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Prostate adenoma

Adenim prostate, named and a benign hyperplasia prostate (DGPZ), is an extremely common disease in men older than 40 years.In addition to this disease, benign glandular prostate tissue, which can lead to the compression of urethra, bladder blades of bladder and as a result, unpleasant sensation during urination.Adenoma prostate can cause serious bladder and kidney problems.

Healthy prostate and aden

This article talks about the causes and symptoms of adenoma prostate, as well as modern methods of diagnosis and treatment of this disease.There are many efficient methods of treating benign prostate hyperplasia, including non-drug therapy and open surgical intervention, but also minimal invasive methods of surgical treatment.If the first symptoms of the disease occur, you must contact a doctor who will consider its symptoms, hyperplasia size, as well as the general state of your health and offer you the best treatment option.

Reasons

To date, it is not completely clear what reasons lead to the prostate increase.However, this can be a consequence of a change in the balance of sex hormones in the male body.Through their lives, men also produce testosterone, male hormone and a small amount of estrogen, female sex hormones.As the body of the old, the amount of active blood testosterone decreases, while the amount of estrogen remains approximately at the same level.Studies have shown that the higher faction of estrogen entry in a prostate in which the activity of substances that speed up the growth of the prostate cells can increase.

Adenoma prostate in a man

Another theory indicates the role of another male sex hormone - Digidrotestosteron - which is important for the development and growth of prostate in the younger age.Some studies have shown that even when the level of testosterone in the blood begins, in Prostat Gland is still a high level of Digdrotestosteron, which can push the prostate cells to continue to grow.

The prostative gland is located directly below the bladder.The urethra (or urethra), which removes the bladder urine, passes through the prostate center.This is due to such anatomical structure that increased prostate is able to block the flow of urine.

Risk factors to increase prostate may be:

  1. Age.In men under 40 years, the symptoms of prostate increase rarely notice.About 30% of men are experiencing moderate symptoms for 60 years, and about 50% - up to 80 years.
  2. The presence of DGPZ in relatives.If your relatives are blood, for example, they have a father or brother, they have problems with Gland prostate, then that means you can increase the risk of prostate hyperplasia.
  3. Other diseases such as diabetes, cardiovascular diseases and erectile dysfunction.Studies show that diabetes, erectile dysfunction, as well as heart disease and blood vessels, can increase the risk of DGPZ.
  4. Life.Obesity increases the risk of DGPZ, and physical exercises can reduce this risk.

However, the presence of any of the above factors is not the basis for the belief that you will definitely develop prostate adenoma.

Symptoms

The weight of the symptoms in different people with a prostate adenome is different.

General signs and symptoms of DGPZH include:

  • Frequent or urgent desires for urinating.
  • Increasing urination at night (nocturia).
  • Inability to completely empty.Bladder.
  • The presence of the remaining volume of urine in the bladder.
  • The weak stream of urine or periodic desert stops during urination.
  • The complexity of the beginning of urination.
  • Urine growth at the end of urination.
  • Frequent urinary tract infections.
  • Complete impossibility of urination (anuria).
  • The presence of blood in urine (hematuria).

It is worth knowing that the prostate size does not necessarily determine the severity of your symptoms.Some men with slightly expanded prostate can have serious symptoms, while other men even with extremely increased prostates can be insignificant.Almost all patients are characterized by a gradual deterioration of symptoms over time.It is extremely rarely to be symptoms to stabilize or even improve over time.

Diagnostics

In case of doubt of the DGPZ, your doctor sets for detailed questions about the presence of the symptoms of the disease and will provide physical examination.This initial phase may include:

  1. Research for identifying symptoms and risk factors of the disease.
  2. Rectal fingertip overview.To assess the size and shape of the prostate, the doctor will have to insert a finger in the rectum.This study is extremely informative, which allows you to extract the primary conclusion on the state of the prostate.
  3. Urine analysis.The analysis of the sample of your urine can help remove infections or other conditions that can cause similar symptoms.
  4. Blood test.The results of blood tests may indicate the availability of kidney problems.
  5. A blood test for prostate-specific antigen (PSA).The dog is a protein that produces only fabric prostate.When prostate is healthy, there is a very small dog in the blood.The test can be done in the laboratory, hospital or medical office.No special training is required.A quick increase in a dog level can be a sign that fast prostate fabric growth.DGPZH is one of the possible causes of a high level of a dog.The inflammation of prostate or prostatitis, another is the common cause of the high level of the dog.

