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Diagnosis and treatment of prostate adenoma

The most common urological pathology sent to urologist, men for over 45 years, adenoma prostate.The presence of this pathology significantly deteriorates the quality of life of men.One of the most sensitive possible consequences of the pathological process is degeneration of the benign hyperplasia prostate in a malignant tumor.

Surgical and doctors of treatment are used to combat adenoma prostate.Hospital specialists choose the most effective drugs or methods of surgical intervention, taking into account the stage of diseases, the general condition and the age of the patient, as well as the presence of related pathologies.Comfortable conditions for patient treatment were created in the surgical clinic.

Prostatitis in a man

Causes of disease development

Adenoma appearance is most often associated with older - deleted changes in the prostate, namely, change its structure and increase in size.As a result of such changes, the urethra is gradually compressed, which is in the thickness of the prostate and violation of the urination process.

Prostate Adenoma in men is developing due to the hormonal restructuring of the body associated with age changes.The level of testosterone (male hormone) gradually decreases with age, while the concentration of female sex hormones (estrogen), on the contrary, increases.This phenomenon is called male menopause.

The development of prostate adenoma can be due to the following risk factors:

  • Patient's age - increased iron prostate is extremely rare in men under forty years, and after sixty years diagnosed in almost every second;
  • Hereditary predisposition - If the adenoma prostate is diagnosed in the close blood of a human relative, he has a huge risk of inheriting this disease in adulthood;
  • Diabetes Mellitus, cardiovascular diseases - Benign tumor (aden) prostate may occur as a result of not only these diseases, but also the harmful effects of drugs for their treatment (for example, beta blockers);
  • The wrong way of life - the risk of prostate adenoma increased in men from obesity, insufficient physical activities.

Symptoms

Aden prostate can be doubted when a man appears in the following symptoms that are most closely for this disease:

  • Duties of urination;
  • The appearance of the need for tense of abdominal muscles for urination;
  • The presence of pain, ignition, slow flow of urine;
  • discomfort and insufficient bladder discharge;
  • Increasing the duration of the urination process.

The adenum prostate does not only lead to a reduction in the quality of human life, but also an acute delay in urination, which requires the use of surgical treatment methods.In order to avoid surgical intervention, many patients use special drugs to treat adenoma prostate, eliminating symptoms and renewal of normal prostate activity.However, only a qualified expert can propose the best medicine for prostatitis and prostate adenoma.It is necessary to contact when the first symptoms of the disease occur.

Treatment of adenoma prostate individually for each patient.Preparations for the treatment of prostate adenoma, their dosing and the duration of use prescribe the present doctor.Taking products from prostatitis and prostate adenoma can independently be inefficient, but also a dangerous measure.Due to the presence of the men of the older generation of some "personal" chronic diseases, prostate adenoma treatment remedies should be chosen by taking into account the accompanying pathology.

Stages of disease development

Adenoma prostate is characterized by gradual development, which can be divided into three phases.

  • The first phase of the disease continues with minimal motor disorders.Its insignificant increase, especially at night, and the slow stream of urine, can be observed.The first phase can last from one year for 12 years or more.
  • The second phase of the prostate adenome is characterized by more pronounced urination disorders: the occasional urine currents, the occurrence of the need for stress during urination and feelings of incomplete bladder discharge.The remaining urine, which is retained in a bubble and the bladder, causes an inflammatory process that is accompanied by pain, ignition of sensation during urination, lower back pain and above pubis.
  • The third phase is characterized by a periodically or permanent inhabitious edition of urine, forcing the patient to use the ureter.

Complications

In some men of the adenoma prostate, the quality of life is not worsening and does not continue without developing complications.However, in some cases, the disease can cause the following negative consequences:

  • Acute urine delay - characterized by sudden impossibility of emptying bladder and pain in the right handed area.The patient is similar to the patient needed an emergency medical care with catheterization or small operation;
  • The occurrence of urinary tract infections is urine stagnation, which creates favorable conditions for reproduction of pathogens, leads to development of cystitis and pyelonephritis;
  • Formation of stones in the bladder - is also a consequence of the stagnation of the urine;
  • Damage to the bladder - with irregular blank blades, will be relieved, by forming discharges (pockets) in the bodies of the body, in which urine stagnates;
  • Kidney damage - Increased pressure in rails and bladder has a direct harmful impact on the kidneys, as a result that develops renal failure.

