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Volume of residual urine of the prostate

A dangerous harbinger of complex diseases

The body is immediately released from all waste substances. One way to get rid of unwanted waste products is urine. But if pathology occurs, after urination, Residual urine is found in the bladder. This is a dangerous sign, and it indicates that significant disturbances are occurring in the body.

The indicator of a healthy organism is the remainder of approximately 10 percent of the total amount of all urine. Once an upward deviation is found, medical investigations are carried out and are of great clinical importance when the diagnosis is made. Then comes the treatment.

Physiological processes occurring in pathologies

Urination occurs due to the work of the muscle layer, which is located in the bladder. It removes the collected fluid during contractions, and the sphincters of the urethra are responsible for holding urine as it accumulates, and then for the act of urination at the right time. If a significant failure occurs in any part of the urinary tract, this can disrupt the detrusor function, that is, the muscle layer of the bladder, which will not be able to contract sufficiently.

The amount of residual urine in an adult is considered normal - no more than 50 ml. But the maximum volume of residual urine can be more than 1 liter. The more the disease progresses, the more urine remains. The bladder is forced to stretch, which leads to pain and urinary incontinence.

• incomplete. In this case, urination occurs, but not completely;
• complete. This is a more severe case, since the patient, feeling the urge, cannot empty the bladder. Therefore, a catheter has to be used.

In men, first of all, pathology can be provoked by malignant processes of the urinary tract, then various types of inflammation, most often of an infectious nature, the formation of stones, prolonged stressful situations.

Diseases caused by the nervous system

Prolonged experiences cause the central nervous system to lose control over urination. And the actual bladder does not have deviations, but the muscles or the sphincter cannot orient themselves, and do not contract at the right time. These conditions can be closely associated with injuries when the spinal cord or brain is affected, the development of sclerosis, congenital abnormalities of the central nervous system, and other diseases. Negative effects come from various drugs, especially hormonal, diuretic, painkillers, antidepressants.

A bladder in a neurogenic state can provoke a situation where the muscles of the bladder have weakened to such an extent that they do not have enough strength to contract, and therefore there are no natural urges, although urine has already accumulated enough. But muscle weakness makes it impossible to completely remove the fluid. Pathology occurs if that department of the nervous system, which is designed to control the process of urination, has suffered. But since the pressure remains the same high, urine may end up in the ureter and in the kidneys.

Developing, the disease leads to the following consequences:

Frequent urination

• Uncontrolled urination. Since urges do not arise;
• the muscles of the pelvis are in a tense state during innervation;
• Urine causes fear due to painful sensations.

It is dangerous not to consult a doctor in this case, as dangerous kidney pathologies develop.

Therapy consists of multiple procedures, which include medicines, as well as physical and psychological measures.

You will need:

• a course of therapy aimed at increasing the tone of the sphincter, which regulates the functioning of the nervous system;
• A strict regimen and diet that will correct the drinking regime for urine levels;
• physiotherapy;
• healing exercises;
• stimulation of urination, which occurs by massaging certain areas of the back.

When the prostate gland is to blame

Hearing this diagnosis from a doctor, you should not panic, because with prostate cancer, as numerous studies have proven, the disease does not intersect in any way, and does not enter other organs through the blood, and does not affect tissues. But an adenoma can affect the amount of urine that remains in the bladder.

The following is happening. With age, in almost all men, the prostate, which resembles a chestnut in volume, increases.

The lucky ones don't notice the change, but some suffer from:

Toilet addiction

• frequent visits to the toilet, especially at night;
• burning during urination;
• tension in the first seconds of urination;
• weak jet with breaks;
• impossibility to restrain urges;
• feeling that the bladder is still full, and the desire to return to the toilet.

Such symptoms arise because the male urethra is located in the center of the prostate gland. Starting to increase, it presses on the urethra. As a result, difficulty urinating.

In a neglected state, the adenoma leads to complications. First of all, infectious conditions occur, such as cystitis or prostatitis, stones appear in the kidneys, and even kidney failure.

