Benign prostatic hyperplasia - Adenoma

The disease develops proper to the increase of benignant tumors of the mucous paraurethral glands adjoining the urethra into the prostatic urethra. The prostate is a condition reaches 50% in men after 50 years, increases in the later ripen groups and is the most repeated cause of dysfunction of the bladder. Beyond 70 years over the hill 75% of men in varying degrees, suffer from prostate adenoma. It should be esteemed that the omnipresence of the disease does not over the rates of medical consultations, resorted to only patients with severe clinical symptoms. With it you can get natural supplements for prostate online.

The cause of prostate adenoma is unclear. There is unmistakable assertion of the relationship of stage changes in the endocrine routine with hyperplasia of paraurethral glands. Known shortage of event of the disorder in eunuchs. Relationship of prostate adenoma with genital pursuit has not been established unequivocally. The disease occurs both in those with great or decreased sexual occupation, and aggregate the clergy celibate. With a invariable be of connection with sexual diseases and inveterate infections of the genitourinary system. In under age men the form of prostate adenoma is to the nth degree rare. Adenomas of the paraurethral glands can be regarded as a manifestation of "man's menopause".

The rise and happening of the disease. Newborn heaviness of the prostate is a few grams. During pubescence, its horde increases and reaches to 18 years in 1920 in conformist weight and portion edifice does not exchange terminated the next 25 years, 25% of men in outdated and declining atrophy observed her, and at most the unused to some extent - increasing paraurethral glands, expressed in varying degrees.

Numerous studies of the hormonal stature of the patients revealed patterns that set off the understanding of disease pathogenesis. Set up that testosterone equally in both normal prostate and in revised adenomatous hyperplasia tissues, whereas the level of DHT in the matrix five-fold increased.

Treatment. When temperate treatment of long-term skill with drugs, especially hormonal nature, did not identify opportunities to lessen the bigness adenomatoznoi tissue and its unbroken involution. The turn to account of estrogen does not result in a significant and steadfast irrefutable sense, complications of the hormone estrogen analysis are recurring, continually obdurate and consistent painful in support of the patient.

In just out years, is considered an effective use of drugs 2 groups: inhibitors of 5-a-reductase and a1-blockers in patients with centrist symptoms.

Treatment of congestive and inflammatory processes in the seminal vesicles (vesicles), prostate (prostatitis) often associated downstream adenoma paraurethral glands is necessary. It reduces the dysuria and relieves suffering patients. Antibiotic treatment, physiotherapy and avail oneself of of drugs of biological well-spring can effect prolonged assuagement of the sickness and may be tier in preparing the patient for surgery.

When surgical treatment in urology repetition a great extent employed four pre-eminent approaches for the purpose the elimination of prostatic adenoma: transurethral, ​​chrespuzyrnoe by Freyer, by Millin retropubic, perineal in Young. The more than method provides the possibility of removing tissue prostate adenoma.

The complete concept of treating patients with prostatic adenoma can be expressed as follows.

In the first division of prostatic adenoma as a rule push moderate treatment. It may number medicines, especially the leadership - an on the go lifestyle, the omission of irritating foods, smoked eatables and spices, moonshine in all forms. Preventing constipation, please clothing are also needed. If the frequency of urination and hindrance with the flourish, despite the lack of residual urine can be attempted proceeding - transurethral resection of the adenoma.

At the later make up of the case showed ready treatment, straight if symptoms urination disorders are not expressed. The vital criterion for the sake of the progression of the disorder - the rise of spare urine and decreased kidney function.

In the third stage with the full decompensation of renal commission and urinary excretion obligation first patient from azotemicheskoy intoxication via drainage of the urinary section, improvement of the practical allege of the liver, organs of the cardiovascular system.

This can be achieved past draining the bladder from head to foot the fistula, and in some cases the chance required percutaneous holing nephrostomy.

If you require long-term bladder catheterization, the surest at work to taboo a two-way epididimoorhita vasoresection.

Prognosis. In support of the mortal of a accommodating with salutary prostatic hyperplasia projection is quite favorable. Timely detection, surgical treatment for stages I and II disorder produces good results, mortality rates in the interest of all types of transactions is less than 2%.