The most common urinary disease, sent to the urinary doctor, a man over 45 years old, is Adenoma prostate.The presence of this pathology significantly worsens the quality of life of men.One of the most formidable consequences of pathological process is the degeneration of benign prostate hyperplasia into a malignant tumor.
To fight the prostate adenoma, surgical treatments and drugs are used.The hospital's experts choose the most effective surgical medications or interventions to take into account the stage of the disease, the general condition and the age of the patient, as well as the presence of related diseases.In the surgical clinic, comfortable conditions for patient treatment have been created.
Causes of disease development
The appearance of Adenoma is often associated with changes in age in the prostate, namely a change in its structure and increasing size.Due to such changes, the urethra is gradually compressed, located at the thickness of the prostate and violating the urination process.
Adenoma prostate in men develops due to the body's hormonal restructuring related to age changes.The level of testosterone (male hormone) is decreasing with age, while the concentration of female sex hormone (estrogen), on the contrary, increases.This phenomenon is called menopause.
The development of the prostate adenoma may be due to the following risk factors:
- Patient's age - Rising prostate iron is extremely rare in men under forty years old, and after sixty years is diagnosed in almost every second;
- Genetic tendencies - If Adenoma prostate is diagnosed in a close blood relative of a man, he is at risk of inheritance of this disease in adulthood;
- Diabetes, cardiovascular disease (Adenoma) of the prostate can occur because not only these diseases, but also the harmful effects of the drug on treatment (for example, beta blockers);
- The wrong way of life - the risk of developing the prostate adenoma is increased in obese men, not enough physical activity.
Symptom
Adenoma of the prostate may be suspected when a man appears in the following symptoms is the most typical for this disease:
- urination mission;
- The appearance of the need for abdominal stress to urinate;
- the presence of pain, burning, slow urine stream;
- uncomfortable and not enough to empty bladder;
- Increase the time of urination.
Adenoma prostate not only only leads to a decrease in the quality of life of a man, but also to an acute delay in urinating, requiring use of surgical treatments.To avoid surgical intervention, many patients use special drugs to treat prostate adenoma, eliminate symptoms and restore normal prostate activity.However, only one qualified expert can propose the best remedy for prostatitis and prostate adenoma.It is necessary to contact it when the first symptoms of the disease appear.
Treatment of individual prostate adenoma for each patient.The preparations to treat the prostate adenoma, their dosage and duration of use are prescribed by the doctor attending.Taking products from prostatitis and prostate adenoma independently can not only be an ineffective measure, but also a dangerous measure.Due to the presence of men of the older generation of some personal diseases, drugs to treat prostate adenoma should be selected to take into account the accompanying diseases.
Disease development stage
Adenoma prostate is characterized by gradual growth, which can be divided into three stages.
- The first stage of the disease conducts minimum urination.Its negligible increase, especially at night and a slow urine stream, can be observed.The first phase can last from one to 12 years or more.
- The second phase of the prostate adenoma is characterized by more significant urination disorders: the disruption of the urine stream, the appearance of stress demand during urination and the irregular empty feeling of the bladder.The remaining urine, stretching in the bladder and urinary tract, causing an inflammatory process that comes with pain, burning sensation during urination, pain in the lower back and above Pubis.
- The third stage is characterized by the release of unprecedented or continuous urine, forcing the patient to use the ureter.
Complication
In some men of Adenoma prostate, the quality of life is not worse and proceeded without developing complications.However, in some cases, the disease can cause the following negative consequences:
- The acute delay of urine - it is characterized by the impossible of bladder drum and pain in the area.With the same situation, patients need emergency medical care with catheter or small surgery;
- The appearance of infection in the urinary tract is the stagnation of the urine, creating favorable conditions for pathogens, leading to the development of cystitis and pyelonephritis;
- The formation of stone in the bladder - is also the result of urine stagnation;
- Damage to the bladder - with the uneven bladder drum, it is prolonged, the formation of protruding parts (bags) in the walls of the agency, in which urine is delayed;
- Damage to the kidneys - increased pressure in the ureter and bladder has the effect of directly damaging the kidneys, due to the growth of the renal failure.
Adenoma prostate and potential
Adenoma prostate and potential are closely connected.Adenoma breaks the structure of the tissue, therefore, leading to the failure of another agency, no less important - the testes are responsible for Androgen products.Therefore, Adenoma prostate can cause helplessness that requires prolonged and complicated therapy.