Adenoma and prostate potential

ADENA and prostate potential are closely related to each other.Adenu violates the gland tissue structure, which in turn leads to a defeat of another, no less important organ - testicles responsible for androgen products.Thus, the adenum prostate can cause the impotence that requires long-term and complex therapy.

Diagnostics

A simple and efficient way to establish a preliminary diagnosis is a patient by holding a daily wetting diary with a fixation of quantitative and qualitative parameters: the amount of dedicated urine, characteristics of consumed, inspective calls, calls.The main physical testing method in the event of a doubt in the adenum prostate is a rectal fingerprint of prostate to identify their increasing and exclusion of some other pathology.

The diagnosis of the adenome prostate in the hospital is performed using the following laboratory and instrumental methods:

  • General blood and urine tests;
  • Biochemical blood test for kidney states, urea and creatinine levels;
  • Analysis for the level of the dog (in order to exclude prostate cancer);
  • Transect ultrasonic examination (ultrasound);
  • Urofloomery (to determine urine current speed);
  • Determination of the amount of urine remaining (using ultrasound);
  • Pelvic DNA electromyography;
  • Urethrocistoscopy;
  • Extra urography.
Diagnosis of prostate adenoma using instrumental methods

Treatment

Prostate adenoma treatment is focused on facilitating the symptoms of the lower urinary tract, improve patient quality and prevent the development of disease complications.Patients with poorly exposed symptoms that do not worsen the quality of life, often prescribe dynamic observation tactics with regular urologist, which controls the course of illness and gives recommendations on how to stop the growth of adenoma prostate.During this period, attention is focused on therapy that is not an Idrug.Theherke methods can be an addition to conservative treatment, which is the entry of the following medications:

  • Alpha blockers (Tamsulosin, Alfuzosin);
  • 5-alpha reductase inhibitors (FINTERID);
  • Type 5 phosphodesterase inhibitors (Sildenafil);
  • Combinations of 5-alpha reductase and alpha blockers;
  • Mussancar receptor receptor blockers or m-cholinolitics.

Patients with adenome prostate in an advanced phase are recommended to conduct surgical treatment, which can be performed by several methods: transuretral excision, transuretral resection and prostate removal.

There are certain indications for the use of surgical treatment:

  • Repeated delay in urine;
  • Kidney incidence caused by prostate;
  • Bubble stones;
  • Repetitive urinary traction infections;
  • Repeating hematuria.

In addition, the operation is necessary for patients in the absence of efficiency from drug treatment.

During conservative therapy or in the postoperative period, patients need constant medical control with standard studies (determination of urine current rates, ultrasound, dog level analysis).

Drug

There is a certain scheme according to which certain medications are prescribed to treat prostatitis and prostate adenoma.High treatment efficiency is achieved thanks to the use of alpha reductase and alpha blocker inhibitors.These drugs for the treatment of adenoma prostate in men help to eliminate the main symptoms of the disease, as well as the recovery of sufficient urination.

What are the most efficient and most commonly used tablets from the prostate adenoma?The list runs Alfa1-adrenergic receptor blockers.In addition, this list includes 5-alpha reductase, vitamins and minerals inhibitors.

Drug therapy complex includes not only drugs.With prostate adenoma, conservative treatment can be supplemented by biologically active additives - eating supplements that improve the therapeutic effect of medications and provide early recovery.Some of them include zinc.This macro element is directly involved in spermatogenesis and testosterone synthesis.Phytosterol plant normalize urination.

Treatment of medicines Antagonist group Alfa1-adrenoceptors

These drugs for prostatitis and prostate adenoma provide relaxation of the smooth muscles of the urine system and improving the urine process.Tamsulosin with the same name of the active substance, which is part of other medications (alphuzosina, silo, etc.), a very sequential drug that has a selective effect on alpha1 prostate muscle adrenergic receptors, urethra and bladder sposts.Thanks to the reduction in muscle tone, the outflow and edition of urine is facilitated.Tamsulosin, as well as all selective medications, has a minimum number of side effects, does not affect the tone of blood vessels and can be prescribed by patients with chronic hypertension.

Alpha-adrenergic receptor antagonists must be used permanently, so you can achieve a gradual reduction in irritation and obstruction of the prostate adenome.The medicine Tamsulosin in the treatment of the prostate adenoma occupies a good credit priority for urology purposes.

The form of a tablet is considered more progressive, because due to the controlled release of Tamsulosin, an active substance in the body in constant concentration.Medicine enters the bloodstream evenly, ensuring a reduction in probability in the development of the main side effects of the Drugs of the Adrenahobocotor Group - a sharply reduction of blood pressure.