Prostate surgery

There is only one way out in this situation - the removal of that part of the tumor that occluded the urethra. Other methods, unfortunately, do not have a lasting effect. But the good news is that the developments of many scientists have led to the fact that there is a minimally invasive Surgical treatment, it is called transurethral resection of the prostate. A good result is brought by cryodestruction, a laser method of treatment. To remove residual urine, balloon dilatation of the urethra is used.

The rate of residual urine depends on such a dangerous disease as prostate cancer. The symptoms of adenoma and cancer are very similar, but in order for the diagnosis to be confirmed, a doctor's examination, a laboratory blood test for PSA levels and a biopsy are necessary. An oncological disease is reflected in the urine: bloody streaks or blood appear in it.

Purely male disease

Men of reproductive age can attack prostatitis, one of the most common diseases.

The biggest problem is impaired urination, which has specific properties:

Pain haunting

• soreness and cramps;
• too frequent;
• difficulty;
• after the process, there are pulling pains, an uncomfortable condition in the perineum.

Doctors place special emphasis on two causes of impaired urination when chronic prostatitis is identified.

Prostatitis significantly affects the functioning of the bladder, disrupting its usual rhythm. For example, an overactive bladder brings significant discomfort. In its cavity, with minimal filling, high pressure is constantly created. This causes a man to visit the toilet more often because of the uncontrollable urge. And if the muscles of the bladder contract involuntarily, an uncontrolled release of urine occurs.

In order to correctly diagnose for further successful treatment, one of the best ways is uroflowmetry. So you can most accurately establish the quantitative data of urination. But data such as residual urine in an inflamed bladder in men will be needed. It is determined using ultrasound through the anterior wall of the abdomen. This method is called transabdominal examination.

The reason is pathogenic flora

Inadequate excretion of urine from the body can occur due to various types of infection. Once inside, microorganisms provoke the development of puffiness or irritate the urethra, and therefore it begins to contract reflexively. You can find out about the occurrence of an infection by changing the color of urine, its too pungent odor and various secretions.

Significant disturbances can occur due to cystitis. If the disease is caused by an infection, it is necessary to direct efforts to eliminate the pathogen. The doctor draws up a treatment regimen, including antibiotics. After laboratory tests, when the type of microorganism is identified, an antibacterial drug that is intolerable to the parasite is prescribed.

There may be stones in the bladder due to many reasons, and their presence significantly irritates the walls. In this case, the contractile function changes its work, part of the urine begins to remain. Calculi in men form in the cavity of the bladder, in women, stones appear from the kidneys. There are many ways to treat. Doctors try to use conservative methods, but sometimes they resort to surgical ones.

There can be many reasons for the occurrence of residual urine. Starting from diseases of the urinary tract and ending with work in the chemical industry.

The main emphasis in treatment should be to eliminate the underlying disease, then the side effects will also disappear. But this deviation must also be given close attention, since it tends to progress, moving into a more severe stage.

Prostate adenoma (BPH)

Prostate adenoma (BPH) is a benign enlargement of the prostate due to hyperplasia of its cells, which occurs in some men after 50 years.

The cause of the disease has not been precisely established.Many scientists are of the opinion of the hormonal imbalance that occurs with age. A decrease in total testosterone in the blood causes the activation of the 5-alpha reductase enzyme. It is he who converts total testosterone in the prostate into dihydrotestosterone, which stimulates the hyperplasia of its cells.

With adenoma, all complaints of patients can be divided into 2 groups:

• frequent urination during the day (more than 8 times) and at night (more than 1 time);
• imperative (unstoppable) urges;
• Urinary incontinence due to urgency

2. Emptying symptoms:

• difficulty urinating;
• a thin stream of urine;
• feeling of incomplete emptying of the bladder;
• terminal dribbling (undermining after urination).

All these complaints are now called "lower urinary tract symptoms". Filling symptoms are due to the activation of alpha-adrenergic receptors in the bladder neck and hyperlased prostate tissue. Emptying symptoms due to mechanical constriction of the bladder neck by prostate tissue.