Diagnose
A simple and effective way to set a preliminary diagnosis is the patient by writing a urination diary by fixing quantitative and qualitative parameters: specialized urine volume, characteristics of consuming liquids, compulsory calls, night urge.The main physical test method in the case of suspected adenom of the prostate is to check the rectum of the prostate to determine its increase and eliminate some other diseases.
The diagnosis of the prostate adenoma in the hospital is done using the following laboratory methods and tools:
- Blood and urine tests in general;
- Biochemical tests for signs of kidney, urea and creatinine;
- Analyze the level of the dog (to eliminate prostate cancer);
- Examining ultrasound (ultrasound);
- Urofloometry (to determine the speed of the urine stream);
- Determine the remaining urine volume (using ultrasound);
- Pelvic muscle muscle;
- Endoscopic slaves;
- Excretion of urography.
Treatment
Prostate adenoma treatment is to facilitate the symptoms of lower urinary tract, improve patient quality and prevent the development of complications of the disease.Patients with poor contact symptoms, those who do not worsen the quality of life, often stipulate dynamic observation tactics with regular exams with the urinary doctor, control the process of the disease and make recommendations on how to prevent the growth of prostate adenoma.During this period, attention is focused on non -treatment.Thehertic's method can be a supplement for conservation treatment, which is the following amount of medicine:
- Alpha blockers (tamsulosin, alfuzosin);
- Reductase inhibitors 5-alpha (Finsteride);
- Fierce phosphodesterase inhibitors (Sildenafil);
- Combining 5-alpha Reductase inhibitors and alpha blockers;
- Muscarine receptor blockers or m-cholinoltics.
Patients with Adenoma prostate in the progressive stage are recommended to conduct surgical treatment, which can be performed by a number of methods: removing transurethral, cutting transurethral and removing prostate.
There are some indications for the use of surgical treatment:
- Repeated urine delay;
- Renal failure is agitated by prostate adenoma;
- Rock in the bladder;
- Reflected urinary tract infection;
- Repeat blood urine.
In addition, surgery is necessary for patients in the case of ineffective from drug treatment.
During conservation treatment or during postoperative phase, patients need to control medical continuously by standard studies (determining the ratio of urine, ultrasound, PSA level analysis).
Medicine
There is a certain plan under which specific drugs are prescribed to treat prostatitis and prostate adenoma.The high effectiveness of treatment is achieved by the use of drugs of Alpha Reductase inhibitors and alpha blockers.The drugs to treat prostate adenoma in men help eliminate the main symptoms of the disease, as well as recover enough urination.
What is the most effective and widely used tablet from Adenoma prostate?This list is led by Alpha1-ADRENERGIC receptor inhibitors.In addition, this list includes 5-alpha reductase inhibitors, vitamins and minerals.
The complexes of drug therapy include not only drugs.With the prostate adenoma, conservation treatment can be supplemented with biological additives - supplementing the diet to enhance the treatment effect of the drug and provide early recovery.Some of them include zinc.This macro factor is directly related to the process of sperm and testosterone synthesis.Normal phytosterol plants urinate.
Medicinal treatment of Alpha1-Aadrenoceptors antagonistic group
These drugs to treat prostatitis and prostate adenoma provides the relaxation of the smooth muscles of the urinary system and improves the urine process.Tamsulosin has the same name of the active substance, which is part of other drugs (alfuzosin, Silodinos, etc.), which is a highly selective effect on the alpha1-adrenergic receptors of the prostate muscle, prostate of the urethra and bladder.By reducing muscle tones, the release of flow and urine is facilitated.Tamsulosin, like all selective drugs, has a minimum number of side effects, does not affect the melody of blood vessels and can be prescribed for patients with chronic hypertension.
The antagonistic drug of alpha-adrenergic receptors must be used continuously, so that you can achieve a decrease in stimulation and congestion with the prostate adenoma.Tamsulosin drugs in the treatment of prostate adenoma occupy a well -preserved priority in the purpose of urinary doctors.
The form of tablet of the drug is considered to be more advanced, because of the control of Tamsulosin's control, the active substance is in the body with continuous concentrations.The drug goes into the blood evenly, thus ensuring the ability to develop the main side effects of the drugs of the Adrenehobocators - reducing blood pressure.