Equally effective medicine with a peak substance Tamsulosin is a lesson.Taking this medicine is not accompanied by the following undesirable effects: Orthostatic hypotension, tachycardia, an increase in angina attacks in patients with coronary heart disease, so that it can be prescribed for men with heart pathologies.Properly selected dose and compliance with all the rules on the use of the Alpha blocker's group allow you to achieve a good therapeutic effect in almost complete absence of side effects.

Reductase inhibitor groups (blockers) of reductase

The drugs of this pharmacological group (Finsteride, Dutasteride) contribute to mitigating the outflows of urine, and thus the elimination of the main symptoms of the disease.A stable therapeutic effect occurs two to three weeks after the start of the course.All symptoms are completely stopped after three months.According to the results of clinical studies, maximum efficiency is achieved after six months of therapy with these medicines.

Finasterides and DutasteDide are specific 5-alpha reductase inhibitors of another type (enzyme cell responsible for the transformation of testosterone into dihydrotestosterone).The growth of prostate prostate is directly connected to a similar testosterone transformation.Thanks to 5-alpha reductase inhibitors, products within an industrial dichdrotestosterone are blocked, and its concentration in the blood is significantly reduced.

FINTERID AND DUTASTERID are used for the following purposes:

  • Treatment and control of prostate hyperplasia;
  • Improving urine outflows and eliminating adenome prostate symptoms;
  • Reducing the risk of developing acute urine retention and needs for the implementation of surgical intervention.

Finasterides and Dutasteride have an expressed antiatrogenic effect, I.E.contribute to reducing the levels of male hormones in the blood.In addition, these medications have a teratogenic effect, so they should be taken with caution.With the help of modern drugs, you can stop the growth of prostate and prevent the need for surgical treatment.

Antispasmodics and analgesic tablets with the deterioration of the disease

The main recipe of antispasmodic and analgesic effects with the deterioration of the prostate adenoma is to release the general condition of the patient and eliminate pain syndrome.Anti-anagensic effect and analgesic effect is performed non-asteoid anti -infalmator drugs (Diclofenak, ibuprofen).They help fight not only with painful sensations that occur in the process of urinating, but also permanent pain in the groin and perineum.Due to the action of non -in -infalmator drug, the inflammatory process reduces, swelling of the prostate gland decreases, body temperature normalizes, and unpleasant symptoms are eliminated.

Inopic analgesics produced in the form of tablets or candles help stop the pain syndrome with the deterioration of the prostate adenoma.The most affordable of them is sodium metamisol.However, this medicine is conceived more for unique use, because it can only affect the weak pain syndrome.In addition, analgesics with lidocaine, benzocaine, anesthous and novocinin, benzocaine, triboside + lidocaine) are effective.

Vitamin E 400

Tokoferol acetate or vitamin E are often part of a complex treatment of adenome prostate as an antioxidant, radioprotective agent and the necessary links in reproductive processes.Vitamin E at a dose of 400 mg urologists are prescribed by patients with erectile function and spermatogenesis associated with the adenum of the prostate.

The treatment of such a serious chronic disease as a prostate adenome should be prescribed and controlled by urologist.It is strictly forbidden to take certain drugs independently, without preliminary counseling with a doctor who attend, because self-identification in this case cannot be not only inefficient, but also dangerous for men.Only a qualified specialist can propose that the prostate pills are most effective in any case, which can cause negative consequences.

Patient with prostatitis at a doctor's meeting

Operations

Hospital urologists are masterfully performing classical and minimally invasive surgical interventions, use innovative methods of surgical treatment of the prostate adenoma.Every patient is selected that operation that suits him more.

Generally recognized standard in the surgical treatment of the prostate adenoma is a transuretral resection of prostate.The operation is very effective.After the intervention, patients are resolved by infravsic obstructions (narrowing of the urethra) and associated symptoms.Rehabilitation period is short.During the operation or after surgery, bleeding can develop, the "water intoxification" syndrome.

Alternative methods for treatment of adenoma prostate include the following surgical interventions:

  • Stenting;
  • Balloon dilatation;
  • Hyperthermia;
  • Thermotherapy;
  • Ultrasonic, laser and needle;
  • Interspace coagulation.

After them, complications arise less often, but these methods are inferior than a transuretral resection in terms of efficiency, both in the clinical and economic.

