Treatment of prostate adenoma: basic methods

In modern medicine, prostate adenoma( prostate adenoma) is understood as a benign tumor( hyperplasia) of the prostate. This benign neoplasm develops from the glandular epithelium( cell layer) or the stromal component of the prostate. This disease is characterized by the formation of a nodule or nodules, which, increasing in size, have a compressive effect on the urethra and cause a micturition disorder. Treatment of adenoma is necessary, what are the methods for this - consider in this article.

Symptoms of prostatic adenoma

The first sign of adenoma is frequent urination. Iron increases, acquires a tightly elastic consistency and clearly defined boundaries. This is an initial compensated stage of the disease, which, by the way, can last from 1 to 3 years. As a rule, at this stage the patient does not experience painful sensations.

If you do not pay attention to the disease in time, a bulging tumor can squeeze the urethra( urethra) so much that the bladder will not be emptied completely, urine retention occurs. In turn, this phenomenon can lead to a mass of unpleasant diseases and the appearance of signs of renal insufficiency. These are the symptoms of prostate adenoma of the second subcompensated stage.

Urine discharge occurs drop by drop, it is turbid with blood and impurities, it is associated with a large amount of residual urine and excessive compression, the walls of the bladder stretch, the functions of the urinary system are disrupted, leading to kidney failure. General symptoms of prostatic disease of the third Decompensated stage: weakness, fatigue, weight loss, dry mouth, odor of urine in the exhaled air, anemia, poor appetite and constipation.

Treatment of this disease

There are three main ways of treating adenoma: an operative method, a non-operative treatment, a medicamentous method. To choose the correct method of treatment, a urologist should conduct an examination, as well as diagnose the disease and its degree. A digital rectal examination of the prostate gland, laboratory tests( urine and blood test, determination of PSA level in the blood), ultrasound, uroflowmetry and X-ray methods( review radiography, excretory urography) can be used.

In the initial stage of the disease and mild symptoms, the drug is treated with a prostate. Such treatment is carried out with two types of drugs. The first type - alpha-blockers short and prolonged action, they include terazosin, doxazosin and tamsulosin. These drugs contribute to reducing pressure on the urethra, as well as an increase in the urethra due to the fact that the tone of the smooth muscles of the prostate gland and the neck of the bladder decreases. Preparations of the second type - blockers of 5-alpha-reductase, this finasteride, block the passage of the hormone testosterone into dihydrotestosterone( its active form).Due to this, the volumes of the prostate gland decrease, which also reduces the pressure on the urethra.

The only reliable method when prostate adenoma is already started: surgery. The essence of the method is excision of the tumor, adenomectomy. Surgery can be minimally invasive and open. The latter method, in spite of the radicality and the likelihood of complications, is the only one, due to which it is possible to completely accurately remove the entire adenoma without leaving cells that can again proliferate and cause a relapse of the disease. Used for the most neglected and acute forms.

Minimally invasive operations are performed through the urinary canal, in fact "blindly", which is dangerous for the possibility of incomplete removal. Any surgical treatment of the prostate gland is fraught with complications, so all men of fifty years, or even better after the age of forty, need to undergo examinations for prevention.

Non-operative treatment is performed with a fairly wide spread of the tumor, if surgical intervention is impossible due to the patient's health condition( in fact, most often it is already elderly people) or for other objective reasons. There are several methods of this method, one of which is chosen only at the discretion of the doctor, and not at the request of the patient.

Just one or two years ago, another method was invented: it is an adenoma treatment with a green laser. It is claimed that this method is the safest, most effective and modern, but since there are practically no experience in using this laser in Russia, it does not have much popularity yet, and specialists of this profile are few.

The best treatment for prostatic adenoma is its prevention . Therefore, all men without exception should lead a healthy, active lifestyle at any age, throw their bad habits and eat right. Adenoma of the prostate: diet. Of course, it is difficult to comply with the correct diet regime, but if the disease has already come, it is worth completely giving up fried, spicy, salty foods, alcohol and smoking, this will reduce the burden on the liver and help to keep well.