The Urologist is the most common urological pathological adenoma, which is the most common male and over 45 years of age.The presence of this pathology significantly deteriorates the quality of life.One of the most huge possible results of the pathological process is a malignant muffler degeneration of bad prostate hyperplasia.
Prostate is used in surgical and drug treatment methods to combat adenoma.The hospital experts choose the most effective drugs or methods of surgery, taking into account the stage of the disease, the general state and age of the disease, as well as related pathologies.Comfortable conditions were created for the treatment of patients in the Surgery Clinic.
Reasons for the development of the disease
Adenoma's formation is the most ages, ie the changes in the prostate, ie the change in the structure and the increase in size.As a result of such changes, the urethra was gradually compressed, which appears in the thickness of the prostate gland and the violation of the urinary process.
In men, the prostate adenom is developing due to the hormonal reconstruction of the age-related body.The testosterone level (men's hormone) gradually decreases with age, but the concentration of female sex hormone, on the contrary.This phenomenon is called menopause.
The development of the prostate adenom may be related to the following risk factors:
- The patient's age - increased prostate iron, forty years old men are extremely rare in men and diagnosed in almost every second in sixty years;
- Inherited authorship - the prostate adenom is diagnosed with close relatives of a man, it has a legacy inherited during maturity;
- Diabetes Mellitus, cardiovascular diseases - a good tumor of prostate (Adenoma), only these diseases can occur as a result of harmful effects (such as beta-blockers) to treat medicines;
- The wrong way of life is the lack of physical activity, increasing the risk of developing the prostate adenoma in men with obesity.
Symptoms
The prostate adenom is suspected when a man was seen in the following symptoms, which is the most typical of this disease:
- Urinary tasks;
- appearance of tension of tension of abdominal muscles for urine;
- the fact that pain, burning, sluggish urine;
- Discharge and insufficient discharge of Messaan;
- Increasing the process of urinary process.
The prostate adenoma also leads to a sharp delay in the urine, which requires only one person's quality of life, but also requires the use of surgical treatment methods.To prevent surgery, many patients use special drugs to remove the sympathetic adenoma, symptoms and restore normal activities of the prostate.But only one qualified specialist can offer the best tool for prostatitis and prostate adenoma.When the first signs of the disease needed to apply.
Treatment of prostate adenoma for each patient.The treatment of prostat adenoma is determined by the doctor who participates in preparations, their doses and duration of use.The prostatitis and prostate adenom can be only an ineffective and dangerous measure, taking the product independently.Some of the "individual" chronic diseases should be elected, taking into account pathologies accompanied by medications for the treatment of the prostate adenoma.
Stages of development of the disease
The prostate adenoma is characterized by gradual development, which can be divided into three stages.
- The first stage of the disease comes with minimal urinary disorders.Especially at night, especially slow urine can be observed.The first stage can last for up to 12 years or more.
- The second stage of the prostate adenom is characterized by more clear pronouncements: the intermediate of urine flow, the appearance of tension during the urine and the feeling of incomplete unloading.The residual urine in the sac and urinary roads causes an inflammatory process that burns the sensation of sensation, low back and pubic in the urine, low back and pubis.
- The third stage is characterized by a periodic or permanent mandatory urine release of a periodic or permanent mandatory urine forcing the patient to use the ureter.
Complications
The quality of life in some men of the prostate adenoma does not deteriorate and continues without the development of complications.However, in some cases, the disease may lead to the following negative consequences:
- The sharp delay in the urinator is characterized by a sudden, whose bladder and pain cannot be vacated in the right-flawless region.With a similar situation, the patient needs an emergency medical service with a catheterization or a small operation;
- The emergence of infections in the urinary tract, causes the development of cystitis and pyelonephritis, which creates favorable conditions for the restoration of pathogens;
- The formation of stones in the sac is also the result of the urinary insurgency;
- Damage to the sac - the disorder of the bag is stretched, those who are stretched, the urine are stagnant (pockets).
- Damage to kidneys - increased pressure and bladder in urethers affect the kidneys, resulting in kidney failure.
Prostate adenoma and potential
The prostate is closely connected to Adenoma and Potence.Adenoma, in turn, causes testicles that caused testicles that are responsible for the defeat, more important body - androgenic products.Thus, the prostate adenoma may cause impossibility that requires a long time and complex therapy.
