Danger of BPH diagnosis treatment

A tumor with the formation of a glandular epithelium or prostate from the stroma is often diagnosed in men over the age of 50, when there is an increase in the parauretal glands. This is a fairly common disease - prostate adenoma and what is dangerous, it is worth finding out. Despite the benign course, complications and consequences can be quite serious.

Causes of adenoma

Hyperplasia or proliferation of glandular tissues of the prostate gland is observed more often in men due to hormonal imbalance, the prevailing concentration of female sex hormones

A provoking factor in the development of adenoma can be:

• alcohol abuse;
• tobacco smoking;
• a sedentary lifestyle;
• overweight;
• specific work in hazardous conditions;
• hypothermia;
• commitment to extreme sports;
• lack of regular intercourse, frequent change of partner;
• inflammatory course in the genitourinary system;
• atherosclerosis, blockage of blood vessels by atherosclerotic plaques;
• hereditary predisposition;
• cardiovascular diseases.

Signs

The prostate, as the pathological glandular tissue grows, begins to swell significantly, increase in size.

As a result, the urethra narrows, resulting in:

• weakening the urine stream;
• urinary retention;
• feeling of incomplete emptying of the bladder after using the toilet;
• soreness when passing urine with a sour foul odor;
• the appearance of congestion in the pelvic area;
• decrease in sex drive, development of potency;
• the appearance of an uncontrolled, sudden urge to urinate.

Symptoms begin to appear on the rise. At the initial stage, inconspicuous and men are in no hurry to contact specialists. Signs are directly related to the location of the prostate gland and coverage from all sides of the urethra. A healthy prostate is no more than a chestnut or walnut in size. With an adenoma, it greatly increases in size, begins to squeeze the ureter.

So unpleasant symptoms similar to prostatitis during an exacerbation gradually begin to appear:

• inability to empty the bladder completely;
• delay in urine flow leading to frequent urge to use the toilet even at night;
• back pain, above the pubis;
• burning, cramps when urinating.

This clearly disrupts sleep, distracts from the usual rhythm of life, worsens overall well-being.

Adenoma of the prostate has a 3-stage course. Almost invisible at an early stage. Only after 8-10 years can it pass into the secondary stage of compensation with the appearance of minor deviations. Further - in the stage of subcompensation with the manifestation of more obvious violations, problems with urination. If there is no treatment, then the adenoma will go into the stage of decompensation with involvement in kidney pathology.

If at first there is a sluggish flow of urine from urine and frequent urination, then gradually the stream will become intermittent. Patients have to push to squeeze excess contents out of the bladder. So the remains of urine gradually accumulate, causing the development of the inflammatory process. Outflow from the kidneys is disturbed, urine begins to flow with a delay. Further, the process leads to a weakening of the sphincter and tone of the bladder, disorder of urine emission in general.

Gradually destructive signs of the disease appear:

• delayed passing urine, drop by drop;
• decrease in jet velocity during urine flow;
• false urge to urinate;
• development of daytime pollakiuria with increased urination during the daytime or nocturnal pollakiuria with manifestation of nocturia and going to the toilet up to 3-5 times a night.

As a result, the contractile ability and excitability of the detrusor (muscle) in the bladder, recognized to expel urine, begins to weaken. Disturbed blood circulation in the cervical canal of the bladder. Localization of hyperplasmic nodes is observed on the prostate.

How is the diagnosis performed?

To cure prostate adenoma, the doctor at the first visit will start a diagnosis with:

• taking anamnesis taking into account the existing symptoms;
• palpation by rectal examination to determine the consistency of urine, the degree of pain.

Additionally carried out:

As a rule, diagnostics does not cause difficulties for specialists. Complaints of patients, blood tests are taken into account.

Treatment of adenoma

The most effective technique in surgery to eliminate prostate adenoma.If there are contraindications to the operation, then it is possible to carry out drug treatment, but effective only at the initial stage of the development of the disease, in the absence of stagnant, residual phenomena in the bladder:

• antibiotics in case of infection in the urinary tract;
• androgens;
• alpha blockers;
• 5-alpha reductase inhibitors for symptomatic action, relaxation of smooth muscles, relief of urine flow;
• drugs to reduce the production of dihydrotestosterone, a hormone that stimulates the growth of prostate tissue.

