Adenoma of the prostate (benign prostatic hyperplasia, BPH) – is one of the most common urological disease in adult men.
According to recent statistics, almost half of men aged 40 have some form of changes in the prostate, which are connected with the increase (called hyperplasia). It is believed that after 80 years of prostate adenoma is found in every man.
The appearance of prostate adenoma associated with hormonal disorders in the organism of man, which occur in virtually all men over 40 – 45 years (the so-called male menopause, or andropause). But until now, many of the basic mechanisms of prostatic adenoma remains unclear, and this, in turn, does not allow scientists to develop effective prevention of this disease.
The prostate plays an important role in a man. It was her secret is responsible for sperm motility in semen, as well as its composition. Prostate – a body resembling the fruit of the chestnut. It is located directly at the bladder neck and its thickness covers the urethra.
The prostate is an organ which consists of two types of tissues: glandular and smooth muscle. This glandular tissue is the major component of it. When prostate adenoma is the expansion of the muscle tissue of the prostate, resulting in compression of the urethra passing through it. This is manifested in the initial stages of difficulty of urination, the patient must make an effort, the jet of urine at the same time rather weak. Over time, urethra can completely shut down, which results in urinary retention.
Adenoma of the prostate is fraught with its complications, among which can be noted such as:
* Hydronephrosis kidneys, caused by violation of the outflow of urine from the bladder.
* Infectious processes in the kidney – pyelonephritis caused by vesicoureteral reflux.
* Chronic renal failure, which is the cause of hydronephrosis or pyelonephritis.
Unfortunately, to date, despite the emergence of new methods of diagnosis and treatment of prostate adenoma, the disease is often diagnosed at later stages, which lead to the development of typical complications of prostate adenoma. The reason for this, mainly, is that most men do not usually attach importance to this disease. They regard the symptoms of prostatic adenoma as a normal state, due to age and does not require any treatment.
But at the same time, timely diagnosis and treatment of benign prostatic hyperplasia can avoid serious complications and significantly improve the quality of life of men.
It should be noted immediately that the term "prostate adenoma" not correctly reflect the main changes that occur in the gland. Adenoma – a benign tumor of glandular tissue. In BPH, we are dealing with a disease not of glandular tissue and muscle. Therefore, evidence that the prostate adenoma develop into prostate cancer, no.
Diagnosis of prostate adenoma today was quite simple with the advent of such a method, like ultrasound. Even normal ultrasound of the prostate, not to mention more than its modified forms, such as transrectal ultrasound, can confirm the enlargement of the prostate.
Before the advent of ultrasound, the main method of diagnosis of diseases of the prostate was digital rectal examination. At present, it also remains an essential diagnostic method, especially in cases where other methods simply do not.
In the diagnosis of prostate adenoma also plays a role, and blood, and this method of study as a blood test for PSA (prostate specific antigen). This analysis allows us to distinguish prostate cancer from its benign hyperplasia.
Treatment of prostate adenoma is composed of two methods:
Unfortunately, conservative treatment, which consists of medication, many of which are of plant origin, can not be cured of adenoma. High on drugs that are capable of – it's a bit to reduce swelling of the prostate and stop (or slow) growth. Reverse "resorption" adenoma with tablets so far still can be done.
Among the surgical methods of treatment of adenoma can be divided into two main groups: an open transvezikalnaya adenomectomy and various endoscopic surgery – TUR (transurethral resection) and others (balloon dilatation, stents, hyperthermia, etc.).