Prostate adenoma - growth of the glandular tissue of the prostate, leading to disruption of the flow of urine from the bladder. Characteristically frequent and difficult urination, in Vol. H. At night, the weakening of the urine stream, involuntary discharge of urine, the pressure in the bladder. Subsequently can develop complete urinary retention, inflammation and the formation of stones in the bladder and kidneys. Chronic urinary retention leads to intoxication, development of renal nedostatochnosti.Diagnostika enlarged prostate include prostate ultrasound investigation of its secret, if necessary - a biopsy. Treatment is usually surgical. Conservative treatment is effective in the early stages buy avodart online.
BPH - benign tumor lacunar glands, which are located around the urethra in its prostatic department. The main symptom of BPH - a violation of urination due to gradual compression of the urethra by one or more growing nodules. For BPH is characterized by benign course.
For medical appeals only a small fraction of patients suffering from BPH, however, a detailed examination can detect symptoms in every four men aged 40-50 years, and half of men 50 to 60 years. Adenoma of the prostate is detected in 65% of men aged 60-70 years, 80% of men aged 70-80 years and over 90% of men over the age of 80 years. Severity of symptoms can vary. Studies in the field of Urology, suggest that the problems with urination occur in approximately 40% of men with BPH, but only every fifth patient from this group seeks medical help.
The mechanism of development of BPH is not determined until the end. Despite popular belief, connecting BPH with chronic prostatitis, there is no data that would confirm the connection between these two diseases. The researchers found no association between the development of BPH and the use of alcohol and tobacco, sexual orientation, sexual activity, sexually transmitted migrated and inflammatory diseases.
A marked dependence of the frequency of occurrence of BPH by age of the patient. Scientists believe that BPH develops as a result of hormonal disorders in men upon the occurrence of andropause (male menopause). This theory is supported by the fact that from BPH never suffer men castrated before puberty and, very rarely, - men castrated after its occurrence.
There are two groups of symptoms of BPH: irritative and obstructive. The first group of symptoms of prostate adenoma include frequent urination, persistent (mandatory), urinary urgency, nocturia, urinary incontinence. The group of obstructive symptoms characteristic of BPH include difficulty urinating, and delay the start time increased urination, feeling of incomplete emptying, urinary intermittent sluggish stream, the need for straining.
Changing dynamics of the act of urination. It is becoming more frequent, less intense or less free. There is a necessity 1-2 times to urinate at night. As stage I prostate adenoma usually nocturia does not cause anxiety in the patient, which connects the constant nocturnal awakening with the development of age-related insomnia.
Day of the normal frequency of urination can be saved, however, patients with stage I prostate adenoma note the waiting period, especially pronounced after a night's sleep. Then the daily urinary frequency increases, and the volume of urine for a single urination, decreases. Arise urgency. The stream of urine, which previously formed a parabolic curve, is released slowly and drops almost vertically.
Diagnosis of prostate adenoma
The doctor performs a digital prostate research. In order to assess the severity of BPH symptoms, the patient requested to complete voiding diary. Carry out a study of prostate secretions and smears from the urethra to avoid infection. Spend US of a prostate during which determine the volume of the prostate, identify rocks and areas with stagnant, estimate the amount of residual urine, renal and urinary tract.
Authentically to judge the degree of urinary retention in prostate adenoma allows uroflowmetry (urinating during and urine flow rate is determined by a special machine). To eliminate prostate cancer is necessary to evaluate PSA (prostate-specific antigen) the value of which should normally not exceed 4ng / ml. In disputed cases, a biopsy of the prostate.
Cystography and excretory urography in prostate adenoma in recent years rarely performed in connection with the introduction of new, less invasive and safer techniques (ultrasound). Sometimes, to avoid diseases with similar symptoms, or in preparation for the surgical treatment of prostate adenoma perform cystoscopy.