As usual, the male prostate gland becomes enlarged after the age of 40; this is known as benign prostatic hyperplasia or benign prostatic hypertrophy (BPH). This increase can cause a number of symptoms related to urination. You may also develop more serious bladder and kidney problems.
There are various effective treatment options for prostate adenoma, including medical and surgical options. The most common prostate surgery is transurethral resection of the prostate (TUR of the prostate).
Causes of enlarged prostate
The prostate is a nut-shaped gland located immediately after the neck of the bladder. Its main function is to produce a fluid that protects and enriches sperm.
As a man ages, the prostate gland gradually increases. It usually begins after the age of 40 and is thought to be caused by hormonal changes. This increase can cause difficulty urinating and can lead to problems with the bladder and kidneys. The increase occurs as a result of hyperplasia (an increase in the number of cells) and hypertrophy (an increase in cell size).
An enlarged prostate does not cause prostate cancer. However, prostate cancer can occur in men with an enlarged prostate.
Signs and symptoms
As the prostate gland gets larger, it narrows the urethra (the tube that drains urine from the bladder) and can interfere with the outflow of urine. This can lead to problems with urination, such as::
- Increased urge to urinate
- Uncontrollable urge to urinate
- Nocturia – the need to get up often at night to urinate
- Difficulty starting urine flow (indecisiveness)
- Poor urine flow – weak flow or stop / start of flow
- Dribbling of urine-especially at the end of urination
- Incomplete emptying of the bladder.
The term LUTs (lower urinary tract symptoms) is commonly used to refer to a range of urinary symptoms associated with BPH.
Some men may have no symptoms at all, while others may have very severe symptoms. An enlarged prostate, if it is severe, can also lead to:
- Chronic renal failure
- Enlargement and thickening of the bladder walls
- Bladder stones
- Urinary tract infections (UTIs)
- Bleeding from the urethra
- Acute urinary retention.
Any of these situations can lead to damage to the bladder, urethra, and kidneys. If you experience burning, bleeding, or pain during urination, you should immediately consult a doctor. Not urinating at all requires urgent medical attention.
Diagnostics
If you have symptoms of prostate enlargement, you should see a doctor make an accurate diagnosis and recommend treatment. It is important to rule out other possible causes of symptoms such as prostatitis (inflammation of the prostate gland) or prostate cancer. To diagnose this condition, your doctor will do the following::
Medical history
This includes the nature, duration, and severity of current symptoms, the presence of any other medical conditions, and a family history of prostate problems.
Physical examination
During the examination, the doctor will feel the presence of signs of an enlarged bladder in the abdominal cavity and conduct a digital rectal examination to check for an enlarged prostate gland.
Blood tests
They will be performed to check kidney function and to check for PSA (prostate-specific Antigen). PSA is a protein secreted into the bloodstream by the prostate gland. A higher-than-normal level may indicate an enlarged prostate or inflammation of the prostate gland (prostatitis). or prostate cancer. PSA levels are usually significantly elevated in prostate cancer, but not always.
Urine tests
This may indicate an infection or the presence of blood in the urine. Other urine tests can measure the force and volume of flow and determine whether the bladder can be completely emptied.
If blood tests indicate elevated PSA levels and a digital rectal examination indicates an enlarged prostate, a prostate biopsy may be recommended to rule out prostate cancer. Ultrasound scans of the prostate and urinary tract are also necessary for men over 40 years of age.
Treatments for enlarged prostate
Treatment is only required if the enlarged prostate causes symptoms. Traditionally, three main approaches to treatment were used: “wait and see”, medical treatment, and surgical treatment.
“Wait and see” (i.e.: without treatment).
This approach can be recommended if the symptoms are mild and do not negatively affect the quality of life. The condition is monitored regularly and treatment will be recommended if symptoms worsen.
Medical treatment
There are a number of medications that can be used to treat an enlarged prostate. Some medications work by relaxing the muscles inside the prostate, making it easier to open the urethra, while others have the effect of reducing the glandular component of the prostate. Medications commonly used in Russia to treat enlarged prostate include tamsulosin, terazosin, doxazosin, and finasteride.
Surgical treatment
Up to 25% of men with an enlarged prostate need surgery, usually because they experience serious symptoms that negatively affect their quality of life. Some less invasive procedures have been developed recently, but since the long-term results of these new treatments are not yet known, transurethral resection of the prostate remains the most commonly performed procedure.
Transurethral resection of the prostate (TUIP)
TURP is performed by a specialist urologist (urinary system specialist) and is usually performed under general anesthesia.
A specialist inserts a resectoscope (a thin tube telescope with light at the end) through the urethra and up into the prostate gland. A specialist can view the prostate gland and bladder either through a resectoscope or on a television monitor.
A special loop removes the glandular component in fragments and then coagulates the bleeding vessels with a ball.
After TURP, you may need to stay in the clinic for one to five days. Before you go home, a specialist will recommend instructions for recovery and exercise, so it is important to follow them carefully.
Laser resection
A variation of the TURP method is laser resection of the prostate. This is done in a similar way to TURP, except that the laser beam is used to cut off prostate tissue rather than a heated wire loop. This method tends to cause less bleeding than TURP, and recovery time tends to be shortened.
Transurethral incision of the prostate (TUIP)
TUIP is similar to TURP except that the prostate tissue is not removed. Instead, one to three incisions or incisions are made into the prostate gland near the bladder neck. This releases a” ring ” of enlarged tissue, creating a larger opening around the urinary tract and therefore allowing urine to flow more freely.
Open prostatectomy
This operation involves removing part or all of the prostate gland through an incision in the lower abdomen or perineum (the area between the scrotum and the anus). It is also performed by a specialist urologist and may be recommended in cases where the prostate gland is significantly enlarged.
It is usually performed under general anesthesia. Hospital stays of up to five days are common after open prostatectomy. Again, the specialist will recommend instructions for recovery and activity.
Natural cures
Soy proteins seem to have a protective role in the development of prostate cancer, as well as the lycopene present in tomatoes. In general, the health of the prostate is guaranteed by a diet and a diet rich in vegetables And fruit; it is useful to re-establish the balanced alkaline. (Basenpulver)
Best moderate saturated fat, snacks, sweets, red meat, and fried foods.
The assumption of the constant pumpkin seeds have a beneficial effect on the muscle tone of the bladder: it helps prevent disorders related to enlargement of the prostate gland and is useful in general to combat the disorders that affect the urinary tract.
Thanks to its anti-inflammatory, also the epilobio intervenes in the treatment of hyperplasia, benign prostate and, in general, improves the urinary system.
It may be useful to the integration with zinc, selenium and other antioxidants.
Here are three wonderful medicinal: Yarrow, Grapefruit seed extract, Vitamin C.
Remember that beverages with caffeine irritate the prostate, as well as a lack of hydration, tobacco, and alcohol.
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