What is BPH?
Adenoma of the prostate (benign prostatic hyperplasia, BPH) is one of the most common urological diseases male adulthood.
According to the latest statistics,age 40 years, 50% of men, there are changes in the prostate gland, associated with its increase (hyperplasia), and after 80 years, every man has a prostate adenoma.
The development of the disease is associated with impairedhormonal background of the organism, which are observed in almost all men after 40-45 years (the so-called male menopause or andropause). Currently, however, many of the key mechanisms of benign prostatic hyperplasia are not clear, which does not develop sufficiently effective measures for the prevention of this disease.
Progressive enlargement of the prostateIt leads to compression of the urethra that passes through it, and the disruption of the normal flow of urine from the bladder. Depending on the stage of the disease and the size of the prostate BPH can cause a slight decline of urine flow rate to the full development of a urethral unit and the inability to empty the bladder, which is an emergency condition requiring immediate medical attention.
Unfortunately, in our time, despite the emergence ofnew means of diagnosis and treatment of BPH, late stage prostate adenoma leading to the development of the typical complications of this disease are not uncommon. This is due mainly to the fact that most men do not give due importance to this disease, and regard the symptoms of prostate enlargement as a normal condition caused by the age and does not require any treatment.
At the same time, timely detection and treatment of prostate adenoma avoids the serious complications of the disease and significantly improve quality of life.
As suspected prostate adenoma?
For the first manifestation of prostate adenoma associated with an enlarged prostate and a violation of the outflow of urine, are the following:
- Weak urine stream
- Intermittent urine at end of urination
- Increased urination time
- The need to strain your abdominal muscles for a complete emptying of the bladder
- Frequent urge to urinate
- The inability to hold urine for a long time when a Urge
- The need to urinate at night
If you suspect a prostate adenoma shownof PSA (prostate specific antigen) blood, as well as carrying out TRUS (transrectal ultrasound) of the prostate. The latter technique allows not only to estimate the size of the prostate, but also to clarify its structure and to exclude other pathologies of the body.
The dangerous BPH?
The prostate gland, increasing in size andsqueezing the urethra, leading to disruption of urodynamics (excretion of urine from the kidneys through the ureters, bladder and urethra) at all levels of the urinary system. Violation of the normal passage of urine leads to its stagnation, which is one of the main factors of urolithiasis. Furthermore, stagnation of urine leads to inflammation of the urinary organs (chronic cystitis and pyelonephritis). Any degree of prostate enlargement can cause acute urinary retention - condition requiring urgent medical intervention aimed at restoring the flow of urine.
Currently, there are quite a number of surgical and medical methods for treatment of prostate adenoma. The main ones are:
Open prostatectomy (prostate removal)
TUR (transurethral resection) of the prostate - removal of the prostate, which narrows the urethra, using special instruments introduced through the urethra
Balloon dilatation of the prostatic hypertrophy (enlargement of the narrowed portion by inflating a balloon introduced into the urethra)
Installing prostatic stent in the area of narrowing
Transrectal prostate hyperthermia and other physiotherapy techniques
Drug therapy, including hormonal drugs that are inhibitors of prostatic enzyme blockers, fortifying agents.
All these methods have their advantagesand disadvantages. Therefore, the most effective treatment of BPH requires an individual approach to each patient to choose the most effective treatment strategies.