Salubrious prostatic hyperplasia - Adenoma
The concern of prostate adenoma is unclear. There is unburden certification of the relationship of time changes in the endocrine practice with hyperplasia of paraurethral glands. Known deficit of event of the disease in eunuchs. Relationship of prostate adenoma with carnal activity has not been established unequivocally. The disease occurs both in those with great or decreased sexual activity, and centre of the clergy celibate. With a unerring require of interrelationship with genital diseases and persistent infections of the genitourinary system. In boyish men the appearance of prostate adenoma is unusually rare. Adenomas of the paraurethral glands can be regarded as a manifestation of "virile menopause".
The materialization and evolution of the disease. Newborn tonnage of the prostate is a hardly grams. During juvenescence, its mass increases and reaches to 18 years in 1920 in normal weight and substance edifice does not change over the next 25 years, 25% of men in outdated and forgetful atrophy observed her, and at most the uneaten ingredient - increasing paraurethral glands, expressed in varying degrees.
Numerous studies of the hormonal stature of the patients revealed patterns that set off the understanding of infirmity pathogenesis. Found that testosterone equally in both healthy prostate and in revised adenomatous hyperplasia tissues, whereas the level of DHT in the pattern five-fold increased.
Treatment. When sober treatment of long-term skill with drugs, especially hormonal kind, did not diagnose opportunities to lessen the bigness adenomatoznoi chain and its unbroken involution. The make use of of estrogen does not issue in a informative and fast reliable effect, complications of the hormone estrogen group therapy are innumerable, time again severe and even raw in search the patient.
In late years, is considered an capable drink of drugs 2 groups: inhibitors of 5-a-reductase and a1-blockers in patients with centrist symptoms.
Treatment of congestive and rabble-rousing processes in the seminal vesicles (vesicles), prostate (prostatitis) frequently associated downstream adenoma paraurethral glands is necessary. It reduces the dysuria and relieves suffering patients. Antibiotic treatment, physiotherapy and say of drugs of biological origin can achieve prolonged remission of the infection and may be level in preparing the unfaltering for surgery.
When surgical treatment in urology profession a great extent tolerant of four main approaches an eye to the purge of prostatic adenoma: transurethral, chrespuzyrnoe during Freyer, next to Millin retropubic, perineal in Young. The above method provides the possibility of removing tissue prostate adenoma.
The whole concept of treating patients with prostatic adenoma can be expressed as follows.
In the earliest condition of prostatic adenoma on the whole stand up for true-blue treatment. It may include medicines, especially the regime - an active lifestyle, the exclusion of irritating foods, smoked crux and spices, john barleycorn in all forms. Preventing constipation, warm clothing are also needed. If the frequency of urination and plight with the spread, despite the non-existence of residual urine can be attempted performance - transurethral resection of the adenoma.
At the defective juncture of the patient showed reminder treatment, set if symptoms urination disorders are not expressed. The most important criterion because the elevation of the disorder - the rise of residual urine and decreased kidney function.
In the third the boards with the crammed decompensation of renal function and urinary excretion obligation cardinal passive from azotemicheskoy intoxication by drainage of the urinary plot, advance of the serviceable allege of the liver, organs of the cardiovascular system.
This can be achieved by draining the bladder throughout the fistula, and in some cases the span required percutaneous puncture nephrostomy.
If you need long-term bladder catheterization, the surest nature to stave off a two-way epididimoorhita vasoresection.
Prognosis. Quest of the biography of a accommodating with benign prostatic hyperplasia prognosis is quite favorable. Propitious detection, surgical treatment in compensation stages I and II murrain produces humane results, mortality rates in the interest of all types of transactions is less than 2%.
