Some Common Misunderstandings about Urination, Bladder, Prostate, Kidneys, and their Relationships?
My lifelong professional observation confirmed:
1. The size of prostate is not linearly proportional to the degree of LUTS. In other words, a large prostate does not mean always having trouble to void and a small prostate does not mean always being free of voiding trouble, although a larger prostate is more prone to have problematic urination. 2. Good or bad kidneys have nothing to do with being good or bad in bladder and urination since kidneys are meant for managing water, electrolytes, blood pressure control, red blood cell production, vitamin D production, etc., and urinary bladder is merely for personal convenience in storing and emptying urine. 3. The degree of visual blockage of prostate urethra as seen in scope examination is not necessary to reflect its potential effects onto the bladder wall as commonly shown with trabeculation, cellule, saccule, or diverticulum; these in turn reflect that we were not born equal. The degree of bladder wall irregularity from bladder outlet obstruction as visualized on cystourethrscopy (scope exam of urethra and bladder) reflects individual variation in the strength and structure of bladder wall in attesting that we are not born equal like the condition of developing inguinal hernia in some without any strenuous physical activity as opposed to some others who would never develop an inguinal hernia despite their lifelong hard physical activities.
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