BPH (benign prostatic hyperplasia)

May 4, 2011

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In modern medicine as a result of growth of prostate tissue growth called active BPH . Although some experts "experienced" and patients aged still use terms such as prostate adenoma or urinary retention . In fairness, we note that this name is another synonym for: benign prostatic hyperplasia   (hereinafter BPH).

In any case, the essence of the disease is to increase the size of the prostate, resulting in the appearance therein of nodes that interfere with normal urination. Implies the absence of benign metastases That distinguishes disease from cancer of the prostate.

BPH is considered to be a disease of older men years. Every second man to 50 years' experience urinary problems, which after examining the expert charged to the disease. The incidence increases with age, and by 70 years the same problems experienced three of the four men. According to the medical research, the strength of 15% of men with BPH is not exposed. At the same time every year increases the likelihood of disease.

Causes of BPH

All causes BPH can be divided into two groups.

The first group includes the reasons, lifestyle   man, that increase the likelihood of prostate growths. For example, this can be active or sedentary work mental load in the absence of the physical. That is why the role of regular exercise can not be overestimated.

The second group consists of objective reasons, independent of the person's lifestyle. It is proved that BPH is caused by changes   male hormonal background. If we consider that these changes will inevitably occur in the elderly, it can be concluded that only some men fall happiness avoid problems with the prostate gland.

In fairness it should be noted that the causes of BPH is still not fully understood. Scientists regularly conduct studies aimed at identifying the correlation with other diseases, or with the individual's personal life, however, until all of these investigations have not given significant results. While, for example, managed to disprove the view that prostatitis and BPH are interrelated. Statistics show that both diseases can occur quite independently, or vice versa, at the same time. Therefore, in spite of the various hypothetical causes of BPH, the only proven factor increasing the risk of disease is age.

Symptoms of BPH

To better understand the symptoms of BPH, you must first understand what is happening in the prostate men in the appearance of this disease. As you know, the normal size of the prostate, under the bladder, approximately equal to the size of a walnut. When prostate tissue begin to grow, it will inevitably appear on one or more nodules. They squeeze the urethra, so that disturbed urination. It is clear that this process does not happen immediately, but gradually. For this reason, depending on the symptoms of the disease are three stages.

Initially, when a channel starts to shrink under external influence, the first symptoms of BPH. They consist in a change sensation when urinating. Healthy men experience a pleasant sensation when emptying the bladder, and it is quite normal. The disappearance of these sensations may be the first wake-up call.

Unfortunately, men tend to write off the detected changes to anything other than the disease, so the first step of turning to doctors very rarely. Meanwhile BPH   proceeds in the following form. Is more pronounced symptoms of BPH.

In particular, a sizeable reduction in the urethra resulting in reduction of power flow. When a little urine (in the final stages of discharge), it becomes a vertical or generally breaks up into individual droplets. Naturally, while the bladder is not fully emptied. The patient has to strain your abdominal muscles, thus squeezing the bladder and urine to stay there after a short period of time will cause the next urge to urinate. This is also the main symptoms of BPH.

In the absence of treatment, new-like symptoms enuresis . For example, a man can not do at night without voiding, and the time he can "tolerate" significantly reduced up to complete incontinence.

The importance of timely referral to a specialist when it detects the first signs due to the fact that without proper treatment, BPH can have serious complications, which will be discussed further.

Complications of BPH

As you have seen, BPH causes problems with urination. And this, in turn, is a serious blow to the kidneys. Their gradual loss may manifest itself by frequent headaches, irritability, constant thirst   and sensation of dryness in the mouth. The fact that the urine is delayed for too long in the bladder significantly increase the likelihood of urinary tract infections such as pyelonephritis . urethritis   and others, as well as the emergence of urolithiasis .

It must be admitted that this is not the worst complications of BPH. Unhampered development of nodes of the prostate can lead to a complete overlap of the urethra. In this case, the urine accumulates in the bladder without exit that turns men to severe pain and life-threatening. If such symptoms set a catheter to drain urine or, in an emergency, immediate surgery is performed.

The danger is that complete coverage of the urethra can happen even in the early stages of the disease. It all depends on the particular confluence of precipitating factors, such as hypothermia, alcohol abuse, abstinence and the other urinating.

Unfortunately, it's not all the complications of BPH. Sometimes the growth of prostate cancer leads to blood in urine . The complexity of the diagnosis of this complication is the low concentration of the blood, which can not be seen with the naked eye. Therefore surrender urine reveals a disease by the presence of blood clots in the microscopic examination of the sediment.

Such a variety of complications, each of which in itself is quite heavy for the body, leads to the need for early diagnosis of the disease in its early stages.

Diagnosis of prostate adenoma

It is no exaggeration if we say that the successful diagnosis of BPH depends on the patient. At the earliest stages of a survey it can give those indicators for which an expert will be able to suspect the presence of the disease. To add poll finger examination of the prostate .

For laboratory research material (ie the secret of the prostate and urethral swabs) taken after prostate massage. Certain information doctor can get through ultrasound, which is determined by the presence of stones, residual urine volume after a bowel movement, the size of the prostate.

An additional method of study is Uroflowmetry . Literally translated as the name of the term measurement of the speed of the jet of urine. Besides speed is measured a number of other options that make diagnosis of BPH becomes more accurate.

While BPH does not always lead to cancer effects, for men who are at risk, that is, whose age has reached 50 years, laid a mandatory blood test. According to the results of laboratory studies can be found traces of the presence of a malignant tumor, or obtained information about its absence. It is in this age it is recommended to do a blood test regular annual procedure. In the case of suspicion of cancer problems, more research is conducted characteristic.

Treatment of BPH

After the diagnosis, doctors prescribe one of three treatment options for the disease. It drug treatment   BPH, surgical intervention   and non-operational non-drug methods .

Drug treatment involves taking certain medications. On the market today are represented in large numbers, so the assignment is carried out at the discretion of the physician.

All drugs are aimed at either the relaxation of the muscle fibers of the prostate, or a decrease in prostate volume. And in fact, in both cases the reduced compression of the urethra, and the normal flow of urine restored.

Unfortunately, medicines can help only at the initial stages, and their effect is not always sufficient. In this case, most likely the patient will be offered surgery. Surgical treatment of BPH can be done either by open or without the cut, when the surgeon performs all manipulations through the urethra.

Sometimes alternative to surgery can be non-operational methods . All of them are meant to re-expand the urethra. This is done either by acting on the channel itself (balloon dilatation and prostatic stents) or the impact on the prostate gland (or thermotherapy microwave coagulation ).

As for preventive methods, unfortunately, actionable recommendations that could guarantee protection from BPH does not exist. In fact, all the preventive measures are reduced to a leveling of the factors that increase risk of the disease, that is, poor nutrition, alcohol abuse, other addictions.