The most common urological pathology is for urologists, and men over 45 years of age have prostate adenomas.The existence of this pathology greatly deteriorates the quality of life in men.One of the most significant possible consequences in the pathological process is benign prostate hyperplasia to malignant tumors.
To combat prostate adenoma, surgical and drug treatments were used.The hospital’s experts selected the most effective drug or surgical intervention method, considering the stage of the disease, the general condition and age of the patient, and the presence of related pathology.In surgical clinics, comfortable patient treatment conditions have been created.
Causes of disease development
The occurrence of adenomas is most often associated with prostate-related changes, i.e., its structural changes and increase in size.Due to this change, the urethra is gradually compressed, located at the thickness of the prostate, and violates the urination process.
Male prostate adenoma develops due to hormone recombination in the body associated with age-related changes.The levels of testosterone (androgen) gradually decrease with age, while the concentration of female sex hormone (estrogen) increases in testosterone levels.This phenomenon is called male menopause.
The development of prostate adenoma may be due to the following risk factors:
- Patient age - In men under 40, the increase in prostate iron is extremely rare, almost 60 years after diagnosis per second;
- Genetic tendency - If a prostate adenoma is diagnosed as a close relative of a man, he has a huge risk of inheriting the disease as an adult;
- Diabetes, cardiovascular disease - benign tumors (adenomas) of the prostate may not only cause these diseases themselves, but also lead to harmful effects of drug treatment (e.g., beta blockers);
- Lifestyle errors - Obese men, men with insufficient physical exercise have an increased risk of developing prostate adenomas.
symptom
Adenomas of prostate adenomas can be suspected when a person develops the following most typical symptoms of this disease:
- Urination responsibilities;
- The emergence of the need for urination tension in the abdominal muscles;
- There is pain, burning, and dull urine;
- Discomfort and insufficient bladder emptying;
- Increase the duration of the urination process.
Prostate adenomas not only lead to a decrease in human quality of life, but also lead to acute delay in urination, which requires the use of surgical treatment.To avoid surgical intervention, many patients use special drugs to treat prostate adenomas, eliminating symptoms and restoring normal prostate activity.However, only qualified experts can propose the best treatment for prostatitis and prostate adenoma.When the first symptom of the disease occurs, it is necessary to contact it.
Prostate adenomas were treated individually for each patient.Preparation for preparatory adenoma treatment, dosage and time of use are prescribed by the attending physician.Taking products independently from prostatitis and prostate adenoma is not only an ineffective but a dangerous measure.As it exists in certain “individual” chronic diseases of the older generation, the accompanying pathological medications for the treatment of prostate adenomas should be considered.
Disease development stage
Prostate adenoma is characterized by gradual development and can be divided into three stages.
- The first stage of the disease is performed with minimal urination disorders.Its slight increase can be observed, especially at night, where the urine flows slowly.The first phase can last one to 12 years or more.
- The second stage of prostate adenoma is characterized by a more obvious urinary disorder: intermittent urine, the appearance of pressure demand during urination, and the feeling of incomplete emptying of the bladder.The residual urine lingers in the bladder and urinary tract, causing an inflammatory process, accompanied by pain, pain in the urine, pain in the lower back and upper and lower pubic bones.
- The third stage is characterized by periodic or constant involuntary urine release, which forces the patient to use the ureter.
complication
In some men with prostate adenomas, quality of life does not deteriorate and there is no complication development.However, in some cases, the disease can cause the following negative consequences:
- Acute delay in urine - characterized by sudden inability to clear the bladder and right hand area.The situation is similar, patients need emergency surgery or minor emergency medical services;
- The occurrence of urinary tract infection is the stagnation of the urine, which brings favorable conditions for the reproduction of pathogens, leading to the development of cystitis and pyelonephritis.
- The formation of stones in the bladder - is also the result of urine stagnation.
- Damage to the bladder - With irregular emptying of the bladder, it is stretched, protrusions (pockets) on the organ wall form, and urine stagnates;
- Damage to the kidneys - Increased pressure on the ureter and bladder has a direct destructive effect on the kidneys, so renal failure occurs.