Attention! Adenoma of the prostate requires an integrated approach to treatment. Only modern drugs in a complex will effectively affect the tumor-like body. The development of a treatment program, dosages of drugs are exclusively handled by the attending specialist

Hormone therapy is effective for facilitating the urinary process, eliminating problems in men in the sexual sphere. Additionally, herbal remedies of herbal origin can be prescribed to block the growing glandular tissue of the prostate, improve overall well-being.

If the adenoma is detected at stages 2-3, it is observed:

• acute urinary retention;
• failure of the catheter to drain urine;
• severe infection of the prostate;
• renal failure;
• many bladder residues;
• signs of hematuria, it is impossible to do without surgery.

The main methods for removing adenoma:

• transurethral resection for excision of individual sections of the gland tissue at the site of passage of the urethra;
• adenomectomy with a minimum number of contraindications for adenoma mass over 40 g, residual urine levels over 10000 mg / l;
• TUR-valorization of an organ as a gentle technique that does not lead to blood loss in case of adenoma over 60 g;
• laser ablation for severe destruction of the prostate gland, but with preservation of sexual functions;
• coagulation, cauterization of adenoma tissue, removal of pathological soft tissue by evaporation.

The type of operation will directly depend on the condition and age of men, existing complaints and symptoms, the size of the adenoma, the amount of residual symptoms in the urine.

Today, many doctors prefer to carry out minimally invasive techniques through the urethra without incisions and with a quick recovery afterwards.

The main advantages of laser treatment:

• the ideal treatment approach for men on anticoagulants;
• no need for blood transfusion;
• control for unexpected bleeding;
• reducing the load on the heart and blood vessels;
• avoiding future retrograde ejaculation;
• no negative impact on the functions of the bladder and the reproductive system.

The operation does not lead to side effects, severe discomfort, and the need for catheterization in men in the postoperative period.

What is the danger of adenoma?

The disease often leads to complications even after surgery. After all, why is prostate adenoma dangerous? Development of a secondary inflammatory process in the bladder, renal pelvis, renal parenchyma.

In particular, the following consequences are not uncommon:

• pyelonephritis;
• cystitis;
• stone formation in the form of deposits against the background of constancy with incomplete emptying of the bladder;
• hematuria with an increased number of red blood cells in the urine, red discharge;
• cancerous neoplasm with the development of a tumor-like body.

With prostate adenoma, the consequences are dangerous when men begin to experience acute urinary retention and urinary problems that do not go away even after surgery. The outflow of urine cannot be normalized in any way, urination is impaired, urge to use the toilet becomes false, and the quality of life deteriorates significantly. All this leads to psychological, sexual problems in men.

As the adenoma progresses, development is possible:

• urolithiasis;
• hydronephrosis;
• kidney failure.

The prognosis after removal of the adenoma will directly depend on the stage of development, the degree of tumor progression, and the timeliness of the operation. The rehabilitation period is often painful, lengthy, ambiguous.

HELP! It is prostatitis as an inflammatory process in the prostate gland at an advanced stage that can provoke a prostate adenoma with a benign enlargement of the organ in size. Several growing nodules are formed, gradually squeezing the ureter and urethra.It begins infectious in the inflammatory course in the urinary tract, the tone of the sphincter muscles decreases against the background of residual phenomena in the urine

All this leads to a progressive course of the disease, congestion in the pelvic area, kidney infection, and the development of pyelonephritis. At the 3rd stage of adenoma, patients have severe back pain, chills, fever. If left untreated, the pathology can lead to chronic renal failure, a disorder of water-salt metabolism and acid-base balance. The accession of a secondary infection provokes the formation of urolithiasis, severe pain in the perineum with a return to the glans penis during urination.

It can provoke, strengthen the course of the pathological process:

• alcohol abuse (even beer);
• stress;
• overwork.

Even after surgery, urination recovers for a long time. Only a timely visit to doctors, treatment of prostate adenoma at the initial stage will help prevent serious consequences, bleeding, urinary incontinence, infection of the genitourinary system after the operation.

The most dangerous complication is the transformation of a benign adenoma into cancer, a malignant tumor of the prostate gland.

A favorable prognosis is guaranteed to patients only if prostate adenoma is detected at an early stage, during the initial diagnosis. In advanced cases, renal failure, malignancy of the adenoma, malignancy of the prostate gland, and the development of fatal oncology cannot be avoided.