After conducting the initial test and necessary tests, your doctor can recommend additional studies to confirm the presence of the DVGPH and turn off other conditions.These tests may include:

  1. Urodynamic examination.In this study, the patient was paid in a container attached to a special apparatus that measures the power and volume of the stream during urination.The test results help monitor the dynamics of disease development, determining whether your condition becomes better or worse.
  2. Test for the remaining urine scope.This test shows whether you can completely empty your bladder.The test can be performed using an ultrasonic study or introducing catheters into the bladder after you are helping to measure how much urine is in your bladder.
  3. Maintaining a 24-hour urination log.Registration of urination and quantity of urine can be especially useful if more than one third of your daily urination comes in particular.
  4. Transect ultrasound.At the same time, Uz-Zondo is introduced into the rectum for measuring the size and assess the state of the prostate.
  5. Bubble study (cystoscopy).In this study, a flexible catheter with a camera eventually inserted in the urethra, allowing the doctor to see the inner surface of the urethra and bladder.
  6. Prostate biopsy.It may need to take prostate tissue samples to exclude prostate cancer.

Treatment

There are many different options for treatment for prostate adenoma.You and your doctor you have to decide which treatment best suits you.Sometimes a combination of different procedures works best.Mild Cases of DHCH does not need treatment.

The main types of adenoma prostate treatment are:

  • Active disease observation.
  • Drug therapy.
  • Small invasive surgery.
  • Surgical interventions.
  • Active observation.

If your doctor prefers this option, then your disease will be carefully monitored without the use of any medications or surgical procedures.You will review at the same time each year.If your symptoms will worsen or new symptoms appear, your doctor can offer you an active treatment.Men with light symptoms can be good candidates for active observation.Men with moderate symptoms that don't mind are also good candidates.

The advantage of this approach is that there are no side effects, but it is likely that it will be harder to reduce the symptoms.

Medical therapy

Alpha blockers

Alpha blockers are medicines that relax the muscles of urethra, prostate and bladder.They improve the outflow of urine and reduce the symptoms of DHCH, until they affect the prostate size.Alfa blockers include alfuzosin, terazosin, dokarsosin and tamsulosin.

One of the advantages of the alpha blocker is that they start working immediately after receiving.Side effects may include dizziness, fatigue and ejaculation problems.

Men from moderate to severe DGPZ and men who are worried about their symptoms are good candidates for starting alpha blockers.

5-alpha reductase inhibitors

5-alpha reductase inhibitors are medicines that block the production of dihydrotestosterone, male hormones, which can accumulate in a prostate and cause its growth.These drugs lead to prostate size reduction and increase urine outflow.Such medications include fineride and dutasteride.

These drugs significantly reduce the risk of developing DHCH complications.They also reduce the likelihood that you will need surgery in the future.Side effects include erectile dysfunction and libid reduction (sexual drive).At the same time, you will need to constantly continue to take your tablets to prevent repeated appearance of the symptoms of the disease.

Combination therapy

In the combined therapy, alpha blockers and 5-alpha reductase inhibitors are used together.Possible combinations of drugs include finsteride and doxasosin or dutasteride and tamsulosine.Your urologist can also prescribe a combination of alpha blockers and drugs called Misarin receptor blockers if you have symptoms of bladder hyperactivity.With a hyperactive bladder, bladder muscles are uncontrolled and cause increasing urinary frequency, sudden desires for urgent urinary and urinary incontinence.Antimoscarin medications are medications that relax the bladder muscles.

The combined therapy significantly improves symptoms and prevents deterioration in the state of DHGPH.However, it is worth remembering that each medicine can cause side effects.Taking two medicines, you can have more side effects than if you took only one medicine.

Alternative ways of treatment

Self-help, the use of traditional medicine or treatment by various plants (plant medicine) is not recommended for medical workers.Many studies show that the use of such treatment is not effective, and in some cases it can bring irreparable damage.In addition, plants and biologically active food additives (dietary supplement) do not pass the same testing procedure as drugs.As a result, the quality and cleanliness of additives sold without prescription can vary.

Small -invasive surgical interventions

Minimum invasive interventions are carried out with minimal anesthesia and suggest a faster recovery.Often the process can be made right in a doctor or in the ambulance center.

The current relief of the symptoms of the disease is the greatest advantage of minimal invasive surgery.In many men, after performing minimally invasive intervention, urine outflow and control of the bladder function improves.If you have problems with urine, urinary tract obstruction, the presence of the remaining urine volume after discharge, or did not notice the effect of drugging, then the minimum intervention may be the next step in treating the disease.

However, it is worth knowing that any surgical interventions, including minimally invasive, have the risk of side effects, including:

  • Urinary tract infections.
  • Blood in urine.
  • Ignition during urination.
  • Need for more frequent bladder emptying.
  • Sudden urination.
  • Erectile dysfunction.