Prostate adenoma and efficacy
Prostate adenoma and efficacy are closely related.Adenomas destroy the structure of the gland tissue, which in turn leads to another, equally important organ, defeating the testicles of the androgen products.Therefore, prostate adenomas may cause positivity that requires prolonged and complex treatments.
diagnosis
A simple and effective way to establish a preliminary diagnosis is to maintain a urinary diary by fixing the quantitative and qualitative parameters: the amount of dedicated urine, the fluid characteristics of fluid consumption, the priority, night impulse.If the prostate gland is suspected to be a rectal examination of the fingers of the prostate to identify its increase and exclude some other pathology.
Diagnosis of hospital prostate adenoma using the following laboratory and tool methods:
- General blood and urine tests;
- Biochemical blood tests of markers of kidney, urea and creatinine levels;
- Analyze dog levels (to exclude prostate cancer);
- Transrectal ultrasound examination (ultrasound examination);
- Urology (determine the rate of urine);
- Determine the volume of residual urine (using ultrasound);
- pelvic floor electromyography;
- Urethral cell scopy;
- Urology of excretion.
treat
The treatment of prostate adenoma is designed to promote symptoms of lower urinary tract, improve the quality of patients and prevent the development of disease complications.Patients with poor symptoms do not worsen their quality of life, often through a strategy of dynamic observation with regular checkups with urologists, the term controls the course of the disease and makes recommendations on how to stop the growth of prostate adenomas.During this time, the focus was on non-pharmacological treatment.The Hult method can be a supplement to conservative treatment, which is the intake of the following drugs:
- Alpha blocker (Tamsulosin, Alfuzosin);
- 5-α reductase inhibitor (Finsteride);
- Phosphatease inhibitor type 5 (sildenafil);
- 5-A combination of alpha reductase inhibitor and alpha blocker;
- toxic arine receptor blocker or M-choline decomposition agent.
It is recommended that patients with prostate adenomas undergo surgical treatment at an advanced stage, and surgical treatment can be performed in several ways: urethral resection, urethral resection and prostate removal.
There are certain signs of surgical treatment:
- Repeat urine delay;
- renal failure caused by prostate adenoma;
- stones in the bladder;
- Recurrent urinary tract infection;
- Repeat hematuria.
Furthermore, in the absence of drug treatment effectiveness, patients require surgery.
During conservative treatment or postoperative periods, patients require continuous medical control through standard studies (analysis of determining urine current rate, ultrasound, PSA levels).
poison
There are certain plans, and according to this plan, specific drugs for the treatment of prostatitis and prostate adenoma are specified.Efficient treatment can be achieved due to the use of drugs with alpha reductase inhibitors and alpha receptor blockers.These drugs used to treat male prostate adenomas help eliminate the main symptoms of the disease and restore enough urination.
What is the most effective and widely used tablet in prostate adenoma?This list is led by alpha1-adrenergic receptor blockers.Additionally, this list includes inhibitors of 5-α reductase, vitamins and minerals.
Complexes of drug therapy include not only drugs.Using prostate adenomas, bioactive additives that are conservatively treated – dietary supplements enhance the therapeutic effects of the drug and provide early recovery.Some of them include zinc.This macro element is directly involved in spermgenesis and testosterone synthesis.Plant-phytoalcohol standardizes urination.
Treatment of alpha1-adrenaline receptors with drugs from the antagonist group
These medications for the treatment of prostatitis and prostate adenomas relax the smooth muscles of the urine system and improve the process of urine.Tamsulosin has the same name as the active substance, which is part of other drugs (Alfuzosin, Silodinos, etc.), is a highly sequenced drug that has a selective effect on the alpha1-adrenergic receptors in the prostate muscles, and is the prostate of urea and Bladder.Due to the decrease in muscle tone, efflux and urine release are promoted.Like all selective drugs, tamsollo has the least number of side effects and does not affect the tone of the blood vessels and can be prescribed to patients with chronic hypertension.
Antagonists of the alpha-adrenaline receptor must be used continually so that you can gradually reduce irritation and obstruction through prostate adenoma.For the purpose of urologists, tamsulosin, a drug for preventing adenoma treatment, has a well-deserved priority.
The tablet form of the drug is considered to be more progressive because the active substance is in the body at a constant concentration due to the controlled release of tamsulosin.The drug enters the blood evenly, ensuring the possibility of major side effects of the drug in the adrenaline group - a sharp drop in blood pressure.
