Does this mean that prostate medication has failed and they should undergo surgery? In the early stages, the enlarged prostate pushes against the bladder neck, irritating the nerves. This tightens the sympathetic nerves, sending signals that lock the internal sphincter, similar to a stranglehold. This is why urinary difficulty requires a long wait. Fifty years ago, alpha-blockers, used to lower blood pressure, unexpectedly allowed men with urinary difficulty to urinate immediately without waiting. The alpha-blockers loosen the internal sphincter, preventing it from becoming blocked. Daily use of alpha-blockers can overcome urinary difficulty. However, men of the same age who do not have prostate problems or women who do not have prostates themselves may also experience frequent urination and uncontrollable urination. This is because the aging brain causes the sympathetic nervous system's ability to control the bladder's urination reflex system to decline. Therefore, prostate patients experiencing urinary incontinence have resolved their urinary difficulties through medication, representing a successful treatment, not a failure. Since urination is no longer a problem, there's no need to consider surgery. Those worried about urinary incontinence should be able to avoid problems by simply controlling their urination and not drinking excessive amounts of water when out and about.