Benign prostatic hyperplasia
Benign prostatic hyperplasia (adenoma) - a disease in which the prostate is formed in a small node (or nodes) that
grow and gradually compress the urethra. This disease is accompanied by voiding. BPH does not give metastases, so called benign, what, in fact, is its difference from prostate cancer.
According to statistics, every second man sick BPH after 50 years. Therefore, prostate adenoma is the most common urological diseases.
Causes of BPH
Significant causes of benign prostatic hyperplasia is unknown. Since the disease is more common in the elderly, it is believed that the adenoma is one of the symptoms of male menopause.
No association between BPH and sexual preferences, sexual activity, use of alcohol, smoking and previous diseases and venereal inflammatory nature was not revealed.
The symptoms of benign prostatic hyperplasia
The main symptom is dysuria. It is believed that hyperplasia begins when urination is no longer fun. This is a signal to the fact that the man time to turn to the urologist.
Hyperplasia contributes to the fact that urination eventually becomes less intense and happen more often. The stream of urine becomes weak, and the number of allocated urine at one time is reduced. The patient gets up several times at night to go to the toilet.
Also, the symptoms of prostatic hyperplasia are so strong urge to urinate, the patient can not postpone them for a minute. Unfortunately, most men tend to attribute such symptoms to aging, and rarely go to the doctor.
As the adenoma is becoming increasingly difficult to urinate. The stream of urine drops almost vertically, rather than a curve. To realize the full urination, a man begins to strain the muscles of the abdomen. Sometimes this leads to a strong man and tiredness during urination has to be interrupted to rest.
In the absence of timely treatment of benign prostatic hyperplasia in patients with complications occur. Thus, primarily affects the kidneys. In patients developing renal insufficiency, which manifests itself dry mouth, thirst, headache, irritability and weakness. The bladder is always full of urine, but the urine is very scanty. At the same time the phenomena of urinary incontinence, which occurs only in the first night, but then in the afternoon.
Complications of BPH
In the absence of treatment of benign prostatic hyperplasia complete the process ends by displacement of the urethra, which leads to acute urinary retention. It is accompanied by strong and sharp painful sensations in the lower abdomen.
It should be noted that the delay of urination may occur at the beginning of the disease as a result of hypothermia, long neoporozhneniya bladder, excessive alcohol intake, poor nutrition, etc.
Often when prostate adenoma can be observed hematuria - blood in the urine. Increased pressure in the bladder urine causes damage veins, which causes bleeding. Stones in the bladder may also be the consequence of BPH, as they are formed as a result of stagnation of urine.
Methods of diagnosis of benign prostatic hyperplasia
Urologist first interrogates the patient, after which it probes the prostate through the rectum.
To clarify the diagnosis of the patient is required to send to the following studies:
- General blood and urine tests;
- X-rays of the pelvis;
- uroflowmetry (estimate of the rate of urine flow).
In the case of acute urinary retention patient immediately put a catheter for urine output.
The treatment of benign prostatic hyperplasia
the stage and severity of the disease can be treated with medication non-operational or operational.
Medication can help only in the initial stages of the disease when the urethra of the patient has not yet completely squashed by, and the urine is completely out of the bladder. Today, there are many drugs that are not only greatly facilitate the progress of the disease, but also help to reduce the volume of the prostate. However, these medicines must be strictly prescribed by the doctor, and after passing the appropriate examination.
For non-operational methods of treatment of benign prostatic hyperplasia include hyperthermia, bladder catheterization, balloon dilatation and thermal therapy. Catheterization is used in those patients who for various reasons can not be operated. Other non-operational methods in our country is still not well understood, so do not enjoy widespread popularity.
To date, the most successful and popular treatment for benign prostatic hyperplasia is operational. If the disease does not run too, the kidneys are damaged, completely urine from the bladder, it is preferable to perform a transurethral resection of the prostate. The operation is to remove enlarged prostate through the urethra. This operational method is the least traumatic.
If the disease is in an advanced stage, there are signs of kidney failure, prostate adenoma reached large sizes, and the bladder is constantly full, it will be better to use, or retropubic prostatectomy chrespuzyrnoj. These two methods, despite the rather high trauma ensure complete cure adenomas.
If a patient with BPH wants to keep sexual activity, it is preferred transurethral incision of the prostate. This operation allows for a number of years to lead a healthy and full life. However, in most cases require a second operation.
Prevention of prostate adenoma
Unfortunately, the effective prevention of prostate adenoma does not exist. It is believed that some phytotherapeutic drugs reduce the risk of developing adenomas and increase potency. However, this information is not supported by any clinical trial.
In no case should not be for the prevention of prostate adenoma take those medicines that are used to treat it.
Alternatively, we can recommend the prevention of all men over age 50 be screened annually at the urologist.