An equally effective drug used as substance Tamsulosin is a lesson.Taking this medication does not have the following adverse effects: orthostatic hypotension, tachycardia, and increased angina attack in patients with coronary heart disease, so it can be prescribed for men with heart pathology.The correct dose selection and following all rules about the use of the Alpha-Blockers group can give you a good therapeutic effect without almost no side effects.
Drugs for inhibitors (blockers) reductase
The drug from this pharmacological group (Finsteride, dutasteride) helps to reduce urine outflow, thus eliminating the main symptoms of the disease.Two to three weeks after the start of the course, stable treatment effects have already occurred.After three months, all symptoms stopped completely.According to clinical studies, maximum efficiency can be achieved after six months of treatment with these drugs.
Fistandide and Dudasteride are specific inhibitors of the second type of 5-α reductase (cellular enzymes responsible for converting testosterone into dihydrotestosterone).Prostate growth of prostate adenomas is directly related to similar transformations of testosterone.Thanks to the 5-α reductase inhibitor, the product of dihydrotestosterone in the industry is blocked and its concentration in the blood is greatly reduced.
Finsteride and dutasteride are used for the following purposes:
- Treat and control prostate hyperplasia;
- Improve urine outflow and eliminate symptoms of prostate adenoma;
- Reduce the risk of acute urinary retention and the need for surgical intervention.
Dinaride and Dutasteride have obvious anti-androgenic effects, which lead to a decrease in blood androgen levels.In addition, these drugs have teratogenic effects and therefore need to be taken with caution.With the help of modern medications, you can stop the growth of the prostate and prevent the need for surgical treatment.
Reflux and analgesics for aggravated disease
The primary prescription for anterior tumor and analgesic effects can aggravate prostate adenomas to relieve the patient’s general condition and eliminate pain syndrome.Anti-inflammatory and analgesic effects are played by non-replacement anti-inflammatory drugs (diclofenac, ibuprofen).Not only do they help fight against the painful sensations that occur during urination, they also keep pain in the groin and vagina.Due to the effects of non-replacement anti-inflammatory drugs, the inflammatory process is reduced, the prostate swelling is reduced, the body temperature is normalized, and the unpleasant symptoms are eliminated.
News pain medications produced in the form of tablets or candles help stop the pain syndrome that is exacerbated by prostate adenomas.The most affordable of these is sodium sodium.However, the purpose of this drug is more for one-time use, as it can only affect weak pain syndrome.In addition, painkillers for lidocaine, benzocaine, anesthetics and novacaine (Ichtammol, benzocaine, Tribenoside + Lidocaine) are effective.
Vitamin E 400
Acetate or vitamin E is often part of a complex treatment that uses prostate adenomas as an antioxidant, radiation protectant, and an essential link in the reproductive process.In a dose of 400 mg urologist, vitamin E is prescribed for patients with erectile function and spermatogenesis associated with prostate adenoma.
Treatment of this severe chronic condition, such as prostate adenoma, should be prescribed and controlled by a urologist.It is strictly prohibited to take certain medications independently without a preliminary consultation with the subject doctor, as self-assessment in such cases may not only be ineffective, but also dangerous to men's health.Only qualified experts can suggest which tablets from prostate adenomas are the most effective in each case and which of them have negative consequences.
operations
Hospital urologists carefully carry out classic and minimally invasive surgical interventions using innovative surgical treatments for prostate adenomas.Each patient chooses this procedure to suit him more.
The commonly recognized standard in the surgical treatment of prostate adenoma is urethral resection of the prostate.The operation is very effective.After the intervention, the patient escaped the thoracic obstruction (stenosis of the urethra) and related symptoms.The recovery period is very short.After or after the operation, bleeding may occur, "water poisoning" syndrome.
Alternative methods for treating prostate adenoma include the following surgical interventions:
- Bracket
- Balloon expansion;
- Heat therapy;
- Heat therapy;
- Ultrasonic, laser and needle prick;
- Interstitial coagulation.
After them, complications occur less frequently, but these methods are less clinically and economically effective than urethral resection.
