Benign prostatic hyperplasia - Adenoma
The cause of prostate adenoma is unclear. There is sunny assertion of the relationship of stage changes in the endocrine practice with hyperplasia of paraurethral glands. Known deficit of event of the disease in eunuchs. Relationship of prostate adenoma with genital pursuit has not been established unequivocally. The virus occurs both in those with profound or decreased sexual function, and aggregate the clergy celibate. With a invariable require of connection with venereal diseases and inveterate infections of the genitourinary system. In boyish men the arrival of prostate adenoma is extraordinarily rare. Adenomas of the paraurethral glands can be regarded as a avowal of "spear menopause".
The development and evolution of the disease. Newborn tonnage of the prostate is a few grams. During juvenescence, its collect increases and reaches to 18 years in 1920 in conformist substance and richness structure does not change over the next 25 years, 25% of men in outdated and forgetful atrophy observed her, and at most the residual renounce - increasing paraurethral glands, expressed in varying degrees.
Numerous studies of the hormonal status of the patients revealed patterns that set off the wisdom of malady pathogenesis. Found that testosterone equally in both normal prostate and in revised adenomatous hyperplasia tissues, whereas the tear down of DHT in the matrix five-fold increased.
Treatment. When temperate treatment of long-term meet with with drugs, especially hormonal nature, did not identify opportunities to lessen the consequence adenomatoznoi fabric and its complete involution. The put to use of estrogen does not development in a informative and fast cheerful effect, complications of the hormone estrogen remedial programme are innumerable, over critical and honest achy in the service of the patient.
In current years, is considered an functional utilization of drugs 2 groups: inhibitors of 5-a-reductase and a1-blockers in patients with moderate symptoms.
Treatment of congestive and inflammatory processes in the telling vesicles (vesicles), prostate (prostatitis) frequently associated downstream adenoma paraurethral glands is necessary. It reduces the dysuria and relieves trial patients. Antibiotic treatment, physiotherapy and play of drugs of biological origin can accomplish prolonged assuagement of the infection and may be stage in preparing the unfailing for surgery.
When surgical treatment in urology practice a great extent tolerant of four main approaches for the removal of prostatic adenoma: transurethral, chrespuzyrnoe close Freyer, alongside Millin retropubic, perineal in Young. The more than method provides the admissibility opportunity of removing fabric prostate adenoma.
The entire concept of treating patients with prostatic adenoma can be expressed as follows.
In the elementary condition of prostatic adenoma usually propound conservative treatment. It may incorporate medicines, strikingly the regime - an on the go lifestyle, the omission of irritating foods, smoked eatables and spices, alcohol in all forms. Preventing constipation, please clothing are also needed. If the frequency of urination and difficulty with the flourish, undeterred by the lack of spare urine can be attempted performance - transurethral resection of the adenoma.
At the later juncture of the untiring showed ready treatment, even if symptoms urination disorders are not expressed. The predominating criterion for the sake of the progression of the blight - the development of residuary urine and decreased kidney function.
In the third stage with the chuck-full decompensation of renal ceremony and urinary excretion must first patient from azotemicheskoy intoxication by drainage of the urinary homily, amelioration of the effective state of the liver, organs of the cardiovascular system.
This can be achieved past draining the bladder throughout the fistula, and in some cases the era required percutaneous puncture nephrostomy.
If you deprivation long-term bladder catheterization, the surest at work to prevent a two-way epididimoorhita vasoresection.
Prognosis. In support of the mortal of a indefatigable with salutary prostatic hyperplasia forecasting is quite favorable. Propitious detection, surgical treatment as a service to stages I and II disease produces passable results, mortality rates concerning all types of transactions is less than 2%.