Diagnosis of prostate adenoma

Diagnosis of the disease is based on ultrasound of the prostate (a prostate volume of more than 30 ml indicates the presence of adenoma) with the obligatory determination of residual urine in the bladder after urination (the norm is 30 ml of residual urine) and digital rectal examination (the consistency of the prostate is assessed in order to exclude prostate cancer glands). A urinalysis is also usually prescribed to rule out a urinary infection. Blood from a vein to determine the prostate-specific antigen (total PSA) is also prescribed to rule out prostate cancer, one of the most common tumors in men. Total PSA is recommended to be taken by all men over 50 years old once every 2 years.

• Stage 1 - prostate volume more than 30 ml, residual urine is absent or does not exceed 100 ml.
• Stage 2 - prostate volume more than 30 ml, residual urine more than 100 ml.
• Stage 3 - paradoxical ischuria (urinary incontinence due to a very large amount of residual urine - 400-700 ml, when instillation occurs constantly)

• 1-7 points - no treatment required. Dispensary observation of a urologist.
• 8-19 points - conservative therapy (treatment with pills).
• 20-35 points - surgical treatment.

BPH treatment.

Where previously the majority of patients with BPH underwent surgery, now 80% of patients take pills daily.

At stage 1 of the disease and in the absence of active complaints, a dispensary observation by a urologist is recommended, which includes an annual examination of the patient (general urinalysis - morning average portion, ultrasound of the kidneys, bladder, prostate with the determination of residual urine, PSA total, total testosterone , SHBG) followed by an examination by a urologist. The following lifestyle is also recommended:

• Reducing fluid intake after 6pm
• avoiding or limiting diuretic coffee and alcohol
• use of double urination techniques
• try to increase the intervals between urination to increase the capacity of the bladder (do not run to the toilet at the first urge, with imperative urges, use exercises that divert attention from the bladder and toilet - exercises with deep breathing, contraction of the pelvic floor muscles for 10-30 seconds , rectum, training in biofeedback techniques (BFB) in specialized urological rooms)
• treatment of constipation
• active lifestyle and daily walking 30 minutes (on a treadmill at a speed of 6 km / h - 3 km)
• proper nutrition with a predominance of fruits, vegetables, protein foods, a raw food diet, limiting sweet, starchy foods, fatty foods
• consultation of an endocrinologist for obesity (obesity is considered if the waist circumference in men at the navel level is more than 94 cm, in women - more than 80 cm, regardless of height and age)

In stage 2 of the disease, different groups of drugs are used depending on the disturbing symptoms:

• alpha-blockers - for emptying symptoms in order to expand the bladder neck, reduce the amount of residual urine
• M-anticholinergics - with symptoms of fullness in order to urinate less often, reduce imperative urges
• 5-alpha reductase inhibitors - are prescribed for a large size of prostate adenoma (more than 40-50 ml). Scientific studies have shown that the volume of the prostate decreases by 25-30% after 6 months of taking this group of drugs
• Phosphodiesterase inhibitors are drugs prescribed for erectile dysfunction. According to recent data, their effect is comparable to alpha-blockers when used daily in minimal doses.Thus, they can safely be prescribed to a patient with a combination of erectile dysfunction and lower urinary tract symptoms

At the 3rd stage of the disease, as a rule, the upper urinary tract is already affected. Examination reveals enlargement of the calyces and pelvis in the kidneys, signs of chronic renal failure. Then, after assessing the general condition of the patient, a planned surgical treatment is carried out.

The indication for surgical treatment of BPH is the presence of complications:

At present, the "gold" standard of surgical treatment of BPH is the implementation of TURP (transurethral resection of the prostate). Endoscopic surgery without incisions, while the resectoscope tube is inserted through the external opening of the urethra, brought to the neck of the bladder, where layer-by-layer cutting of the Prostate adenoma tissue from the inside is performed, thereby restoring the passage for free urination. After the operation, a urethral catheter is installed for 1-2 days, and if everything goes well, the patient is usually discharged from the hospital after 4-6 days.

