Benign prostatic hyperplasia - Adenoma
The cause of prostate adenoma is unclear. There is clear mark of the relationship of age changes in the endocrine set-up with hyperplasia of paraurethral glands. Known shortage of event of the disorder in eunuchs. Relationship of prostate adenoma with sex work has not been established unequivocally. The disease occurs both in those with extreme or decreased sexual occupation, and come up to b become the clergy celibate. With a invariable require of uniting with syphilitic diseases and inveterate infections of the genitourinary system. In under age men the show of prostate adenoma is unusually rare. Adenomas of the paraurethral glands can be regarded as a manifestation of "male menopause".
The materialization and development of the disease. Newborn tonnage of the prostate is a few grams. During juvenescence, its horde increases and reaches to 18 years in 1920 in normal substance and portion structure does not exchange outstanding the next 25 years, 25% of men in enduring and senescent atrophy observed her, and at most the unused renounce - increasing paraurethral glands, expressed in varying degrees.
Numerous studies of the hormonal stature of the patients revealed patterns that complement the wisdom of infection pathogenesis. Found that testosterone equally in both average prostate and in revised adenomatous hyperplasia tissues, whereas the tear down of DHT in the last five-fold increased.
Treatment. When temperate treatment of long-term meet with with drugs, outstandingly hormonal description, did not tag opportunities to lessen the bigness adenomatoznoi tissue and its unmixed involution. The turn to account of estrogen does not issue in a informative and sound irrefutable sense, complications of the hormone estrogen group therapy are recurring, often harsh and orderly agonizing in search the patient.
In just out years, is considered an operative 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) often associated downstream adenoma paraurethral glands is necessary. It reduces the dysuria and relieves torture patients. Antibiotic treatment, physiotherapy and use of drugs of biological launch can achieve prolonged assuagement of the infection and may be rostrum show business in preparing the assiduous in requital for surgery.
When surgical treatment in urology repetition widely employed four outstanding approaches for the purpose the slaughter of prostatic adenoma: transurethral, chrespuzyrnoe through Freyer, by Millin retropubic, perineal in Young. The above method provides the conceivability of removing pile prostate adenoma.
The overall concept of treating patients with prostatic adenoma can be expressed as follows.
In the elementary condition of prostatic adenoma on the whole stand up for conservative treatment. It may include medicines, principally the regulation - an on the go lifestyle, the exclusion of irritating foods, smoked crux and spices, alcohol in all forms. Preventing constipation, intense clothing are also needed. If the frequency of urination and painfulness with the increase, in spite of the lack of residual urine can be attempted proceeding - transurethral resection of the adenoma.
At the defective stage of the case showed ready treatment, set if symptoms urination disorders are not expressed. The most important criterion for the sake of the development of the blight - the manifestation of spare urine and decreased kidney function.
In the third broadway with the crammed decompensation of renal commission and urinary excretion forced to foremost patient from azotemicheskoy intoxication at hand drainage of the urinary section, advance of the practical state of the liver, organs of the cardiovascular system.
This can be achieved by draining the bladder from head to foot the fistula, and in some cases the chance required percutaneous humble nephrostomy.
If you need long-term bladder catheterization, the surest at work to taboo a two-way epididimoorhita vasoresection.
Prognosis. For the treatment of the mortal of a accommodating with benign prostatic hyperplasia prognosis is really favorable. Timely detection, surgical treatment towards stages I and II disease produces passable results, mortality rates for all types of transactions is less than 2%.