An equally effective drug with Tamsulosin activity is a lesson.Taking this medicine does not come with the following unwanted effects: Hypotension, tachycardia, an increase in angina in patients with coronary heart disease, so it can be prescribed for men with pathology.The dosage is properly selected and complies with all rules on the use of the drugs of Alpha blockers that allows you to achieve good treatment effect in not having absolutely no side effects.
Medicines of inhibitors (blockers) Reductase
The drugs of this pharmacological group (Finsteride, Dutasteride) contribute to reducing the urine stream, and therefore, the removal of the main symptoms of the disease.A stable treatment effect happened two to three weeks after starting the course.All symptoms completely stop after three months.According to the results of clinical studies, the maximum efficiency achieved after six months of treatment with these drugs.
Finasteride and dutasteride are specific inhibitors of 5-alpha reductase of the second type (cell enzyme responsible for converting testosterone to dihydrotestosterone).The development of the prostate with Adenoma prostate is directly related to the similar transformation of testosterone.Thanks to the 5-alpha reductase inhibitors, the products of dihydrotestosterone in the blocked industry and its concentration in the blood have decreased significantly.
Finsteride and Dutasteride are used for the following purposes:
- Treatment and control of prostate hyperplasia;
- Improve urine stream and eliminate symptoms of prostate adenoma;
- Reduce the risk of maintaining acute urine and the need to conduct surgical intervention.
Finasteride and Dutasteride have a clear anti -cancer effect, which is contributing to reducing the level of male hormones in the blood.In addition, these drugs have a teratogen, so they need to be cautious.With the help of modern drugs, you can prevent the growth of the prostate and prevent the need for surgery.
Anti -spasms and painkillers with the seriousness of the disease
The main prescription of anti -spasms and analgesic effects with the seriousness of the prostate adenoma is to reduce the general condition of the patient and remove pain syndrome.Anti -inflammatory and analgesic effects are acting by anti -inflammatory drugs (diclofenac, ibuprofen).They help fight not only with painful feelings that occur during urination, but also with constant pain in the groin and perineum.Due to the fact that the anti -inflammatory drugs are not caused by no, the inflammatory process is reduced, the prostate swelling decreases, the body temperature is normalized and the unpleasant symptoms are removed.
Neopopioid analgesics are produced in the form of tablets or candles that help prevent pain syndrome with the seriousness of the prostate adenoma.The most affordable among them is Sodium Metamizole.However, this drug is more intended for disposable use, as it can only affect weak pain syndrome.In addition, analgesics with Lidocaine, Benzocaine, anesthetic and Novocaine (iChammol, Benzocaine, Tribenoside + Lidocaine) effectively.
Vitamin E 400
Tocopherol acetate or vitamin E is often part of the complex treatment of prostate adenoma as an antioxidant, radioactive protection agent and an indispensable link in reproductive processes.Vitamin E in the dose of 400 mg of urinary doctors are prescribed for patients with erectile dysfunction and sperm producing adenoma of the prostate.
Treatment of serious chronic diseases like prostate adenoma should be prescribed and controlled by a urinary doctor.It is strictly prohibited from using some drugs independently, without consulting preliminary consultation with the doctor attending, because in this case, it may not only be ineffective, but also dangerous to the health of men.Only one qualified expert can propose tablets from the prostate adenoma is the most effective in each case and among them can cause negative consequences.
Work
Hospital urology doctors master the classic and minimal invasive surgical intervention, using advanced methods of prostate adenoma surgical treatment.Each patient was chosen to work for him more.
The common standard recognized in the prostate adenoma surgery is to remove the Transurethral of the prostate.Highly effective activities.After intervention, the patient escapes infinite obstruction (narrowing the urethra) and related symptoms.The recovery time is short.During or after surgery, bleeding may develop, water poisoning syndrome.
Alternative methods to treat Adenoma prostate include the following surgical interventions:
- Set stent;
- Expanding the ball;
- Increase body temperature;
- Thermal therapy;
- Ultrasound, laser and needle cutting;
- Interstitial coagulation.
After them, complications arise less often, but these methods are inferior to transurethral removal of efficiency, both clinical and economic.