"Open" operations with a longitudinal incision in the suprapubic region are performed in about 10% of cases. The indication for them is usually the presence of a "large" adenoma, when the volume of the gland exceeds 80-100 ml. Although recently experienced surgeons have done TURP even with such large prostate volumes. In any case, the final decision and method of surgical treatment is determined by the attending urologist surgeon.

Residual urine in the bladder in men with adenoma

Residual urine in prostate adenoma

Of all male diseases, a special place is given to the pathology of the genitourinary system, one of which is prostate adenoma. Often, men show a symptom in the form of incomplete emptying of the bladder, which indicates that there is residual urine.

Of course, residual urine can accumulate under normal conditions, but its volumes will be insignificant up to 50 ml. In diseases of the genitourinary system, the volume of unextracted urine can exceed 1 liter. But such symptoms develop slowly and can lead to complications (diverticula, chronic cystitis, hydronephrosis, etc.).

Often, incomplete emptying appears when the bladder is damaged or its innervation changes. Therefore, if incontinence or urinary retention in the body is detected, you should contact a specialist who will conduct a study of prostate adenoma and identify other pathologies.

Causes of pathology

In men, the appearance of incontinence or urinary retention can lead to various diseases, including prostate adenoma. At the same time, there is a deterioration in the contractility of the bladder.

With such an adenoma of the prostate, men complain of a constant feeling of incomplete emptying of the bladder (there is a squeezing of the urethra) or incontinence. Sometimes, to remove this pathology of the prostate, catherization is required with a preliminary examination of the patient to identify hidden diseases.

Due to the fact that the standard of residual urine should not exceed 50 ml, after the diagnosis, it is necessary to treat the neoplasm. Otherwise, complications may appear with the development of acute urinary retention, hematuria (the appearance of blood and clots due to varicose veins). Another complication in the defeat of the prostate is urinary incontinence.

Diagnosis

Diagnosis of adenoma of the prostate and bladder using palpation and percussion of the suprapubic zone. If the volume of residual urine exceeds the allowable amount, then an additional ultrasound examination of the organ is done after urination.

Because incontinence or excess urine is indicative of an enlarged prostate, a doctor must make an accurate diagnosis to treat the underlying disease. After all, pathology can be the result of chronic urethritis, hydronephrosis, the appearance of kidney stones, chronic pyelonephritis, vesicoureteral reflux or renal failure.

Recommended reading: Prostate volume in case of adenoma

Methods of treatment of prostate adenoma

Treatment of prostate adenoma can be surgical (several types of operations), medication, folk (use of a beaver stream, etc.). Surgical treatment is selected based on the size of the prostate and the degree of the disease:

Transurethral resection

The operation is performed under anesthesia with an endoscope using a multichannel catheter. At the same time, the doctor inserts a catheter into the urethra, releases urine from the bladder and makes a cavity in the prostate with a loop electrode (for installing the catheter).

But contraindications for surgery in men are narrowing of the neck of the organ, kidney failure or a small bladder volume.

Laser interstitial resection, vaporization or coagulation

An operation without bleeding, where a laser is used.Such removal of the affected area of the prostate does not require anesthesia and long-term use of the catheter after the operation.

Adenomectomy

The operation is performed through the suprapubic protrusion and the organ of urination. The type of operation is selected by the urologist if there are contraindications to the removal of pathology, urinary incontinence.

An operation to remove an adenoma is prescribed in the presence of blood or stones in the urine; in other cases, conservative treatment is recommended for men.

Drug therapy

The use of drugs after the diagnosis of men can be prescribed in the initial stages of adenoma, contraindications to surgical operations, reappearance of adenoma after its removal. Of the drugs, alpha-blockers, alpha-reductase inhibitors, herbal remedies and rectal suppositories can be used.

Treatment with alpha-blockers (Cardura, Terazosin and Doxazosin) is symptomatic when the muscles of the prostate and urethra relax, allowing fluid to flow freely. But funds are recommended for stages 1 and 2 of the disease.

