Degree 2 dgpzh whether it is possible to avoid the operation

There is still no exact data in medicine for what reason this disease occurs. There is an assumption that prostate cancer appears in men with age. Statistics confirm that 20 and 30-year-old men have adenoma in a rare case. After 40 years - it becomes almost a rule, and by the age of 80 there is not a single healthy man left. Therefore, experts tend to think that natural aging and the extinction of sexual activity associated with a change in hormonal levels is, today, the main cause of the disease.

Who is at risk?

Men with hormonal changes, patients with hypertension, diabetes mellitus, obese men are more likely to get sick. The genetic factor also plays an important role.

The second stage of the hyperplastic process in the prostate is characterized by dysfunction of the muscles of the gland. This disorder results in Residual urine. Sometimes its volume exceeds 200 ml. Not excreted urine rises again through the urethra and through the ureters is thrown into the renal pelvis. This is how renal failure develops. This is what distinguishes the second degree dhpzh from the first degree dhpzh. residual urine in the bladder is detected by ultrasound.

A tumor occurs when the glandular tissue of the prostate grows. The gland increases in volume, begins to squeeze the urethra. This is where all the subsequent troubles come from.

Making a diagnosis

During a visit to the urologist, the patient should tell as much as possible about his complaints. As in the definition of bpd 1 degree, the doctor will examine the man in detail, palpate the prostate through the anus and rectum, then prescribe all the necessary tests: blood for PSA (antigen), total urine and blood, tests for bacteria, ultrasound (determines residual urine and the size of the gland), uroflowmetry (determination of the rate of urine output). The patient himself will be asked to make daily records - keep a record of all urges. This is necessary for the doctor to complete the picture of the course of the disease. After receiving all the information, the urologist can determine the grade of the benign tumor.

Dgpzh degree 2: what is it?

By itself, a second degree adenoma does not pose a threat to a sick man, but its complications are dangerous.

Symptoms of the disease

The patient complains of frequent urge to urinate, the complexity of this process, since it is not possible to empty the bladder the first time. After the first emptying, the urge is repeated after a short time, and again there is a trip to the toilet. Urinary incontinence may occur. Some men get dry mouth, others get nausea. This is due to the poisoning of the body due to stagnant urine, as a result of the resulting inflammation of the bladder. Urine is cloudy and may contain blood.

Renal failure gradually begins to develop. With prostate hyperplasia of the 2nd degree, complications are not excluded: inflammation of the urinary tract, urolithiasis, hematuria (blood in the urine). Acute urinary retention is a dangerous sign. The patient himself cannot cope with this ailment, since a catheter is required to remove fluid from the body. In this case, the patient is urgently hospitalized, urine is withdrawn, after which a decision is made on surgical intervention.

How is grade 2 BPH treated?

Treatment for grade 2 BPH overlaps with grade 1 BPH. The drugs prescribed by the urologist depend on the complications caused by the tumor. In the vast majority of cases, grade 2 adenoma is treated with a therapeutic method. The operation is performed only if the patient cannot be saved with medication. There are times when the tumor begins to grow quickly, and then they resort to surgery. The main task of specialists is to stop the effect of a tumor on a man's body in time. The complications it causes may be incompatible with the patient's life.

As in the treatment of first-degree adenoma, alpha-blockers are used. They relieve smooth muscle spasms and relieve symptoms. It becomes easier for a man to urinate. It also happens in the treatment of the first degree of adenoma. But in the second degree, such a medicine will only help if the size of the tumor is not too large and there is a lumen in the urethra.

Inhibitors are also prescribed. This group of drugs is aimed at stopping tumor growth. Such medications are taken for a long time, so they are prescribed if the patient's BPH allows. There are also a number of herbal preparations - Tykveol and Prostamol significantly alleviate the condition. Some urologists resort to hormonal drugs in the treatment of tumors. Treatment consists of adjusting the ratio between testosterone and estrogen. The correct dosage can inhibit the growth of the gland.

Treatment options

Minimally invasive methods of treatment: heating the tumor with microwaves or radio waves through the catheter, heating the tumor with hot water through the catheter, removing the tumor with a laser. A catheter or stent to drain urine from the bladder. It can be established by the patient himself. Stents are available as resorbable and permanent. Absorbable are used temporarily, as an aid during surgery, permanent ones are installed for life to drain urine.

Physiotherapy procedure: ultrasound therapy. The patient is injected into the rectum with a special solution and exposed to ultrasound.

It improves the process of urination, raises local immunity

Cryodestruction or rapid freezing of tissue with nitrogen. The most effective one is under the control of an endoscope. This procedure removes dead tissue from the prostate.

Transurethral resection. A difficult procedure when a urologist enters the prostate through the urethra and removes the tumor with a resectoscope. After the end of the operation, the patient is placed with a catheter to flush the bladder. This operation is dangerous due to the occurrence of profuse bleeding. This method is rarely used these days, only in cases where the tumor has reached a large size.

Laser treatment is used much more often

There are two types of treatment. Vaporization - a special apparatus exfoliates the tumor tissue through the urethra until it reaches the prostate. This is a gentle method, painless.

Enucleation - with this method, the laser detaches the tumor from the prostate and brings it out. Also through the urethra. Both methods do not give complications. After the operation, the patient spends several days in the hospital.

Invasive methods

Open method adenomectomy is already the last century of medicine. The operation is carried out under general anesthesia for a long time, but it has to be used if the tumor has reached a huge size! The operation is difficult for the surgeon. He has to act blindly. The main danger is damage to blood vessels.

Laparoscopy. In this case, several small incisions are made. A urologist, under the control of an endoscope, removes tumors from the prostate and places them in the bladder. The dead tissue is subsequently washed out from there.

After both methods of surgery, very good patient care is required

Rehabilitation takes at least two weeks. The patient is weakened by blood loss and painful urination in the postoperative period.

It must be remembered: dhpzh of the 2nd degree is not a sentence, but a disease, that it is quickly treated in modern conditions. Qualified specialists will select the most effective method. Every man is obliged to take care of his health himself - to come to the urologist's appointment on time. The rest is up to the doctors.