Minimum invasive surgery methods include:

  1. Employing the prostaters of the urethra (or PUL methodology) - with this procedure, a special device is used to install small implants in the prostate.These implants are placed above and hold an increased prostate in this position, while the pressure on the urine also reduces urine.In this case, the destruction or removal of the prostate tissue does not occur.Pul can also be made with local and general anesthesia.Most patients notice the improvement of symptoms within two weeks.In some cases, pain or ignition may occur when urinating, blood in urine or constant strong desire for urination.Usually these side effects take place within two to four weeks.Good candidates for performing the altitude of the prostatic urethra can be patients who have a history of other health problems or patients for which surgical intervention has high risk.
  2. Transuretral microwave thermotherapy (or tumt methods) - microwave ovens are used in this procedure for destroying tissue prostate.First, the doctor introduces a catheter through the urethra to the prostate, and then sends microwaves built into the catheter for heating selected prostate parts.The high temperature destroys excess fabricous fabricous prostate.This procedure does not usually need anesthesia, the risk of side effects is minimal.
  3. The method of treating the prostate of pathology using a convection ablation with water (RECUM therapy) - This procedure uses thermal energy to destroy the surplus prostate.In this case, sterile water within a special portable device heats up at the temperature just above the boiling point when converting pair.This hot money then causes rapid death of cells.Treatment can be performed in the doctor's office under local anesthesia.After the proceedings, you may have a blood supply to urine for a while, you will need to use a catheter for a few days.A painful or frequent powder after the proceedings should be passed after approximately 3 weeks.The effects of sexual side effects, such as erectile dysfunction, are unlikely.

Traditional surgical operations

Surgical interventions with the removal of the prostate tissue performed inefficient other methods of therapy, with extremely pronounced symptoms (for example, with complete impossible urination).They include:

  • Prostate Transtal Resection (TURP)

    TURP is one of the most common operations in DHC.During this operation, after performing anesthesia, the surgeon represents a special thin tool through the penis head in the urethra.Using this tool, the doctor removes excessive prostate tissue.After the procedure, it is usually necessary to use a catheter for 1-2 days.The effect of such treatment usually lasts 15 years or more.Like any other operation, the TURP has side effects and anesthesia used in intervention, is associated with a certain risk.The Side Effects of the TURP may include retrograde ejaculation, erectile dysfunction, urinary trial infection after surgery and urinary incontinence.A full recovery runs from 4 to 6 weeks.

  • Laser enused prostate

    With this intervention, the surgeon puts a thin tool through the penis in the urethra.Laser inserted into the tool destroys the surplus fabric prostate.At the same time, as with a transuretral prostate resection, no cuts must be made.Recovery After a laser enucleation is very fast, but after that, you can have a number of blood in urine and frequency or painful urination.This procedure is also needed by anesthesia that is associated with certain risks.

  • Prostate removal operations

    Currently, prostate removal operations during DGPZ in men are extremely rare with the inefficient of all other therapy methods.Such operations are associated with significant risks and side effects, including urination, violations of erectile functions and serious complications during the operation itself.

Complications

The absence of timely medical care in the DGPG can lead to the development of serious complications, which include:

  • Sudden and complete impossibility of urination (deferred urine, anuria).In this condition, you may need to enter the catheter in the bubble to ensure the outflow of urine from a crowded bladder.In some cases, operation may also be necessary to reduce urine retention.
  • Urinary tract infections.Inability to completely empty bladder can increase the risk of infections in urinary roads.
  • Bladder stones.The stones in the bladder is formed and the inability to completely discharge bladder.Stones can cause the development of infections, bubble irritation, blood impurities in urine and further difficulties in urine outflow.
  • Damage to the bladder.With incomplete discharge, the bladder can stretch, which leads to the weakening of his muscle wall over time.As a result, the bladder becomes incapable of compressing properly, which becomes the cause of further difficulties in its coming.
  • Kidney damage.Urine delays can cause the pressure in the bladder pressure and the reverse of the kidney outflow, which can lead to direct damage or increase the risk of infectious diseases.Such complications are extremely serious and can stay for life.

In most men with increased prostate, these complications are developed extremely rarely, however, they must be borne in mind that many complications, including acute urinary restraints or kidney damage, can represent a serious threat to your health and life.If any symptoms of the disease occur, contact your doctor immediately.

Diet and prevention of prostate adenoma development

Unfortunately, there is no reliable way to prevent prostate adenoma development, but the prostate increase can lose weight loss and proper nutrition with a high content of fruits and vegetables in the diet.This may result in the fact that the excess amount of adipose tissue in the body can increase the level of hormones and other blood factors and encourage the growth of prostate.Constant physical activity also helps to control the weight and level of hormones, reducing the risk of developing the adenoma prostate.