Benign prostatic hyperplasia (BPH)
Prostate adenoma (benign prostate enlargement, BPH) — it is benign prostatic hyperplasia. Benign prostatic hyperplasia (BPH) is one of the most common urologic diseases of men of mature age.
According to recent statistics, at the age of 40 years in 50% of the men there are changes in the prostate gland associated with an increase (hyperplasia) and, after 80 years, every man has prostate adenoma (BPH).
Prostate in normal and inflammation.
The development of this disease of the prostate (prostate adenoma, BPH) is associated with hormonal disorders of the body, which are observed in virtually all men after 40-45 years (the so-called male menopause or andropause). Currently, however, many of the key mechanisms of prostate adenoma (BPH) remains unclear, which is not possible to develop enough effective measures for prevention of this disease.
The gradual enlargement of the prostate for adenoma (BPH) leads to compression of the urethra that passes through it, and impairment of the normal outflow of urine from the bladder. Depending on the stage of disease and size of the prostate prostate adenoma (BPH) can cause a slight decline from the rate of urine flow before the development of a complete block of the urethral and the inability to empty the bladder, which is an emergency condition requiring immediate medical attention.
For the first manifestation of prostatic adenoma (BPH) associated with enlarged prostate and a impairment of urinary flow include the following:
- sluggish stream of urine
- intermittent flow of urine at the end of urination
- increase in the time of urination
- need to strain your abdominal muscles for complete emptying of the bladder
Such symptoms of enlarged prostate grows slowly and often goes unnoticed. However, as the prostate muscle tension in the bladder and abdominal muscles become insufficient to overcome the block caused by prostate adenoma (BPH) - in the bladder begins to accumulate residual urine.
If the residual urine a lot, there is a feeling of incomplete bladder emptying, and there are other symptoms of prostate adenoma (BPH), due to functional impairment and a decrease in free volume in the bladder:
- frequent urge to urinate
- inability to hold urine for a long time when a urge
- the need to urinate at night
In the later stages of prostate adenoma (BPH) of urine occurs, drop by drop on the background of a crowded bladder, lost the urge to urinate.
For suspected prostate adenoma (BPH) shows the definition of PSA (prostate specific antigen) blood, as well as holding TRUS (transrectal ultrasound) of the prostate. The latter technique allows us not only to estimate the size of the prostate, but also to clarify its structure and to exclude other pathologies of the body.
The prostate gland in prostate adenoma (BPH), increasing in size and squeezing the urethra, leading to a breach of urodynamics (excretion of urine from the kidneys through the ureters, bladder and urethra) at all levels of the urinary system. Disruption of the normal passage of urine led to its stagnation, which is one of the main factors of urolithiasis.
In addition, the stagnation of urine in prostate adenoma (BPH) leads to inflammation in the urinary organs (chronic cystitis and pyelonephritis).
Any degree of prostate enlargement in the prostate adenoma (BPH) may cause acute urinary retention - the state requiring urgent medical intervention to restore flow of urine.
Currently, there are quite a number of surgical and medical methods for treating prostate adenoma (BPH). The main methods of treatment of prostate adenoma (BPH) are:
- open adenomectomy (prostatectomy)
- TUR (transurethral resection) of the prostate gland - removal of the prostate, narrowing the urethra, using special instruments introduced through the urethra
- balloon dilatation of the prostate (enlargement restricted area by inflating the balloon, introduced into the urethra)
- Installation of prostatic stents in the constriction
- transrectal hyperthermia of the prostate gland and other physical treatments
- drug therapy, including hormonal preparations, inhibitors of prostatic enzyme blockers, bracing means.
All of the above methods of treatment of prostate adenoma (BPH) has both advantages and disadvantages. Therefore, for the most effective treatment of prostate adenoma (BPH) requires an individual approach to each patient to choose the most effective treatment strategy.
If you have any questions about the diagnosis or treatment of prostate adenoma (BPH), you can specify them with our urologist or a nephrologist on the phone: (499) 130-08-09
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