Prostate Adenoma, called Prostate Diapers (DGPZ) Benigy hyperplasia, is a very common disease in men over 40 years of age.With this disease, the glorious tissue of the prostate, which can cause urethra to compress the urethra, and the urinary influence of urine is impaired, and as a result, unpleasant feelings during urine.The prostate can also cause serious problems in adenoma, sac and kidneys.

This article discusses the causes and symptoms of the prostat adenom, as well as the diagnosis of this disease and the modern methods of treatment.There are many effective methods to treat reliable prostate hyperplasia, including only drug therapy and open surgical intervention, and minimally invasive methods of surgical treatment.If the first signs of the disease appear, you must consult your symptoms, hyperplasia, as well as a doctor that will take into account the general condition of your health and offers the best treatment choice.
Reasons
So far, this reason why the reasons have increased the prostate.However, this may be due to the change in the balance of sexual hormones in the man's body.In their lives, men produce both testosterone and male hormone and a small amount of estrogen, female sex hormone.As the body ages, the amount of active testosterone in the blood is reduced, the amount of estrogen remains about the same level.Studies showed that the prostate gland can increase the activities of the higher estrogen faction giving rise to the growth of prostate cells.

Another theory, another male indicates the role of sex hormone - digidrotestosterone - is important for the development and growth of prostate at a younger age.Some studies showed that when the level of testosterone's level begins to fall below, the prostate gland is a high level of high levels that can continue to grow prostate cells.
The prostate diaper is located directly under the bladder.The urethra (or urethra), which removes the sidelines from the sideline, passes through the center of the prostate gland.This is an anatomical structure that the growing prostate can prevent the flow of urine as much as it is an anatomical structure.
Risk factors for the increase in the prostate gland:
- Age.In men under 40 years of prostate growth symptoms are rarely observed.About 30% of men have been the average symptoms for 60 years and about 50% - 80 years.
- A DGPZ presence in relatives.For example, if you have blood relatives, a father or brother, if you have a problem with the prostate gland, which means you can increase the risk of prostate hyperplasia.
- Other diseases such as diabetes, cardiovascular diseases and erectile dysfunctions.Studies show that diabetes, erectile dysfunction, as well as heart disease and blood vessels, in some cases the risk of DGPZ.
- Life.The obesity increases the risk of DGPZ and physical exercises can reduce this risk.
Nevertheless, it is not a basis for believing that any of the above factors will definitely develop the prostate adenom.
Symptoms
The violence of symptoms in different people with prostate adenoma is different.
The general signs and symptoms of DGPZH include:
- Frequent or actual desire.
- Increase in the urine (notcuria).
- Inability to be completely empty.bladder.
- The presence of urine urine in the sac.
- Weak flow of urine or periodic stops during urine.
- The complexity of the urinary beginning.
- Urine urinary increase in the end.
- Often the infection of urinary tract.
- Full possible possibility of urine (anuria).
- Blood presence in urine (hematuria).
The size of the size of the prostate sermon is worth knowing that your symptoms do not determine the seriousness of your symptoms.Some men with a slightly magnified prostate may have serious symptoms, and other men may also be insignificant with extremely widened prostate glands.Almost all patients are characterized by gradual deterioration of symptoms over time.These symptoms are extremely rare that can stabilize or improve over time.
Diagnosis
If DGPZ is suspected, your doctor will ask a detailed question of the symptoms of the disease and will be physically examined.This initial stage may include:
- A survey to identify symptoms and risk factors of the disease.
- Finger rectal examination.To evaluate the size and shape of the prostate gland, you need to enter a finger of a doctor's rectum.This study is extremely informed, which allows you to draw the main result on the situation of the prostate gland.
- Urine analysis.Analysis of your urine can help eliminate infection or other conditions that can cause similar symptoms.
- Blood test.The results of blood tests can indicate the existence of kidney problems.
- Prostate a blood test for special antigen (PSA).The dog is just a protein produced by prostate fabric.When the prostate is healthy, very few dogs are found in the blood.The test can be done in the lab, hospital or doctor's room.No special training required.The rapid growth of the dog can be a sign that the fast growth of the prostate piece.DGPZH is one of the high levels of PSA.An inflammation of the prostate or prostatitis is another common cause of the dog's high level.
Once you have initial examination and necessary tests, your doctor may recommend additional research to confirm the existence of a DVGPH and rule out other conditions.These tests may include:
- Urodynamic examination.In this case, the patient is urged in a container, which measures a special device that measures the power and volume of flow in the urine.The test results help to track the development dynamics of the disease by determining the improvement or deterioration of your situation.