When the tumor grows significantly, laparoscopic removal of the prostate adenoma is problematic and removal using urethralectomy is performed.The procedures performed under anesthesia are more complicated.Through a small incision, the surgeon introduced a special tool into the body cavity, which performed the removal of prostate adenoma.This operation is performed based on an image of the camera, which is displayed on the screen.The main advantage of the intervention is the minimum blood loss and the possibility of complications is very small.After the operation, the patient does not need long-term recovery.
When men have signs of prostate adenoma, doctors use high-tech methods to treat adenoma - laser removal.The intervention is tumors of size.Use laser to remove excess fabric.The surgery is performed through the urethra.The tumors are separated, divided into small sections, and then displayed.This method is considered to be minimally invasive.It has many important advantages: it does not violate the integrity of the cavity and does not cause unnecessary damage.
Laser vaporization involves the destruction of adenomas by laser evaporation.Through the urethra, urologists introduced a special device that carried it into the tumor and severely affected it with a strong green laser.The depth of laser penetration and its accuracy of hits can avoid damage to adjacent areas.This method is minimal, bloodless, fast and effective.Its only disadvantage is that it cannot undergo histological examination of tumor tissue.
In some cases, the inevitable treatment of prostate adenoma is abdominal surgery - adenomaectomy.If other methods cannot help the patient, they can be performed.During the operation, the surgeon of the scalpel can use the prostate gland manually using the surgical instrument to remove the adenoma.Due to the possibility of significant blood loss, complications occur.After the operation, the patient needs a long period of recovery.
The removal of prostate adenomas by regulatory approach (clear) adenoma resection, including the radical resection of the prostate enhanced tissue through longitudinal incisions of the anterior abdominal wall and bladder.The surgery is performed in the late stages of the disease, when the tumor reaches a large size, the bladder is overturned due to its accumulated urine spill, and renal failure develops.
The bladder is pre-introduced and filled with sterile solution or sterile solution of other substances.It is then allocated and assigned to the special holdings in two places, and the walls of the organ are raised for it.The surgeon dissects the formed folds and performs the opening of the bladder.
At the inner end of the established urethral catheter, it determines the neck of the bladder and the urethral hole that appears in the field of view, retreating from it by 0.5-1 cm, turning the mucosal membrane of the mucosa to 0.5-1 cm.After that, the surgical urologist penetrates the fingers into the thickness of the prostate, inserts it between the tumor sac and the adenoma lymph nodes, and then performs it with the latter.At the same time, the doctor gives the glands to the front of the patient in the rectum of the anterior abdominal wall rectal rectal rectal.Manipulation becomes more affordable.With this technology, the run time is reduced and blood loss is reduced.
The surgeon then performs hemostasis (stop bleeding) at the remote adenoma bed and sutures the bladder, leaving thin drainage in the wound.It is intended to wash its cavity from the resulting blood clot.The urine catheter introduced before the operation began was not removed within 7-10 days.Around, a new part of the urethra is formed, not the side of the urethra during the prostate process.
Vertical adrenectomy refers to the most painful of all the methods used for prostate adenoma.It is accompanied by the risk of developing the following complications:
- bleeding from the tumor's hut;
- Stagnant pneumonia;
- The impaired evaporation function of the intestines is manifested by constipation.
To avoid complications, the patient underwent early activation after the hospital surgery.The following procedures may occur to remove prostate adenomas:
- Inadequate bladder drainage;
- Narrow neck;
- Urine infiltration close to peak tissue;
- The formation of “prenatal” (removing the residual cavity where the prostate adenoma is located);
- Stenosis formation of urethral cavity;
- Urinary incontinence.
This negatively affects the patient's quality of life and extends sufficient urination.
When the intervention is performed using laparoscopy, the consequences of the operation are less obvious.Laparoscopic surgery to remove prostate adenomas is one of the less invasive options for surgical intervention on the prostate.If the patient has a prostate tumor that is large enough, the hospital urologist will use this technique.
If the prostate gland of adenoma does not exceed 120 cm3, it is recommended to perform a urethral resection of the prostate adenoma.But for patients who need surgery, 10% of the choice is not suitable because iron reaches 120 cm3.Laparoscopic surgery was not performed to remove prostate adenomas during chain reactions of peritonosis, inguinal hernia, bladder diverticulum and lower limbs.In this case, the decision about the possibility of performing an operation is made at the university by a urologist, terminology, abdominal surgeon and other hospital specialists.