Adenoma's endoscopic removal of the prostate adenoma is used when the tumor has grown significantly and there is a problem that removes it using Transurethral removal.This activity is more complicated, performed under anesthesia.Through small incisions, the surgeon put special tools into the body cavity, performing the removal of prostate adenoma.The activity is performed in the image from the video camera, displayed on the screen.The main advantage of intervention is the minimum blood loss volume, small probability of complications.After surgery, the patient does not need long -term rehabilitation.
When there are signs of prostate adenoma in men, doctors use a high method to treat adenoma - laser artificial artificial.The intervention is done with the large size of the new birth.Excess fabrics are removed by laser.Activities are performed through the urethra.The tumor is separated, divided into small parts, and then displayed.The method is considered minimally invasive.It has some significant advantages: it does not violate the integrity of the cavities, does not cause unnecessary damage.
Laser vapor consists of destroying adenoma by evaporating lasers.Through the urethra, the urinary doctor introduced a special device, brought to the new birth and clearly affected it with a powerful green laser.The depth of laser penetration and the accuracy of its shot can avoid damage to surrounding areas.The method is minimum, without blood, fast and effective.Its only disadvantage is that the tumor tissue is incapable to check.
In some situations, the inevitable method to treat Adenoma prostate is abdominal surgery - removable surgery.It is done in case when other methods cannot help patients.During the surgery, the surgeon with a scalpel carries access to the prostate and manually, using surgical tools, eliminating Adenoma.As a result of activity, significant blood loss may occur, complications developed.After surgery, the patient needs to recover for prolonged function.
Eliminating Adenoma prostate by adenomectomy removal (blurred) method includes thorough removal of the turbocharged tissue of the prostate through the vertical incision of the abdominal wall and bladder.The activity is carried out at the progressive stage of the disease, when the tumor reaches a large size, the bladder is overturned due to accumulated urine spill and renal failure.
The bladder is pre -created and filled with sterile furatsilin solution or other substances.After that, it was allocated and made in two places to hold specially, which they raised the wall's wall.The surgeon dissected the folds formed and opened the bladder.
By the end of the urine catheter was established, it determined the area of the bladder neck and around the urethra appeared in the field to look, withdraw 0.5-1 cm from it, causing the mucous membrane of the mucous membrane.After that, the urinary doctor acted into one finger into the thickness of the prostate, entering it between tumor capsules and adenomatous buttons, and hesitated later.At the same time, the doctor takes the gland in the front of the patient in the rectum of the patient in the rectum in the abdominal wall.It becomes more affordable for operation.Thanks to this technique, the operating time decreases and blood loss.
After that, the surgeon performed the hemostasis (stop bleeding) of Adenoma's bed from afar and stitch the bladder wound, leaving a thin drainage sewer in the wound.It is designed to wash the compartment from blood clots.Urine catheter, introduced before starting surgery, must not be given in 7-10 days.Around it, a new part of the urethra is formed instead of being placed during the prostate of the urethra.
The Ciffular Adenomectomy refers to the most injury of all the methods used for prostate adenoma.It comes with the risk of developing the following complications:
- Bleeding from Tan Sinh's motel;
- Pneumonia stagnant;
- The function of evaluating the weakened movement of the intestine, is manifested by constipation.
To avoid complications, after surgery in the hospital, the patient was performed early.The following unexpected consequences of activities to remove Adenoma prostate may occur:
- Insufficient drainage of the bladder;
- Narrow his neck;
- Invasive urine of the tissue near -pussy;
- The formation of pre -production of Muslims (the other in the place of removal of prostate adenoma);
- The narrowing formation of the urethra;
- Urine is not autonomous.
This negatively affects the quality of the patient's life and prolongs the recovery of fully urinating.
The consequences of less activity are pronounced when interventions are done by laparoscopy.Endoscopic activity to remove Adenoma prostate is one of the less invasive options for surgical interventions on the prostate.Hospital urinary doctors use this technique if the patient has adenoma large enough of the prostate.
If the prostate of the patient with Adenoma does not exceed 120 cm3, then you should remove the Transurethral of Adenoma prostate.But 10% for patients who need surgery, this option is not suitable, because iron reaches more than 120 cm3.Endoscopic activity to remove prostate adenoma during urolite, inguinal hernia, excess bags of bladder and ankylose joints of the lower limbs is not done.In this case, the decision on the ability to perform an activity is carried out by a urinary doctor, a specialist, a abdominal surgeon and other hospital experts.