Kindly prostatic hyperplasia - Adenoma
The concern of prostate adenoma is unclear. There is sunny mark of the relationship of ripen changes in the endocrine routine with hyperplasia of paraurethral glands. Known deficit of increment of the disease in eunuchs. Relationship of prostate adenoma with carnal activity has not been established unequivocally. The condition occurs both in those with great or decreased procreative function, and centre of the clergy celibate. With a unerring lack of uniting with genital diseases and inveterate infections of the genitourinary system. In adolescent men the arrival of prostate adenoma is extraordinarily rare. Adenomas of the paraurethral glands can be regarded as a publication of "man's menopause".
The materialization and happening of the disease. Newborn heaviness of the prostate is a some grams. During sexual maturity, its mass increases and reaches to 18 years in 1920 in usual mass and substance form does not exchange over the next 25 years, 25% of men in enduring and forgetful atrophy observed her, and at most the unused part - increasing paraurethral glands, expressed in varying degrees.
Numerous studies of the hormonal station of the patients revealed patterns that company the sensitivity of disease pathogenesis. Found that testosterone equally in both normal prostate and in revised adenomatous hyperplasia tissues, whereas the level of DHT in the pattern five-fold increased.
Treatment. When temperate treatment of long-term skill with drugs, notably hormonal nature, did not tag opportunities to lessen the size adenomatoznoi chain and its achieve involution. The use of estrogen does not development in a significant and sound reliable sense, complications of the hormone estrogen therapy are familiar, time again harsh and even agonizing in search the patient.
In recent years, is considered an functional utilization of drugs 2 groups: inhibitors of 5-a-reductase and a1-blockers in patients with centrist symptoms.
Treatment of congestive and inflaming processes in the imaginative vesicles (vesicles), prostate (prostatitis) frequently associated downstream adenoma paraurethral glands is necessary. It reduces the dysuria and relieves trial patients. Antibiotic treatment, physiotherapy and avail oneself of of drugs of biological origin can win prolonged assuagement of the murrain and may be rostrum show business in preparing the patient in requital for surgery.
When surgical treatment in urology practice widely tolerant of four main approaches for the purpose the elimination of prostatic adenoma: transurethral, chrespuzyrnoe close Freyer, by Millin retropubic, perineal in Young. The more than method provides the possibility of removing tissue prostate adenoma.
The overall concept of treating patients with prostatic adenoma can be expressed as follows.
In the fundamental spot of prostatic adenoma usually recommend conservative treatment. It may include medicines, strikingly the regime - an strenuous lifestyle, the exclusion of irritating foods, smoked eatables and spices, john barleycorn in all forms. Preventing constipation, intense clothing are also needed. If the frequency of urination and hindrance with the flourish, in the face the non-existence of residual urine can be attempted project - transurethral resection of the adenoma.
At the minute podium of the untiring showed prompt treatment, even if symptoms urination disorders are not expressed. The vital criterion because the advancement of the disease - the rise of residuary urine and decreased kidney function.
In the third juncture with the chuck-full decompensation of renal commission and urinary excretion must foremost persistent from azotemicheskoy intoxication sooner than drainage of the urinary plot, amelioration of the serviceable national of the liver, organs of the cardiovascular system.
This can be achieved past draining the bladder through the fistula, and in some cases the time required percutaneous humble nephrostomy.
If you want long-term bladder catheterization, the surest at work to stave off a two-way epididimoorhita vasoresection.
Prognosis. For the biography of a indefatigable with harmless prostatic hyperplasia projection is quite favorable. Propitious detection, surgical treatment towards stages I and II disease produces good results, mortality rates for all types of transactions is less than 2%.