Diagnosis
A simple and effective way to put an initial and effective way, a patient with a urine diary with the fixation of quantity and quality parameters: special urinary volume, consumed liquid, imperative challenges features, nighting.If the suspicion of the prostate adenome is the basic physical maintenance method, to determine the rise of the prostate and rectifying some other pathologies is the finger of the finger.
The diagnosis of the prostate adenom in the hospital is carried out using the following laboratory and instrumental methods:
- General blood and urine tests;
- Biochemical blood test for markers of kidneys, carbamid and creatine levels;
- Analysis for the level of dog (excluding prostate cancer);
- Transmission ultrasound examination (ultrasound);
- Urofloometry (to determine the speed of urine current);
- Determination of the volume of residual urinals (using ultrasound);
- Pelvic sub-electromicography;
- Urethrochistoscopy;
- Excremented urography.
Treatment
The treatment of the prostate adenoma is to facilitate the symptoms of low urinary tract, to improve the patient's quality and prevent the development of the disease.Patients with poorly exposed symptoms that do not worsen the quality of life determines the dynamic observation tactics with a regular examination with a urologist who manages the protection of the disease and makes recommendations to stop the growth of the prostate adenom.During this period, attention is in the spotlight without therapy.Thertical methods can be added to the conservative treatment of the following medications:
- Alpha Blockers (Tamsulosin, Alfuzosin);
- 5-Alpha Redikasi inhibitors (Finavertide);
- Type 5 phosphodesterase inhibitors (sildenafil);
- 5-Alpha-Deducinian inhibitors and combination of alpha blockers;
- Muskarine receptor blockers or M-cholinolic.
At a developed stage, patients with prostate adenoma are recommended to be carried out in several ways: transuretral ecision, transuretral equity, transuretral resection and prostate removal.
There are certain signs for the use of surgical treatment:
- Delayed delay in recurring urinary;
- Kidney failure grown by prostate adenoma;
- Stones in the bladder;
- Infection of recurring urinary tract;
- Repetition hematuria.
In addition, there is no operation for patients when there is no effectiveness from drug treatment.
During conservative therapy or after surgery, patients need permanent medical control with standard research (the speed of urine current, Ultrasound, PSA level analysis).
Medicine
There is a certain scheme, which special medications are prescribed for the treatment of prostatitis and prostate adenoma.Thanks to the use of Alpha Reductase inhibitors and alpha-blockers, high efficiency of treatment is achieved.For the treatment of prostate adenom in men, these drugs help to eliminate the main symptoms of the disease, as well as to restore sufficient urine.
What are the most effective and widely used tablets from the prostate adenom?The list is managed by Alpha1-adrenergic receptors blockers.In addition, this list includes 5-Alpha Dediaz, Inhibitors of Vitamins and Minerals.
The complex of the drug therapy is not only medications.The conservative treatment with prostate adenoma can be added to biologically active attachments - can be added with dietary supplements that increase the therapeutic effects and provide early recovery.Some include zinc.This macro element is directly involved in spermatogenesis and testosterone synthesis.The plant normalizes Phytosterols urine.
Treatment of anti-antagonist group Alpha1-Adrenoeptors
For the treatment of prostatitis and prostate adenom, these drugs ensure the relaxation of smooth muscles of the urine system and improve the urinary process.Tamsulosin, which is part of the active substance, which is part of the other drugs (alfuzosin, silodinos, etc.), is a high consecutive drug affecting the prostate muscle alfa1-adrenchic receptors, urethra and the prostate of the Mesana.Thanks to the decrease in muscle tone, the flow and urine are facilitated.Tamsulosin, like all selective medications, has a minimum number of side effects, does not affect the tone of blood vessels and can be assigned to patients with chronic hypertension.
The antagonists of alpha-adrenergic receptors should be constantly used in prostate adenoma with irritability and obstacle with adenoma.In the treatment of the prostate adenoma, it is a good priority for the purpose of tamsules and urologists.
The drug form is considered more progressive, because the active substance is in the body in constant concentration due to the release of the tammar.The drug enters blood circulation equally, thus ensures the decrease in the probability of developing the main side effects of the Group of Drugs - a sharp decline in blood pressure.