Alpha-reductase and herbal preparations

When treated with alpha-reductase inhibitors (Proscar, Dutasteride, Finasteride and Avodart), tumor growth is inhibited and excess fluid is excreted from the body. But drugs need to be taken for a long time.

Prostate therapy in men can be carried out with herbal remedies with natural elements that normalize incontinence and tumor parameters. From herbal preparations, doctors prescribe Speman, Gentos and Afala.

Rectal suppositories

Non-surgical removal of the prostate can be performed with the introduction of rectal suppositories, which are more effective than tablets.

Suppositories contain propolis, cocoa butter, oak bark, vegetable oils and other components that have healing and anti-inflammatory properties. The most commonly used treatment is Vitaprinol, Bioprost and Vitaprost.

Beaver stream

Using a beaver jet to remove a tumor. Beaver stream is a biologically pure product that is completely absorbed by the body without any side effect. Generally, beaver musk (or jet) is a known potency booster.

The beaver stream is removed from the preputial glands of the animal. It contains numerous organic compounds.

The ability to increase the tone of the body and the sexual capabilities of men with the help of a beaver stream was known in ancient Egypt. In addition, the tool is used in the removal of headaches and sclerosis, paralysis, wounds, cardiovascular diseases.

It is known that the remedy helps to restore the healthy state of the body, restore energy and tone, eliminate gynecological diseases, damage to internal organs (stones, kidney failure, pyelonephritis, chronic adnexitis), pathologies in the genitourinary system (prostatitis, adenoma, impotence, etc.). ).

At the same time, the beaver stream helps to strengthen the nervous system and emotional stability, supports the immune system and prevents the development of oncology. Also, the beaver stream strengthens the capillary and vascular walls, restores their elasticity and normalizes pressure. The use of such drugs protects the body from the appearance of blood clots.

What role does the residual urine rate play in prostate adenoma?

Effective methods of treatment of benign neoplasms of the prostate gland In some diseases of the urinary tract, the emptying of the bladder in a man may be incomplete, as a result of which a small amount of urine remains in it, which is called residual. In a normally functioning, healthy body, this should not happen at all, but if no more than 10% of urine remains in a man’s bladder, this condition is also considered normal. In the same case, when the amount of residual urine formed is higher than the permissible norm, and 40-50 ml of urine remains in the man’s bladder (or more than 10% of the total capacity of the bladder), such a violation of the functional state of this organ can be considered one of the symptoms of the pathology.< /p>

The rate of residual urine most often increases in older men or children, due to a decrease in the tone of the muscular apparatus responsible for the outflow of urine from the urinary tract during the act of urination, as well as an increase in the tone of the urethral sphincters. Such a problem should not be ignored, since in advanced cases, residual urine can provoke the development of such serious diseases of the genitourinary system as hydronephrosis, pyelonephritis, diverticulitis, cause the appearance of chronic inflammatory processes and malignant tumors in the bladder.

Why does the rate of residual urine increase in men?

The main reason for the progressive increase in the volume of residual urine in the bladder in males is the weakness of the detrusor muscle, which is located in the apex and body of the bladder and is directly responsible for the act of urination. Straining, the detrusor relaxes the muscular sphincter, which leads to the beginning of the act of urination. An increase in the volume of residual urine in the bladder is often facilitated by various functional disorders of the urethra (including complications of previous diseases). The amount of residual urine accumulated in the patient's bladder most often increases as a result of the development of the following urinary tract diseases:

Is it dangerous to increase the volume of residual urine?

As mentioned earlier, the rate of residual urine in men should not exceed 40-50 ml. If a much larger amount of urine remains in the patient's bladder, then such a symptom gives the doctor the opportunity to judge whether the patient has any urological disease. Diagnosing such a violation is quite simple - if, when a man goes to the hospital, a significant increase in the volume of the abdomen in the suprapubic region is determined, the doctor examines the patient by percussion and palpation of this area. Sometimes, the excess of the allowable rate of residual urine is very slight - in such a situation, an ultrasound scan of the urethra is performed. It is carried out by a qualified doctor immediately after emptying the bladder.

