Male gland adenoma

Adenoma is a benign formation of the prostate gland. With timely diagnosis and treatment of prostate adenoma, patients can easily get rid of the tumor process. signs of prostate adenoma in men are often left unattended, and men turn to specialists with an advanced form of the disease. How is prostate adenoma diagnosed in men, what symptoms are drugs treated?

The nature of the origin of the disease

All causes of Prostate adenoma in men are not fully understood by medicine. The most common factor in the development of the tumor process is the aging of the body. With age, the male body begins to produce less testosterone, and this is known to be the main male hormone, while the concentration of estradiols increases, which contribute to the growth and reproduction of prostate cells.

Prostate adenoma additional causes:

• unhealthy diet;
• obesity (increased production of estrogen);
• hypertension;
• heredity.

The causes of prostate adenoma may be associated with untimely cured prostatitis, but this factor does not yet have precise evidence.

What symptoms indicate the development of adenoma

Symptoms of prostatitis and adenoma are similar:

• feeling of incomplete emptying of urea;
• low head with fluid outflow;
• with each urination, the man must strain;
• the occurrence of a drip of urine at the end of the outflow process;
• at the beginning of the emptying process, the outflow is delayed;
• frequent toilet use;
• false urge to empty.

The onset of symptoms is manifested due to the impaired functionality of the detrusor (the muscle that provides urine output). If the detrusor functions normally, then its contracting actions are always observed when the urea neck opens. The presence of an adenoma leads to detrusor instability. signs of prostate adenoma are due to the stage of the disease.

Differences between prostate inflammation and adenoma

Are there any differences between prostatitis and prostate adenoma? Of course, there are: in the causes of occurrence, methods of treatment, the age category of patients who can get sick.

First, you need to decide that adenoma of the prostate gland is tissue growth, and prostatitis is called an inflammation of the organ.

The appearance of adenoma is observed in the male population after 45 years, the younger generation rarely encounters such a pathology. The disease occurs against the background of male menopause. The presence of prostate adenoma in men is recognized by the formation and growth of nodular formations that mechanically disturb urination. Adenoma can be treated conservatively or surgically.

With prostatitis, a different picture emerges. The disease can occur in men aged 23-45 years, disease provocateurs: pathogenic microflora, weak immunity, promiscuous sexual activity, physical inactivity. The characteristic differences of prostatitis are that the gland becomes inflamed. Antibiotics, analgesics, anti-inflammatory and antimicrobial drugs are used to treat the inflammatory process.

Why adenoma is dangerous

The first signs of prostate adenoma should not be ignored, otherwise the disease may become more complicated or even fatal.

Possible complications in the form of:

Acute urine retention. A man gets this complication when the adenoma is in the second or third stage of formation. In this case, the urethra is squeezed, which are hypertrophied by the prostate. The provocateurs are: stress, freezing, respiratory diseases, addiction to alcohol, sedentary work, physical overload, frequent postponement of going to the toilet when filling urea.

The main symptoms of acute delays are:

The result of signs is liver failure, hydronephrosis, coma. To alleviate the patient's condition, catheterization is performed.

At the first manifestations of pathological phenomena, a diagnosis by the attending specialist is required.

How adenoma is diagnosed

Based on the patient's complaints and signs of the pathological process, anamnesis is taken.

The following events are held:

• rectal examination (finger probing of an organ);
• ultrasound examination of the state of the kidneys, prostate;
• transrectal study of the prostate (establishing the exact size of the organ and its structure);
• uroflow measurements;
• residual liquid is determined;
• cystomanometric testing;
• cystographic examination;
• mri, ct;
• general urine and plasma analyzes;
• PSA (determination of prostate-specific antigen).

As you can see, there are significant differences between prostatitis and prostate adenoma.The fact is that hyperplasia can degenerate into a malignant formation, therefore, more diagnostic data is required to clarify the diagnosis.