- Test for the volume of urine residue.This indicates that you can completely empty your test.The test can be carried out by providing a catheter to Kiseya after using an ultrasound using an ultrasound or a bladder in the bladder.
- Maintain a 24-hour urine diary.Registration and urinary amount of urine can be especially useful if more than a third of your daily urine occurs at night.
- Transrectal ultrasound.At the same time, the mention of the Uz-probe, measure size and evaluate the situation of the prostate is included.
- To study bladder (systocopy).In this study, a flexible catheter (SistoSCOPE), which is a camera, is included in the urethra, which allows you to see the internal surface of the urethra and the mesan.
- Prostate biopsy.You may need to take prostate tissue samples to exclude prostate cancer.
Treatment
There are many different treatment options for prostate adenoma.You and your doctor should decide which treatment you most treated with you.Sometimes the combination of different procedures works best.DHCH temperate cases cannot be needed.
The main types of treatment for prostate adenoma are:
- Active observation of the disease.
- Drug therapy.
- Small invasive operation.
- Surgical interventions.
- Active observation.
If your doctor prefers this option, your illness will be carefully monitored without any drug or surgical procedure.At the same time, you will be investigated every year.If your symptoms will deteriorate or appear new symptoms, your doctor can offer you an active treatment.Men with light symptoms can be a good candidate for active observation.Men with average symptoms that do not disturb them are good candidates.
The advantage of this approach is the lack of side effects, but it will probably be more difficult to reduce symptoms.
Medical therapy
Alpha Blockers
Alpha Blockers are drugs that relieve the muscles of the Uretra, prostate and sac.They improve the flow of urine and reduce the signs of DHCH without affecting the size of the prostate.Alpha-blockers include Alfuzosoine, Terazosin, Doxazosin and Tambulozin.
One of the advantages of alpha blockers is to start working immediately after the reception.The side effects can cover problems with dizziness, fatigue and discharge.
Men, who are concerned about the average and severe DGPZ and symptoms, are good candidates to start therapy with alpha blockers.
5-Alpha Reductase inhibitors
5-Alpha Reducase inhibitors are a dihydrotestosterone that can lead to collection and growth in the prostate, drugs that prevent the production of men's hormone.These medications cause the prostate size and increase the flow of urine.Such drugs include finatorid and dutasteride.
These drugs significantly reduce the risk of developing DHC complications.Reduces the probability that you need a transaction in the future.Includes side effects, erectile dysfunction and decrease in Libido (sex drive).At the same time, you should always continue to take a tablet to prevent the recurrence of the symptoms of the disease.
Combined therapy
In the mixed therapy, the alpha blockers and inhibitors of the 5-Alpha-said are used together.Possible combinations of drugs include Finsteride and Dutasteride and Tamsulin.If you have any signs of urologist and maternity hyperactivity, Muscarin receptors can also determine the combination of alpha blockers and drugs.With a hyperactive bladder, the muscles of the bladder are uncontrolled and cause urinary frequency, sudden desires to be an emergency and urine interval.Antimoskar's drugs are medicines that relieve the muscles of the bladder.
Combined therapy significantly improves symptoms and prevents deterioration in DHGP province.But it is necessary to remember that each drug can cause side effects.If you take two medications, you can only have a medication, you can have more side effects.
Alternative treatment methods
The use of traditional medicine or treatment using various herbs (plant medicines) is not recommended for medical employees.Many research shows that the use of such treatment is not effective, and in some cases it can cause irreparable damage.In addition, grasses and biologically active nutritional supplements (dietary supplements) do not accept the same test process as a medicine.As a result, the quality and cleanliness of the additives sold without a recipe can change.
Small -Insiv surgical interventions
Minimum invasive interventions are performed with minimal anesthesia and offers faster recovery.Often, the procedure can be carried out in the doctor's office or in the outpatient center.
The immediate convenience of the symptoms of the disease is the greatest advantage of minimal invasive surgery.In many men, after the minimally invasive intervenes, the control of the urine and the control of the sac is improving.If you have a problem in the urine, it can be a later step in the treatment of the urine in the urine, the blood, urine in urine, or urine in urine urine or medication.
However, it is worth knowing that any surgical intervention, including the minimally invasive ones, including the risk of side effects.
- Infection of urinary tract.
- Blood in the urine.
- Burning during urine.
- The sack needs more frequent emptiness.
- Sudden urine.
- Erectile dysfunction.