Residual urine is a violation of the functional state of the urinary tract, which is a constant symptom indicating the development of more serious pathologies of the patient's urethra. The lack of timely and adequate elimination of this problem often leads to the following consequences:

• the appearance of calculi or stones in the kidneys (urolithiasis);
• development of a chronic form of pyelonephritis;
• the occurrence of hydronephrosis (persistent expansion of the calyces and pelvis of the kidney, which is the result of various urinary outflow disorders and progresses rapidly);
• appearance of symptoms of chronic kidney failure;
• development of a chronic form of urethritis;
• VUR reflux formation.

Residual urine and prostate adenoma

The appearance of residual urine in the bladder, its incontinence or retention is often the main cause of prostate adenoma and other pathologies of the urinary system in men. These symptoms cause a violation of the functional state of the urinary tract and reduce the contractility of the bladder.

Prostate adenoma is characterized by the presence of such complaints from the patient: difficulty in the outflow of urine during urination, incontinence, a feeling of insufficient emptying of the bladder (due to infravesical obstruction - squeezing the urination canal). Often, to eliminate such a problem, the doctor needs to perform a catheterization procedure with a mandatory examination of the patient for hidden diseases of the urinary system.

Since the rate of residual urine in a patient should not be higher than 40-50 ml, after a diagnostic examination, ultrasound and confirmation of the diagnosis of prostate adenoma, you should immediately start treating this pathology. Otherwise, the patient cannot avoid such severe complications of BPH as acute urinary retention, incontinence and hematuria (the presence of blood in the urine).

What are the methods of therapy for prostate adenoma?

There are two main therapeutic tactics for managing patients suffering from prostate adenoma - this is the use of medications and surgical methods for removing the neoplasm. The decision to choose one or another method of therapy is made by the doctor together with the patient, depending on the size of the benign tumor, the stage of the disease, its clinical symptoms and the presence of concomitant pathologies. The optimal treatment tactics is carefully selected for each patient on an individual basis.

Herbal preparations

In this case, medicines based on aspen bark, pumpkin seeds, fan palm fruits, nettle, etc. are used.

As a result of many scientific studies, scientists have determined that some plants are able to eliminate infravesical obstruction of the urethra, relieve the unpleasant symptoms of prostate adenoma, as effectively as 5-alpha-reductase inhibitors. It is for this reason that herbal preparations are widely used in the treatment of various pathologies of the prostate. Medicines, which include plant components, not only reduce the size of the affected gland, eliminate inflammation and swelling of this organ, but also prevent further growth of the neoplasm.

The advantage of using such drugs is a mild and safe effect on prostate adenoma. But these herbal preparations are effective only at an early stage of the disease; at later stages of BPH, they are preferred to be used only as part of a combined treatment, together with alpha-blockers.

Alpha-adrenergic blockers

The following drugs are used - Tamsulozosin, Alfuzosin, Terazosin and Doxazosin. Preparations from this list quickly and effectively relieve irritation of the urethra and obstruction of the urination canal, eliminate urinary retention. The result of using these funds appears already in the 1-4th day of treatment.

In this case, the disadvantage of the pharmacological action of these drugs is that they do not affect the size of the prostate and the growth of BPH, as a result of which the disease continues to progress. Also, these drugs cause a fairly large number of side effects: hypotension, dizziness, retrograde ejaculation, migraine.

5-alpha reductase inhibitors

For the treatment of prostate adenoma, Dutasteride or Finasteride is most often used. The use of these medications is very effective if the size of the prostate does not exceed 40 cm3. They are especially helpful in preparing the patient for transurethral resection and any other prostate surgery. And all because taking these drugs significantly reduces blood loss in the patient, both during and after surgery.

The disadvantages of this method of treatment include a rather slow appearance of the effect of the use of these medications (4-6 months), as well as the manifestation of some undesirable side effects - an increase in the mammary glands in men, a decrease in erection and libido, the occurrence of azoospermia (a decrease in the number or the complete absence of spermatozoa in seminal fluid).

