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Neurology, Ophthalmology, Cardiology, Oncology, Obesity, Endocrinology, Vascular surgery - Causes, Symptoms, Diagnosis, Treatment, description of the disease.

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Sunday, 25.06.2017, 18:47
Main » Oncology » Adenoma of prostate Causes, Diagnosis, Symptoms, Treatment 
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Adenoma of prostate Causes, Diagnosis, Symptoms, Treatment


Adenoma of prostate Causes, Diagnosis, Symptoms, Treatment

BPH or prostate adenoma - a benign tumor of the genitourinary system of men, the incidence of which begins to increase after 40 years, and the most frequently found after 60 years. Today, instead of the term "BPH" to speak of benign prostatic hyperplasia - a slowly progressive disease.


Causes of BPH - this is the age and the normal functional state of the testes. In other words, an adenoma of the prostate - a "normal" aging male body disease associated with age-related changes in hormonal status.

Clinic.

Adenoma of prostate cancer in its course passes through several stages:

The first stage or the stage of compensation. There are disorders of urination, but the bladder is emptied completely and there are no changes in the ureters and kidneys.

The second stage or the stage subcompensation. There are disorders of urination, there is residual urine (incomplete emptying of the bladder). Changes the functional state of kidneys and ureters.

The third stage or the stage of decompensation. Decompensation of bladder function, the expansion of the ureters and pelvis, renal failure.

Adenoma of the prostate gland flows in waves, with alternating episodes of improvement and deterioration, but with a gradual rise (for years) disease. The clinical diagnosis of benign prostatic hyperplasia based on the identification of:
  • symptoms of obstruction (luminal narrowing) of urethra
  • signs of prostate enlargement
  • bladder dysfunction.


Symptoms of lower urinary tract obstruction with prostate cancer include:

  • sluggish stream of urine
  • intermittent urinary
  • difficulty with urination
  • frequent urination, "a little bit"
  • stresses the need for urination
  • frequent urge to urinate
  • drip urine after urination
  • Night urination
  • incomplete emptying of the bladder
  • incontinence.

Diagnosis of BPH


The degree and type of lower urinary tract obstruction in prostatic adenoma and reveals a simple exponential process - uroflowmetry. The shape of the curve urofloumetricheskoy conduct a differential diagnosis of adenoma from other diseases.

Even more revealing is the method of combined urodynamic study, including filling cystometry, the definition of the relationship pressure / flow, pelvic floor electromyography.

Symptoms of prostate enlargement detected at the doctor's normal digital rectal examination of prostate, as well as by means of medical imaging.

In fact an increase in prostate size, and eventually leads to a narrowing of the lumen of the urethra.

Bladder dysfunction first manifested hypertrophy of the muscular layer, and then the appearance of false diverticula (protrusion into the lumen of the muscular layer of the bladder), the true diverticula, stones and other changes.

Other methods of detection of benign prostatic hyperplasia include the following:
  • radiological techniques (ultrasonic methods, radioisotope studies, radiological studies, including computed tomography, magnetic resonance imaging)
  • endoscopic methods
  • biopsy of the prostate
  • blood and urine analysis.


We would like to emphasize the importance of the study, the definition of prostate-specific antigen (PSA). PSA increases with prostate cancer. Given the fact that the prostate adenoma is a precancerous condition, ie disease against which may develop prostate cancer, the need for such a study becomes apparent.



Treatment of benign prostatic hyperplasia

Treatment of BPH is quite multifaceted, and today is a pretty impressive list of basic techniques.

A. Surgery (surgical) treatment:

Adenektomiya (classical open removal of adenomas)

Transurethral surgical procedures:

  • elektrointsiziya
  • resection
  • electric vaporization
  • Prostate needle ablation (TUNA)
  • microwave hyperthermia (heat therapy)
  • laser photocoagulation
  • radiofrequency thermal destruction
  • Transrectal focused ultrasound prostate thermoablation
  • Balloon dilatation of the prostate
  • Stenting the prostate and other methods.
  • Two. Drug treatment:
  • alpha 1-blockers
  • inhibitors of 5-alpha reductase
  • herbal medicine (therapy drugs that contain phytoestrogens)
Choice of treatment depends on many factors that determine the disease and its associated conditions, and early treatment - a guarantee of achieving a good quality of life.

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