An equally effective pharmaceutical drug with an actor substance is a lesson.The adoption of this drug is not accompanied by the following undesirable effects: anger in patients with orthostatic hypotension, tachycardia, coronary heart disease, so it can be set for men with heart pathologies.Properly selected dosage and compliance with the rules of using Alpha-Blockers Group's medications, allows you to get a good therapeutic effect in almost complete lack of side effects.
Dedicated medicine of inhibitors group (blockers)
These pharmacological group (Fineride, Dutasteride) help to relieve the urinary emeration of drugs, so it helps to eliminate the main symptoms of the disease.A stable therapeutic effect occurs in two to three weeks after the start of the course.After three months, all symptoms are completely stopped.According to the results of clinical studies, the maximum efficiency is achieved after six months of therapy with these drugs.
The finasteride and Dutsasteride are special inhibitors of the 2nd 5-Alpha-His Deducinary (responsible mobile enormar of testosterone) to transform the testosterone Dihydrotestosterone.The growth of the prostate with the prostate adenoma is directly related to a similar conversion of testosterone.Thanks to the 5-alpha editorial inhibitors, the industrial industry is blocked by Dihidrotestosterone products and the concentration in blood is significantly reduced.
Finsteride and Dutsasteride are used for the following purposes:
- Treatment and control of prostate hyperplasia;
- Improving the flow of urine and eliminate the symptoms of the prostate adenoma;
- Reduce the risk of developing the need to hold sharp urine and surgery.
FINTERTIEIDE and Dutsasteride, pronouncing an antiasdrogen effect, ie contribute to a decrease in men's hormones in the blood.In addition, these drugs have a theratogenic impact, so it should be done with caution.With the help of modern drugs, you can stop the growth of the prostate and prevent the need for surgical treatment.
Antispasmodiks and analgesic tablets with the exacerbation of the disease
The main recipe for antispazmodic and analgesic effects with the exacerbation of the prostate adenom is to eliminate the patient's general condition and eliminate pain syndrome.Antienced by anti-inflammatory effects, non-anti-inflammatory drugs (Diclofenac, Ibuprofen).They are not only with painful feelings that occur in the urinary process, but in groin and perineum help fight constant pain.According to the movement of greenless anti -inthlamacyal drugs, the inflammatory process is reduced, the swelling of the prostate gland is reduced, body temperature is normalized and unpleasant symptoms are eliminated.
Neopioide analgesics produced in tablets or candles are helped to stop pain syndrome with the exacerbation of the prostate adenom.The most affordable sodium metrics from them.However, this drug can only affect weak pain syndrome, because it is more intended for use in each other.In addition, analgesics with lidocaine, benzosocaine, anesthesocaine, anesthesino and Novokain (Etthammol, benzosuit, Tribenoside + Lidokain) are effective.
Vitamin E 400
Tocopherol ASETAT or vitamin E is often an invaluable contact in an antioxidant, radiooprotective agent and reproductive processes of prostat adenom.The 400 mg of urologist was assigned to spermatogenesis patients and spermatogenesis related to the prostate function and the adenoma of the prostate gland.
The treatment of such a serious chronic disease such as the prostate adenoma should be appointed and managed by an urologist.It is strictly prohibited to accept certain medications independently, regardless of their initial consultation of the doctor because it can be dangerous for self-nutrition.Only one qualified specialist may suggest that the prostate adenoma is the most effective in every situation in the position and which one can lead to negative consequences.
Operations
Hospital urologists are skillfully implementing classical and minimally invasive surgical interventions, use innovative methods of surgical treatment of prostat adenom.Each patient is selected from the operation that is more suitable for him.
The standard prostate is generally recognized in the surgical treatment of the prostate adenoma is the transient resection of the prostate.The operation is very effective.After the intervention, patients are rid of infravic congested (urethra contraction) and related symptoms.The rehabilitation period is short.Bleeding, or after the operation, can develop "water intoxication" syndrome.
Alternative methods of prostate adenoma treatment include the following surgical interventions:
- Stenting;
- Balloon dilatation;
- Hypertermi;
- Therotherapy;
- Ultrasound, laser and needle ablas;
- Interstitial clotting.
After them, complications are less, but these methods are lower than a transient resection in terms of both clinical and economic effectiveness.