Minimum invasive surgery methods include:
- Prostant Uretra (or Money Methodology) height - in this procedure, a special device is used to install small implants in the prostate gland.These implants are raised above and maintained the prostate in this position, the urethraise pressure decreases and improves the flow of urine.In this case, the destruction of or removing the texture of the prostate gland does not occur.Money can be done with both local anesthesia.Most patients see the improvement of symptoms in 2 weeks.In some cases, pain or combustion can occur when trying to make blood or urine in the urine in urine.This side effects usually occur in two to four weeks.Good candidates, other health problems or patients with high risk of surgery to perform the height of the prostatic urethra or surgery may be patients.
- Transuretral Microwave Teroterefi (or Tumt method) - Microwave microwaves are used to destroy the prostate texture.First, the doctor presents a catheter by passing the urethra of the prostate gland and then sends microwave microwave ovens built to the catheter to warm the selected parts of the prostate.High temperatures, prostate fabric destroys anything over.Anesthesia with this procedure is not usually required, the risk of side effects is minimal.
- The treatment of prostate pathologies by the water vapor (rezim therapy) is the treatment of prostate pathologies - this procedure uses thermal energy to destroy the excess of prostate tissue.In this case, when a sterile water vapor inside a special portable device is heated up to the top of the boiling point.This hot steam causes rapid death of cells at the time.The treatment can be carried out in the doctor's office under local anesthesia.After the procedure, there may be a blend of blood for a while, you have to use a catheter for several days.After the procedure, painful or frequent urines must pass in about 3 weeks.Sexual side effects, such as erectile dysfunction, are not likely.
Traditional surgery
Surgical interference with the removal of a part of the prostate tissue is carried out in inefficiency of other therapy methods, symptoms expressed in extremely expressed (such as the urine completely).These include:
- Transuretral Prostate Resection (TURP)
Turp is one of the most common transactions in DHC.During this operation, after an anesthesia, the surgeon presents a special thin tool to the urethra with the head of the penis.Using this tool, the doctor produces an extreme texture of the prostate gland.After the procedure, you usually need to use a catheter within 1-2 days.The effect of such treatment usually lasts 15 years or more.Like any other operation, the side effects used in radish interference and anesthesia are associated with a certain risk.After the side effects of the flock, retrograde discharge, erectile dysfunction, urinary tract infections after the abduction of surgery and urine.The full recovery is between 4 and 6 weeks.
- Prostate Laser Euclead
With this intervention, the surgeon puts a thin vehicle from the penis in the urethra.The laser, which includes the tool, increases the prostate piece limit.At the same time, as in the transuretral resection of the prostate, cuts should be made.Recovery after laser Enucleation is very fast, but for several days, there may be a blend of urine in urine and frequent or painful urine.This procedure also requires anesthesia related to certain risks.
- Prostate removal operations
Currently, the operations to remove the Prostate during the DGPZ in men are very rare with all methods of all other therapy.Such transactions are related to significant risks and side effects, including the violation of serious complications during the urine, erectile function and operation.
Complications
The lack of a timely medical service in DGPG may lead to the development of serious complications, which covers the following:
- Inability to urinate and urine (urine, anuria).In this case, you may need to enter a catheter to the sac to make a crowded bladder.In some cases, the operation may also be required to reduce urine.
- Infection of urinary tract.The sac can increase the risk of infections on urinary tract, which is not completely empty.
- The stones of the bladder.Stones in the bag are also formed due to the absence of the bag not completely unloaded.The stones can cause further difficulties in the development of infections, the irritation of the bladder, blood impurities and urine in urine.
- The bladder damage.With the incomplete unloading, the bladder stretches, then causes the weakening of the muscle wall over time.As a result, the bladder, the bladder, which became the cause of further difficulties in the discharge, cannot properly compress.
- Kidney injury.The urinary delay may lead to the increase in pressure in Mesana and lead to the renonies of the reverse flow of urine, which can cause direct damage or increase the risk of infectious diseases.Such complications can be extremely serious and for life.
In most men in the growing prostate gland, these complications are extremely rare, need to remember that many complications may have a sharp urination or cause a serious threat to the renal damage, health and life.If any symptoms of the disease occur, please consult a doctor immediately.
Diet and prevention of development of prostate adenoma
Unfortunately, there is no reliable way to prevent the development of the prostate adenom, but the growth rate in the prostate is losing high amounts of weight and vegetables in the diet.This may increase the level of hormones and other blood factors in the body's transition tissue and may stimulate the growth of prostate cells.Regular physical activity also helps manage the weight and level of hormones and thus reduce the risk of developing the prostate adenoma.