How can rectal suppositories help with prostate adenoma

In this disease, suppositories with antiseptic, analgesic, anti-inflammatory and antibacterial effects are most often used. The choice of one or another type of suppositories depends primarily on the stage of BPH.

If this pathology is accompanied by an inflammatory process caused by infectious agents entering the prostate or urethra, then the doctor may recommend to the patient the use of antibiotic-based suppositories. Vitaprost is best suited for such purposes, which will not only eliminate a bacterial infection, but also reduce inflammation and swelling of the prostate.

Suppositories with an antispasmodic mechanism of action can also be used for the symptomatic treatment of prostate neoplasms. This should include rectal suppositories Buscopan and Papaverine. These medicines help relieve tension in the prostate, relax the vessels and small capillaries of the gland, eliminate tension in the muscles of the bladder, and improve blood access to the problem organ.

Anti-inflammatory suppositories include Dicloburn, Voltaren and Diclofenac. Also, these medicines have a pronounced analgesic effect. The action of these suppositories is aimed at improving the blood supply to the diseased organ and adjacent organs.

The use of suppositories perfectly eliminates the violation of outflow and urinary retention in prostate adenoma, which helps to normalize kidney function and reduce the risk of stone formation in them.

Beaver stream - how to take this remedy for prostate adenoma

Beaver musk or beaver stream is a medicine of animal origin, which has a unique composition and has a peculiar smell. Considering this product from a scientific point of view, we can conclude that beaver musk is a fairly strong immunomodulator. Also, this tool tones the entire human body, eliminates nervousness, improves the functioning of the hormonal system and blood circulation, relieves inflammation, increases testosterone levels in the blood of a man.

Treatment of BPH using beaver jet takes quite a long time from 1 to 2-3 years. Take musk in the amount of 1 tsp. no more than 2 times a day with breaks of 6-7 days before each new month of admission. After 6 months from the moment of application of the remedy, various herbs with a regenerating effect are included in the therapy. Neoplasms of the male and female reproductive system are successfully treated with a beaver jet. Before using this medicine, be sure to discuss this issue with your doctor.

Transurethral resection of the prostate

This surgery is performed without incisions (unlike abdominal operations) directly through the patient's urethra. For transurethral resection, it is necessary that the weight of the tumor does not exceed 60 g, and the volume of residual urine is 150 ml.

In most cases, during such a surgical intervention, not the entire gland is removed, but only a certain part of it. Therefore, after performing this kind of operation, the patient is recommended to take medications that inhibit the progression of the disease and the growth of the neoplasm. Although transurethral resection is not as painful and dangerous as abdominal surgery, this method of treatment still has certain disadvantages. This is mainly a large number of complications, among which it is worth highlighting retrograde ejaculation, bleeding, narrowing of the urethral canal, sclerosis of the cervical region of the bladder, incontinence or urinary retention. The consequence of a violation of the outflow of urine can also be a severe impairment of the patient's kidney function and the appearance of stones in them.

Treatment of prostate adenoma with a laser

Laser contact vaporization - it is used in the treatment of BPH only when the volume of the affected organ does not exceed 30 cm3. In this case, the neoplasm is removed with a laser using the contact evaporation method. The operation is minimally invasive and is performed under direct visual control, which is provided by modern endoscopic equipment.

Contact laser resection - this operation to remove an adenoma is one of the most complex interventions that require great experience and skill of the surgeon. This treatment for BPH is similar to a transurethral resection but is performed using a laser. In this case, the affected gland tissues are removed by a controlled laser pulse.

Interstitial laser coagulation - is also carried out using a special laser, which is injected into the patient's urinary tract through a puncture of tissues and mucous membranes. Laser energy causes atrophy of the tissues of the affected prostate - and this, in turn, inhibits the growth of the tumor, and normalizes the process of urination. The disadvantage of this technique is that in the postoperative period, dysuria often occurs here, as a result of which it becomes necessary to install a special drainage for a long time.

What is the danger of residual urine in the bladder?

