Adenoma of the prostate (BPH), is now often called benign prostatic hyperplasia - is one of the most common diseases in men over the age of 50 years.According to statistics BPH recorded in this age group more than 50% of the male population around the world, and after reaching 70 years of age - 75%.
Ever wanted to emphasize that this is a benign disease, prostate adenoma never ozlokachestvlyaetsya.The development of prostate cancer patients at the existing gland adenoma is not excluded, but this situation is seen as having had two diseases of the same body, unrelated. Content
Causes of this disease to date has not been fully established, but identified the main risk factors for BPH.The main one - is the age, the older the man, the greater his risk of disease.Doctors attribute this to the
evidence that the development of BPH is associated with sexual activity, smoking, alcohol use, the presence of comorbidities and other factors, to date, not found.
Increased prostate appears as a complex dizuricheskih symptoms.Some of them are similar to symptoms of other diseases, such as prostatitis.Patients can be confusing for the following symptoms (not necessarily all at once):
Diagnosis of the disease usually does not cause difficulties for a doctor who can immediately set a preliminary diagnosis based on the patient's specific complaints.
addition to the general blood and urine tests, the following diagnostic procedures:
Drug therapy is usually applied in the initial stages of the disease when the symptoms have not already expressed or minimal.Patients are advised to diet, intended to be limited in the diet of red meat, animal fats and alcohol.Preference should be given to plant foods.
in drug therapy of BPH are used several groups of drugs:
Medications which contain substances that relax the muscles of the initial urethra, thereby facilitating the flow of urine.Taking these medications help relieve symptoms, but the effects on the size of the prostate, these medications do not have.
second group of drugs used to treat benign prostatic hyperplasia, helping to reduce its size and reduce the appearance of disease.However, this treatment is carried out for a long time, and the effect of it felt only after 6-12 months after the start of drug therapy.
Appointment drug combinations of these groups can significantly relieve symptoms of BPH and reduce the risk of developing complications of the disease.
Surgical treatment is by far the most effective method of treatment of benign prostatic hyperplasia.The indications for surgery are the complications of the disease (acute urinary retention, renal complications, joining infection), as well as subjective symptoms largely worsen the quality of life (urinary incontinence, frequent urination).The size of the prostate in this situation is a clear indication for surgical treatment.In some patients with a slight increase of its size can be observed severe symptoms, while others, with a significant increase in prostate manifestations of the disease will be minimal or absent altogether.
Today there are different methods of surgical treatment.The choice of surgery is chosen based on the patient's condition, age, presence of complications and the size of the prostate.
When prostate volume to 60 cm3 (normal up to 28 cm 3) possible to perform minimally invasive operations.Due to the fact that access to the surgical site via the urethra, and no incisions in the skin, the risk of postoperative complications is minimal, and reducing the time of hospital stay.Minimally invasive surgical procedures can be performed as a general and local anesthesia.
Most often patients performed transurethral resection of the prostate (TURP) - surgery effective in all men.However, afterwards there is a risk of postoperative complications, such as little bleeding, stricture of the urethra and bladder sphincter damage.
operation can be performed using a laser, which is also inserted through the urethra.During the operation of the enlarged prostate is destroyed by exposure to laser radiation and discharged through the urethra.The risk of bleeding in this operation is much lower than with TURP, but, unfortunately, are not effective laser resection in all patients.
Treatment of this disease is surgically possible on an outpatient basis, in the presence of a small operating in the clinic and day hospital.Under local anesthesia, the operation can be performed with the use of microwaves, radio waves, and ultrasound.
urethral stenting - palliative surgery, during which the initial division of urethra mounted stent (rigid frame), not giving hyperplastic gland to squeeze the urethra.With this it restored the flow of urine from the bladder.Stenting is performed for patients who for health reasons can not bear another operation.
Prostatectomy (removal of the open BPH) - abdominal operation performed through an incision in the abdominal wall.Indications to it is a large amount of hyperplastic glands (70 cm3), and urolithiasis.This surgery may be performed at lower amounts of BPH, while the impossibility of putting the instrument through the urethra.The operation is performed only under general anesthesia, and length of hospital stay after it is typically 7-10 days.