What methods are used to treat hyperplasia

After a man is examined, he is prescribed effective drug therapy. Of course, no medicine will cure the adenoma, but it can slow down the growth of the neoplasm.

Alpha-blockers - aimed at expanding the channel for the outflow of urine, which occurs after the relaxation of smooth muscles in the urethra. The action of medications contributes to an improved outflow of fluid, a decrease in urethral resistance. For the treatment of a male disease, long-term therapy is prescribed, after a month's course of using alpha-blockers, some improvements are noticed, the desired effect is achieved after a six-month intake. These drugs include Alfuzosin, Prozazin, Terazosin.

Inhibitors - help to reduce the size of the glandular organ, slow down the growth process. This can be achieved with the use of drugs such as Duasteride, Finasteride. This group of drugs can only be prescribed by the attending physician, since these drugs convert testosterone to dihydrotestosterone, which means they have a hormonal effect. The therapy scheme is designed for six months.

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With surgical treatment of hyperplasia, it is possible to eliminate urgent complications.

What are the symptoms that determine the use of surgery?

• Delayed emptying after using a catheter.
• Patients with renal failure, which has arisen as a complication of adenoma.
• Patients with urolithiasis in the urinary tract.
• Men with signs of massive hematuria.
• For large diverticula in the urinary tract.
• Large size of the prostate lobe (medium).
• For men who, after the outflow of urine, have a lot of fluid in the organ.

The first actions of specialists before surgery are to study the collected anamnesis, including the results of analyzes of both the organ and the whole patient's body.

What are the surgical methods of treatment

Surgical treatment of BPH is performed in several ways.

Prostatectomy (open surgery)

Cavity surgery, performed under general anesthesia. The technique is recommended for patients whose organ weighs more than 65 grams. During the operation, the male organ is removed, a fistula is formed to the wall of the peritoneum, to drain the fluid into a special receiver.

Transurethral Resection

During an operation, a neoplasm is removed using an endoscope inserted into the urethral cavity. At the same time, the patient does not have blood loss, the adjacent tissues remain not traumatized. The operation is allowed to be performed even by patients with existing other pathologies. After transurethral intervention, some complications are possible in the form of retrograde ejaculation, urine leakage, sclerosis of the urethral walls.

Transurethral intervention with electro vaporization

The technique is carried out for patients with small and medium-sized adenomas. An electrode is inserted through the urethra, which burns out the hypertrophied tissue. During the session, the zones are dried and the vessels coagulated. During vaporization, the risk of bleeding is eliminated.

Electro-incision of the prostate

A surgical solution aimed at eliminating a small intravesical adenoma.

Laser technique

It is possible to carry out a contact and non-contact method. With transurethral vaporization with a laser, the tumor fluid is evaporated; after the death of the neoplasm, the size of the gland becomes smaller. With fiber optic laser coagulation, the correct direction is set. Interstitial laser coagulation is also performed.

Transurethral thermal intervention with microwaves

The technique is prescribed for the elimination of small neoplasms using a high temperature supply, which is destructive to cells.

Thermal transurethral radiofrequency technique

Carrying out calcification with sclerotic tissue changes using electromagnetic energy, transmitting high temperature.

Cryodestruction

Elimination of adenoma using the freezing technique. In this case, tissue destruction occurs with nitrogen (liquid).

Dilation (balloon)

This method is used to expand the channel for urine output using a cystoscope. With the help of such treatment, disturbing symptoms are removed, but the formation itself does not decrease or disappear.

Stenting

Drainage of urea with an implantable urethral stent. The technique is used to relieve symptoms of obstruction.

Other methods of adenoma elimination

Adenoma can be treated with phytopreparations; for this, a remedy such as Permikson, Prostomol Uno is suitable.These natural remedies are considered alpha reductase inhibitors. The action of the drugs is aimed at relieving inflammation, reducing the glandular organ, and relieving the symptoms manifested. This group of medicines has been used for several years.

Phytotherapy is allowed for patients with adenoma at the first or second stage of its development.