Violation of the normal emptying of the organ intended for the accumulation of urine leads to the formation of residual urine in the bladder. As a result, the patient complains of a constant feeling that the bladder has not been completely emptied, because the volume of residual urine should normally not exceed 50 ml. In some cases, this sensation can be eliminated by additional tension in the abdominal muscles, sometimes even catheterization is required. The appearance of such a symptom indicates the need to contact a urologist who will prescribe an examination. If the patient has a lot of residual urine, this indicates the need for a thorough examination to identify hidden diseases.

Causes of residual urine in the bladder

The main reason that the amount of residual urine exceeds the norm is the weakening of the special muscle of the bladder - the detrusor (m. detrusor urinae), the tension of which leads to relaxation of the sphincter of the bladder and the beginning of the urination process. The following functional disorders or complications after previous diseases can contribute to the formation of residual urine in the bladder:

• benign prostatic hyperplasia residual urine in case of adenoma is caused by squeezing of the urethra by the enlarged prostate due to neoplasm;
• persistent narrowing of the urethra (urethral stricture);
• prostate fibrosis (compression of the urethra and bladder neck);
• abnormal congenital folds in the urethra (urethral valve);
• neoplasms in the urethra;
• diseases of the spinal cord or brain;
• Chronic urinary retention, resulting in an increase in residual urine volume, may be caused by damage to the nervous system;
• damage to the innervation system of the bladder, which can also manifest itself in urinary incontinence.

Why is residual urine formation dangerous?

Since the rate of residual urine should not exceed 50 ml, it is the excess of this indicator that will indicate to the doctor the need to identify the causes. Diagnosis of a symptom is simple - with a large volume, palpation and percussion of the suprapubic region are performed. In the event that the excess of the volume that the residual urine rate allows is insignificant, an ultrasound of the bladder is performed after urination.

Since residual urine is only a symptom of more serious diseases, the identification of this disorder requires the doctor to establish an accurate diagnosis and treatment of the primary disease, since this deviation can lead to:

• the occurrence of chronic pyelonephritis;
• kidney stone formation;
• development of chronic urethritis;
• appearance of vesicoureteral reflux;
• hydronephrosis;
• chronic renal failure.

Without the intervention of an experienced doctor, it is not possible to get rid of the formation of residual urine in the bladder, which can lead to much worse consequences.

Problems of urination in prostate adenoma

Residual urine in prostatic hyperplasia

Acute urinary retention in prostate adenoma

Inclusions of blood and pus in the urine, pain and difficulty urinating are signs of the development of an infectious lesion of the genitourinary system. Without timely assistance, the condition will be complicated by the development of kidney dysfunction, hydronephrosis.

How to make it easier to urinate with BPH

After the patient arrives, the urologist will conduct a differential diagnosis to identify factors that provoke cramps and discomfort during urination, fever and other symptoms. Clinical testing is required. A puncture may be required to determine the nature of the neoplasm.

According to the results of diagnostic studies, the patient with difficult urination is prescribed medications that improve blood flow in the pelvic area and eliminate congestion. As a rule, urine diversion in case of prostate adenoma, when appropriate therapy is prescribed, is performed in a natural way. Catheterization is rarely required. The patient takes medications that improve the function of urination, changes eating habits and performs exercises aimed at normalizing the functioning of the pelvic organs. These measures are enough to improve and normalize the patient's condition. If it is not possible to improve the outflow, a surgical operation is prescribed.

After laser surgery, ablation and vaporization, the catheter is left for 1-2 days. The period of recovery of urination after removal of prostate adenoma using transrectal resection (TUR), from 2-3 days to a week.

With an increased accumulation of oxalates in the body, the patient develops a strong smell of urine from the mouth, in intensity reminiscent of that which comes from the body suffering from incontinence.

Frequent urination with prostatic hyperplasia (incontinence)

How to reduce the frequency of urination in BPH

If therapy is prescribed in a timely manner, the disease is at an early stage, the nightly increase in the amount of urine excreted returns to normal over time. In severe cases, hospitalization and surgery will be required.