- Benign prostatic hyperplasia - age illness
Benign prostatic hyperplasia (BPH) - is a noncancerous enlargement of the prostate, which makes it difficult to urinate. The prostate gland is located below the bladder; It surrounds the urethra, in which the urine moves from the bladder. When the prostate increases, it begins to squeeze the urethra or causes muscle contraction, disposed around the urethra - in any case, urination is difficult.
Prostate enlargement is very common among men middle aged and older - the first symptoms usually appear around the age of 50 years and the age of 60 most men have a BPH. In 90% of men over 85 years of BPH causes more or less serious problems with urination. Importantly, BPH - is not cancer; moreover, that the violation does not increase the likelihood of developing prostate cancer.
The main symptoms of BPH include:
- Frequent urination;
- Pause when urinating - the feeling that the urine passes through the hard ureters (in fact, the way it is);
- Frequent urination at night;
- A small amount of urine after urination;
- Incomplete emptying of the bladder;
- The presence of blood in urine or hematuria (BPH causes damage to the small blood vessels);
- Recurrent urinary tract infection.
The exact cause of BPH is unknown. Studies have shown that testosterone, the male sex hormone, or dihydrotestosterone - a chemical that is formed by the cleavage of testosterone
Five myths about testosterone
in the body can lead to an increase in prostate cancer. According to another theory, the cause of BPH is happening with the age change in the balance of testosterone and estrogen
Estrogen - the key to bone health
(female sex hormone, which in a small amount is also present in the male body).
Some OTC drugs that take a cold or allergies, can dramatically worsen the symptoms of BPH.
The doctor can estimate the size of the prostate by palpation - he puts on a glove, introduces a finger into the anus and feels the back wall of the prostate. Typically, during diagnosis also do blood and urine tests. Can be assigned to other diagnostic procedures, for example:
IVP. The doctor inserts into a vein radiopaque substance, followed by X-ray monitors the flow of urine.
Transrectal ultrasonography - a thin probe is inserted into the anus to obtain an image of the prostate gland.
In addition, the doctor may give the patient a special questionnaire, which after filling can better assess the severity of BPH, and its impact is not everyday life.
What method of treatment is chosen it depends on the patient's age, general health and the severity of symptoms. In most patients, the symptoms of BPH is amplified, then weakened, and sometimes even completely disappear. In any case, you need to constantly keep track of the changing condition of the patient. There are many effective ways to treat BPH - from simple lifestyle changes to medication, and some medicinal herbs. If these funds do not help, and the symptoms of the disease have a significant negative impact on quality of life, you may need surgery.
Many men with BPH causes only mild symptoms. In such cases, good help these simple lifestyle changes:
- Try to go to the toilet as soon as you feel the urge to urinate;
- If you will be a long business meeting, go to the toilet in advance, even if you do not feel the urge to urinate;
- Avoid alcohol and caffeine, especially after dinner. As a last resort, try not to drink alcoholic and caffeinated beverages for two hours before bedtime
Dreams: how to understand our dreams
- Drink a roughly equal amount of fluids throughout the day. Avoid drinking large amount of liquid at a time;
- Do not take medicines for colds, sinusitis and allergic rhinitis. Decongestants and antihistamines aggravate symptoms of BPH;
- Exercise regularly;
- Learn to control stress
How to beat stress? Create an oasis
- Regularly meditate, breathing exercises, and so on.
For the treatment of BPH using two types of drugs. The first of them - alpha-blockers; they relax the muscles placed around the bladder, allowing easier urination. Initially, alpha-blockers have been developed for the treatment of high blood pressure. They are most effective at moderate enlargement of prostate gland. Common side effects of drugs of this type are a decrease in ejaculate volume and low blood pressure. Alpha-blockers should not be taken simultaneously with preparations for the treatment of erectile dysfunction (this includes, for example, Viagra). K alpha adneroblokatoram include:
- Tirazosin (Hytrin);
- Tamsulosin (Flomax);
For the treatment of BPH is also applicable inhibitors of 5-alpha-reductase. Drugs of this class reduce the level of male sex hormones in the body, cause the prostate and is growing. These agents act slower than alpha-blockers, and besides, they decrease the level of prostate specific antigen (PSA). High PSA levels may indicate prostate cancer, thus a patient who receives inhibitors of 5-alpha-reductase, to diagnose this disease in the case of its development may be difficult. Preparations of this type are:
- Finasteride (Proscar);
- Dutasteride (Avodart);
- Botulinum toxin (Botox).
Your doctor may prescribe a combination therapy, and - receiving alpha-blockers and inhibitors of 5-alpha-reductase simultaneously.
Surgical procedures and other treatments
Surgery for BPH may be recommended if the disease is caused by the patient:
- Urinary incontinence;
- Stagnation of urine in the bladder;
- Haematuria (presence of blood in urine);
- Recurrent urinary tract infection.
Selection of a particular kind of operation depends on the severity of symptoms as well as the size and shape of the patient's prostate.
Minimally invasive techniques
These techniques can relieve the symptoms of BPH better than medication, but often they are not as effective as invasive surgery. On the other hand, they have fewer complications and recovery process does not take too much time.
Transurethral microwave therapy - this technology uses microwave heat to reduce the size of the prostate. This procedure is most effective for men with moderate symptoms of BPH.
Transurethral needle ablation. During this procedure, by means of radio waves removes part of the prostate that blocks urine flow. This technique gives the best results in low and moderate increase in the prostate gland.
Interstitial laser therapy involves the destruction of excess tissue and reduce the size of the prostate using a laser. The procedure is most effective at low and moderate increase of the prostate gland, and if the patient has no stagnation of urine in the bladder.