Laparoscopic removal of the prostate adenoma is used when the tumor is grown significantly, and is problematic to remove it using a transuretral resection.This operation is more complicated, performed under anesthesia.Through small rectors, the surgeon introduces special tools in the body cavity, which performs the removal of the prostate adenoma.The operation is performed according to the image from the video camera, which is displayed on the screen.The main advantages of intervention are the minimum volume of blood loss, a small probability of complications.After surgery, the patient does not need long-term rehabilitation.

When there are signs of adenoma prostate in men, doctors use a high method for the treatment of adenoma - laser enuklesacies.The intervention is done with great sizes of neoplasm.Excess fabrics are removed using lasers.The operation is done through the urethra.The tumor is separated, divided into small parts, and then displayed.The method is considered minimally invasive.It has a number of significant benefits: does not violate the integrity of the cavity, does not cause unnecessary damage.

The laser evaporation consists of destroying Adenoma laser evaporation.Through the urethra, urologist introduces a separate device, was brought to neoplasm and affects it at all with a strong green laser.The depth of the laser penetration and the accuracy of his goal can avoid damage to neighboring areas.The method is minimal, without blood, fast and efficient.Only a lack is the inability to take tumor tissue for histological examination.

In some situations, the inevitable method of treating adenoma prostate is abdominal surgery - adenomectomy.It is performed in the case when other methods cannot help the patient.During surgery, the Skalpel surgeon carries access to the prostate and manually, using surgical instruments, removes Aden.As a result of the operation, significant blood loss can occur, complications are developed.After surgery, the patient needs prolonged rehabilitation.

The removal of the prostate adenoma method (Transluccal) adenomectomy consists of a radical experiment of hyperpless tissues of prostate through longitudinal front abdominal wall and bladder.The operation is performed on the advanced stages of the disease, when the tumor reaches large in size, the bladder overturned due to the topping of accumulated urine and is developed renal failure.

The uracon is pre-proportionated and filled with a sterile solution of fururatilin or other substances.Then it is awarded and taken in two places with special stakes, which raises the wall of the organ.The surgeon dissects the formed flap and performs the bladder opening.

The internal end of the established urethra determines the area of the bladder doors and around the urethra that appeared in the field of view, the withdrawal of 0.5-1 cm from it, mucosa mucous membranes.After that, the operating urologist penetrates the finger in the thickness of the prostate, enters him between the tumor capsule and adenomatous nodes, and follows the latter.At the same time, the doctor gives the gland on the front of the patient in the patient's rectum in the rectum in the front abdominal wall.Becomes more affordable for manipulation.Thanks to this technique, the work time has been reduced, and blood loss is reduced.

Then the surgeon performs hemostasis (stopping the bleeding) of the bed of remote adenome and bladder seams, leaving a thin drain in the early.It is designed to wash its cavity from the incurred blood clots.The sinerary catheter, presented before the start of the operation, is not removed for 7-10 days.A new part of the urethra is formed around it instead of judgment during the prostatic part of the urethra.

Custular adenomectomy refers to the most traumatic of all methods used for adenoma prostate glands.Accompanies the risk of developing the following complications:

  • Bleeding from the lodge of neoplasm;
  • Stance pneumonia;
  • The function of the hose engine was established, manifested in closed.

In order to avoid complications, after surgery in the hospital, the patient is done early activation.The following undesirable consequences of antenoma prostate adenoma removal operations may occur:

  • Insufficient drainage of the bladder;
  • Narrowing his neck;
  • Urinary infiltration near tissue;
  • Formation of "prenatal" (remaining cavity in the place where prostate adenoma) removed);
  • Formation of the Urethral Lumens narrowing;
  • Incontinence urine.

This negatively affects the quality of life of patients and extend the renovation of adequate urination.

The consequences of the operation are less pronounced when the intervention is performed by laparoscope.Laparoscopic work to remove prostate adenoma is one of the less invasive options for surgical interventions on the prostate.Hospital urologists use this technique if the patient has a sufficiently large adenum prostate.

If the patient's prostatural gland does not exceed 120 cm3, it is recommended for a transarutral resection of the prostate adenoma.But 10% patients who need operation, this option is not appropriate, as the IGGO reaches more than 120 cm3.Laparoscopic work to remove adenoma prostate during uarolitiasis, inguinal hernias, diverticulum of the bladder, and the low extremity interchecks are not done.In this case, the decision on the possibility of conducting the operation seems to be a collegial urologist, anthrologist, abdominal surgeon and other hospital experts.