接下来，北京大学人民医院泌尿外科的主任医师徐涛，就带大家拆解不同年龄段的"前列腺危机"， 破除误解、掌握科学呵护方法。 20+岁 那些被忽视的炎症真凶 前列腺炎不是"脏病" 在泌尿外科诊室里，每天都在上演着不同年龄层男性的"前列腺烦恼"：23岁的小张因为尿频、尿急 而坐立不安；45岁的李先生盯着体检报告上的"PSA轻度升高"而纠结要不要做进一步检查；72岁的王大 爷为每晚起夜五六次苦恼不已…… 在刚刚过去的男性健康日，专家提醒您这个只有栗子大小、男性特有的"生命腺"，像一位沉默 的"陪伴者"，从青年到老年，始终与男性健康紧密相连。从20岁的"炎症误解"，到40岁的"癌症筛查"， 再到70岁的"增生应对"，前列腺陪伴男性走过一生，也需要一生的关注。它不像心脏、肝脏那样"存在 感强"，却容易在忽视中出问题。 "网上说尿频、会阴部疼就是性病，我这两个月天天失眠，怕被人知道……"小张的话，道出了不少 年轻患者的顾虑。 小张是一名程序员，每天久坐8小时以上，偶尔加班还会憋尿、点重辣外卖，直到尿频加重到"刚坐 下就想上厕所"，才在朋友催促下就医，最终确诊为"慢性非细菌性前列腺炎"。 "把前列腺炎和'生活不检点'挂钩，是最 ...

Core Viewpoint - The article discusses the importance of prostate health across different age groups, emphasizing the need for awareness, early detection, and appropriate treatment methods for prostate-related issues in men. Group 1: Prostate Health in Young Men (20+) - Prostatitis is often misunderstood as a result of poor lifestyle choices rather than a sexually transmitted disease, with bad habits being the primary cause [2] - Prolonged sitting can compress the prostate, leading to poor blood circulation and inflammation; it is recommended to take breaks every hour [3] - Consumption of spicy foods and alcohol can cause blood vessel dilation in the pelvic area, exacerbating discomfort [4] - Stress and anxiety can lead to muscle spasms affecting the prostate, resulting in frequent urination despite low fluid intake [5] - Insufficient water intake and holding urine can lead to concentrated urine irritating the prostate; symptoms may include pain in the perineum and lower back [6] Group 2: Prostate Health in Middle-Aged Men (40+) - Prostate cancer is often referred to as a "silent killer" due to its asymptomatic early stages; regular PSA testing is crucial for early detection [7][9] - PSA tests and B-scan ultrasounds serve different purposes; PSA levels indicate internal prostate health, while B-scan assesses external changes [8] - Men with a family history of prostate cancer should start annual PSA testing and digital rectal exams at age 45, while others should begin at 50 [9] Group 3: Prostate Health in Older Men (70+) - Benign prostatic hyperplasia (BPH) is a common condition in older men, resulting from hormonal changes that cause prostate enlargement [10] - Mild symptoms can often be managed through lifestyle adjustments, such as reducing fluid intake before bed and avoiding diuretics [11] - Moderate symptoms may require medication like alpha-blockers to relax prostate muscles, while severe cases may necessitate minimally invasive surgical procedures [12]