Laparoscopic removal of the prostate adenoma is used when the tumor grew significantly and is problematic to remove it using transuretral resection.This operation is more complicated, under anesthesia.Through small cuts, the surgeon presents special means to the body of the prostate adenoma.The operation is carried out on display video cameras on display.The main advantages of the intervention are the minimum volume of bloodshed, a small possibility of complications.After the operation, the patient does not need rehabilitation for a long time.
When men have signs of prostate adenom, doctors use a high-level method for the treatment of Adenoma - laser enucmentation.Intervention is carried out with great dimensions of neoplasm.The fabric is already removed using a laser.The operation is carried out in the urethra.The tumor is separate, divided into smaller parts and then displayed.The method is considered minimally invasive.There are a number of important advantages: does not violate the integrity of the gaps, not cause unnecessary damage.
Laser evaporation consists of destruction of adenoma with laser evaporation.The urologist provides a special device through the urethra, neoplasm is brought and therefore affects this with a strong green laser.The depth of laser reputation and the accuracy of his hitness may not be afraid to damage neighboring areas.The method is minimal, bloodless, fast and effective.His sole disadvantage is the failure to get a tumor tissue for histological examination.
In some cases, the inevitable method of treatment of prostate adenoma abdominal surgery - adenomeectomy.It is carried out if other methods cannot help the patient.During surgery, a surgeon, which is a skalpel, provides access to prostatical gland and produces adenoma using the surgical instruments.As a result of the operation, significant blood loss can occur, complications are developing.After the operation, the patient needs rehabilitation for a long time.
The removal of the prostate adenoma by control (Transluccal) Adenomectomy consists of radical extracures in radical discalytics of the prostate by longitudinal incision in the front abdominal wall and bladder.The operation is carried out in the leading stages of the disease, when the tumor reaches large dimensions, the bladder exceeds the flooding of the fetary and develops a lack of kidney failure.
The bladder is pre-inflated and filled with a sterile solution of Furatsilin or other substance.Then they are separated and taken in two places for special holdings they raised the wall of the body.The surgeon breaks the layer of the formation and carries out the bladder.
With the internal tip of the built-in urinary catheter, it is visible in the field of the neck and appearance in the field of the neck and appearance in the image in the image in the field of vision.After that, the operating urologist reduces an finger into the prostate, the tumor capsule and adenomatosis are among the nodes and do their last.At the same time, the doctor gives a gland in front of the patient in the rectum in the rectum in the front abdominal wall.Becomes more convenient for manipulation.Thanks to this technique, operating time is reduced and blood loss is reduced.
Then the surgeon performs the hemostazis of the deparing adenoma field (stops bleeding) and sewes bladder by leaving a thin drain in the wound.Designed to wash the gap from the arising blood clots.The urinary catheter, which is applied before the operation begins, is not removed within 7-10 days.Around this, instead of a new part of the urethra instead of supporters in the prostatic part of the urethra.
The cuspular adenomectomy, prostate diaper refers to the most traumatic for all methods used for Adenoma.The following is accompanied by the risk of development of complications:
- Bleeding from Neoplasm's lodge;
- Stagnant pneumonia;
- Motor-evacuation function of the intestine indicating himself by imprisonment.
After the operation in the hospital to prevent complications, the patient is activated.The following undesirable results of transactions to remove the prostate adenom:
- Put drainage inadequate;
- Contraction of his neck;
- Urinary infiltration near nearby tissue;
- The formation of "prenatal" (residual space in the place where the prostate adenom is removed);
- The formation of the lumen of the urethra;
- The insincerity of urine.
This has a negative impact on the quality of life and increases adequate urinacy recovery.
The results of the operation are less pronounced when the intervention is used in a laparoscope.To remove the prostate adenom, a laparoscopic operation is one of the less invasive choices for surgical interventions in the prostate gland.Hospital urologists use this equipment from this technique, if the patient has a sufficiently large adenom.
If the patient's prostate diaper is not more than 120 cm3 of a adenoma, it is recommended for the transuretral resection of the prostate adenom.10% of patients in need of surgery, this option is not appropriate, because the iron reaches more than 120 cm3.During the Uaroliacis, the laparoscopic operation, inguinal hernia, segregation of the segregation and lower extremities are not carried out into ankylosis associations.In this case, the decision on the possibility of the operation was made in colleged by an urologist, abdominal surgeon and other hospital experts.