And whether you know...
Prostate adenoma (Prostate hyperplasia)
May 4, 2011
In modern medicine growth of a prostate owing to the active growth of fabrics is called prostate adenoma. Though some specialists "with an experience" and patients aged still use such terms as adenoma of a prostate or an ischuria. To be fair we will note that this name has one more synonym: benign hyperplasia of a prostate (further DGPZh).
Anyway the essence of an illness consists in increase in the sizes of a prostate that leads to emergence in it of the nodes disturbing a normal urination. High-quality character means lack of metastasises, as distinguishes an illness from an oncological disease of a prostate.
Prostate adenoma by right is considered a man's illness of elderly years. Every second man by 50 years has problems with an urination which after survey of the specialist are written off for this disease. With age incidence increases, and by 70 years has the same problems three from four men. According to results of medical researches, at most 15% of men are not subject to DGPZh. At the same time every year the probability of a disease increases.
Prostate adenoma reasons
All reasons of adenoma of a prostate can be divided into two groups.
The first group includes the reasons caused by way of life of the person which increase probability of growth of a prostate. For example, it can be sedentary work or active intellectual loadings in the absence of physical. For this reason it is difficult to revaluate a role of regular physical exercises.
The second group includes the objective reasons which are not depending on way of life of the person. It is proved that adenoma of a prostate arises owing to changes in a hormonal background of the man. If to consider that these changes inevitably happen at advanced age, it is possible to come to a conclusion that only to some men happiness has to avoid problems with a prostate.
To be fair It should be noted that the reasons of adenoma of a prostate are still studied not completely. Scientists regularly conduct the researches directed to detection of correlation with other diseases or with features of private life of the person, however so far all these researches did not yield essential results. Though, for example, it was succeeded to disprove opinion that prostatitis and adenoma of a prostate are interconnected among themselves. As the statistics shows, both diseases can proceed absolutely independently or on the contrary, at the same time. Therefore despite various hypothetical reasons of adenoma of a prostate, the factor increasing risk of incidence only proved is the age.
Prostate adenoma symptoms
Better to understand symptoms of adenoma of a prostate, it is necessary to understand what occurs in a prostate of the man at emergence of this illness at first. It is known that the normal size of the prostate which is under a bladder is approximately equal to the walnut size. When tissues of a prostate begin to expand, on it one or several small knots inevitably appear. They squeeze an urethra so the urination is broken. It is clear, that this process happens not at once, and gradually. For this reason depending on symptoms allocate three stages of a disease.
In the beginning, when the channel only begins to be narrowed under external influence, the first symptoms of adenoma of a prostate appear. They consist in change of feelings at an urination. Healthy men feel pleasant feelings at bladder emptying, and it is quite normal. Disappearance of these feelings can serve as the first warning bell.
Unfortunately, men can write off the found changes on anything except an illness therefore at the first stage see doctors extremely seldom. Meanwhile DGPZh passes into the following form. More noticeable symptoms of adenoma of a prostate are shown.
In particular, notable reduction of an urethra brings to decrease in force of a stream. When it is a little urine (on closing stages of emptying), it becomes vertical or in general breaks up to separate drops. It is natural that at the same time the bladder is emptied not up to the end. The patient should strain belly muscles, squeezing thus a bladder, and the urine which remained there already through short time will become the reason of the next desire to an urination. These are also main symptoms of adenoma of a prostate.
In the absence of treatment the new symptoms similar to enuresis appear. So, the man cannot do at night without urination any more, and time which he can significantly "suffer" is reduced up to a full incontience.
Importance of the timely address to the specialist at detection of the first signs is caused also by the fact that without appropriate treatment adenoma of a prostate can have serious complications about which the speech will go further.
Complications of adenoma of a prostate
As you understood, adenoma of a prostate leads to problems with an urination. And it, in turn, strikes serious blow in kidneys. Their gradual defeat can be shown by frequent headaches, irritability, constant thirst and feeling of dryness in a mouth. The fact that urine too long is late in a bubble, such as pyelonephritis, an urethritis and others, and also emergence of an urolithiasis significantly increases probability of development of infections of urinogenital ways.
It is necessary to recognize that it is at all not the most terrible complications of adenoma of a prostate. Free development of nodes of a prostate can lead to full overlapping of an urethra. In this case urine accumulates in a bladder, without having an exit that is wrapped for the man in severe pains and threat for life. At such signs the catheter for removal of urine is established or, in case of emergency, the immediate surgery is performed.
Danger is that full overlapping of an urethra can happen even at the initial stages of an illness. Everything depends on a certain confluence of provocative factors, such as overcooling, an alcohol abuse, abstention from an urination and others.
Unfortunately, it is not all complications of adenoma of a prostate. Sometimes growth of a prostate leads to emergence of blood in urine. Complexity of diagnosis of this complication consists in small concentration of blood which cannot be noticed with the naked eye. Therefore testing of urine allows to reveal an illness on existence of clots at microscopic examination of a deposit.
Such variety of complications, each of which in itself is quite heavy for an organism, causes need for timely diagnosis of a disease at early stages.
Diagnosis of adenoma of a prostate
Will not be exaggeration if we tell that successful diagnosis of adenoma of a prostate directly depends on the patient. At the earliest stages poll can give those indicators on which the specialist will be able to suspect existence of an illness. Manual inspection of a prostate is added to poll.
For laboratory researches material (that is a secret of a prostate and smears from an urethra) undertakes after massage of a prostate. The attending physician can obtain certain information thanks to ultrasonography on which existence of stones, the volume of a residual urine after an excrement, the prostate size is defined.
Additional method of research is the urofloumetriya. Literally the name of the term is translated as measurement of speed of a stream of urine. Except speed some more other parameters thanks to which diagnosis of adenoma of a prostate becomes more exact are measured.
Though prostate adenoma not always leads to oncological effects, for the men who are in risk group, that is the age of which reached 50 years, obligatory blood test is put. By results of laboratory research traces of existence of a malignant tumor can be revealed, or data on its absence are obtained. From this age it is recommended to make blood test regular annual procedure. In case of suspicion on existence of oncological problems, characteristic additional researches are conducted.
Treatment of adenoma of a prostate
After diagnosis by the doctor one of three options of treatment of an illness is appointed. This drug treatment of adenoma of a prostate, surgical intervention and not operational non-drug methods.
Drug treatment means reception of certain medicines. They are presented at the market today in a large number therefore appointment is carried out to the discretion of the doctor.
All medicines are directed or to relaxation of muscle fibers of a prostate, or to reduction of volume of a prostate. In either case compression of an urethra decreases, and the normal current of urine is recovered.
Unfortunately, medicines can help only at the initial stages, and that their influence not always is sufficient. In this case, most likely, to the patient it will be offered surgical intervention. Operational treatment of adenoma of a prostate can be made or an open way, or without section when the surgeon carries out all manipulations through an urethra.
Not operational methods can sometimes become alternative of a surgery. All of them are aimed at again to expand an urethra. It becomes or by impact on the channel (balloon dilatation or prostatic stents), or impact on a prostate (a thermotherapy or microwave coagulation).
As for preventive methods, unfortunately, efficient recommendations which could guarantee protection against adenoma of a prostate does not exist. In fact, all preventive measures are reduced to leveling of the factors increasing risk of a disease, that is improper feeding, alcohol abuse, other addictions.