Prostate adenoma is a common organ disease characterized by its enlargement. Pathology is benign, but can have serious consequences. Often, adenoma occurs in men who have reached the age of 50. For a long time, the patient may not be aware of the presence of the disease, since the symptoms do not appear immediately.
What is a pathology?
Prostate adenoma is a benign organ hyperplasia that begins with the appearance of a small nodule. Over time, pathologically altered tissue grows. Increasing, the gland begins to squeeze the urinary canal, as a result of which the biological fluid cannot normally leave the body.
The presented phenomenon is not only uncomfortable for humans, but also carries a certain danger. Stagnation of urine causes negative consequences for the entire excretory system. Proper treatment allows you to quickly get rid of the pathology and prevent its relapse.
Disease classification
Treatment of prostate adenoma, the size of which increases at different speeds, should be started only after its type has been accurately determined. The tumor can be classified as follows:
- Penetrating into the bladder through the urethra. The internal sphincter is deformed, and its function is disrupted over time.
- Increasing towards the rectum. In this case, urination is slightly impaired, but the contractility of the prostatic urethral fragment deteriorates. This does not allow the bladder to empty to the end.
- Evenly compacted. There is no increase in size. For therapy, this type of tumor has the most favorable prognosis.
In most cases, prostate adenoma requires surgery. But the last type can be tried to eliminate with medication.
Developmental stages
The disease develops gradually. The first symptoms may appear even when a person needs surgery. We can distinguish the following stages of development of prostate adenoma:
- Compensated. Requests for a toilet become more frequent. The situation is aggravated at night. The outflow of urine in this case is weak. The duration of the period presented is sometimes 12 years, although in complex cases this period is reduced to 24 months.
- The second one. Here the discomfort becomes more pronounced, other symptoms appear. The walls of the bladder thicken. Muscle fibers become thinner. Urine is weak or may be absent altogether.
- The third. At this stage, the loss of muscle tone of the organ occurs. Urine in a small amount is released involuntarily. The body is overflowing.
It is better to start therapy at an early stage in the development of pathology. Then there are still no irreversible changes that require more time and effort to eliminate.
Reasons for development and predisposing factors
Symptoms and treatment of prostate adenoma are a matter of interest to many older men. But first you need to find out what provokes the development of pathology:
- Excessive weight gain.
- Lack of movement.
- Hypothermia or excessive overheating of the prostate gland.
- Regular interruption of sexual intercourse, as a method of protection.
- Bad habits.
- Inflammatory pathologies of a chronic nature.
Predisposing factors include the age of the man, a hereditary predisposition, trauma, malnutrition, changes in the hormonal background caused by menopause. Frequent constipation and decreased immunity can also lead to an enlarged prostate.
Symptoms of the disease
Now you can consider the symptoms and treatment of prostate adenoma. In a man, such manifestations can be observed:
- Too frequent urination at any time of the day, and at night the situation is exacerbated. At first it is difficult, the patient feels strong urge and pain.
- Drip urine, and if there is a stream, then it is sluggish and thin.
- Urination becomes involuntary.
- Violation of bowel movement, persistent constipation.
- Pain in the rectum and perineum due to the expansion of blood vessels.
- Urine is mixed with blood.
- A man loses his appetite, there is a general deterioration in condition and well-being.
- The feeling of thirst increases, dry mouth.
- Prolonged constipation that occurs too often.
The most psychologically serious consequence of adenoma for a man is a change in sexual function. Erection is disturbed, there may be premature ejaculation. The patient has no attraction. Adenoma often leads to infertility.
With a strong overgrowth of the gland, a person will manifest symptoms caused by compression of neighboring organs.
Pathology diagnostics
The size of the prostate adenoma, the symptoms and treatment of the presented disease are what every man needs to know, since no one is safe from him. For effective therapy, proper diagnosis is necessary. It provides:
- Physical examination and blood tests, urine tests. The prostate is palpated rectally.
- Ultrasound of the body. Thanks to the study, the size of the gland, its structure are determined.
- Blood tests for prostatic antigen, as well as PSA.
- Uroflowmetry. This procedure is carried out using special equipment and allows you to find out the parameters of urination.
- Cystoscopy. Here, a study is made of the inner surface of the bladder.
- Videometry.
- Additional ultrasound (transabdominal).
- Roentgenography.
Diagnosis of the disease should be differential. This will distinguish adenoma from malignant neoplasms.
Possible complications
If the treatment methods for prostate adenoma were chosen incorrectly or they were ineffective, then a man may develop the following complications:
- The formation of stones in the bladder.
- Cystitis.
- Acute delay in urine discharge and organ emptying.
- Pyelonephritis.
- Inflammatory lesions of neighboring organs.
- Problems with the functionality of the excretory system, the work of the kidneys.
- Complete closure of the urinary canal.
Sometimes the consequences seriously complicate the treatment process, increase its duration.
Drug therapy
Is it possible to get rid of a disease without drugs or to prepare for surgery? Thanks to traditional therapy, it is possible to significantly reduce the size of the neoplasm, to prevent its further growth. The doctor may prescribe such drugs to treat prostate adenoma :
- Antibiotics: Gentamicin. They are necessary to eliminate a bacterial infection, if it was it that provoked the inflammatory process and the proliferation of tissues.
- Alpha-adrenergic blockers: "Doxazosin", "Tamsulosin". These drugs reduce the tone of the smooth muscles of the bladder, facilitate the process of urination.
- M-anticholinergics: Fesoterodin. The presented drug is able to reduce the frequency of visits to the toilet.
- Dihydrotestosterone Inhibitors: Dutasteride. Tissue proliferation is stimulated by excessive production of testosterone, so inhibition of its synthesis will reduce the tumor.
- NSAIDs: Voltaren, Diclofenac.
To eliminate pain, antispasmodics will be needed. A mandatory component of drug therapy are drugs that improve blood circulation, for example, Trental.
Surgical intervention
Surgical treatment of prostate adenoma is performed if the enlargement of the prostate cannot be stopped, and the overgrown tissues press on other organs, disrupting their functions. There are such indications for the intervention:
- Acute urinary retention.
- Serious impaired renal function, provoked by an enlarged prostate.
- The presence of stones inside the bladder.
- Joining other infections.
- The presence of blood in the urine.
There are several types of operations that are shown to men depending on the type and degree of complexity of the pathology:
- Cystostomy. This procedure helps to restore normal discharge of urine. For this, a fistula is created in the area of โโthe pubic bone.
- Laser operation. It allows you to quickly cope with the pathology without serious consequences. The risk of infection of the wound surface, as well as the occurrence of relapse, is reduced.
- Urinary stenting It is carried out by inserting a special tube inside the urinary canal to prevent its narrowing.
- Transurethral resection. It is carried out using endoscopic equipment. The procedure is performed through the urethra. Partial removal of overgrown tissues is performed.
- Radical prostatectomy. It involves the removal of the prostate completely. This is done through an incision above the pubis or in the perineum. She is able to give serious complications.
- Microwave operation. Destruction of pathological tissues occurs with the help of short thermal waves emitted by the electrodes. Such an operation takes place without complications, but not everyone can use it.
- Cryodestruction. Enlarged tissues are destroyed by freezing. This procedure is also not suitable for everyone.
An operation to treat prostate adenoma is an essential part of complex therapy.
Alternative treatment
Alternative treatment of prostate adenoma is an additional component of complex therapy. It will not give the necessary effect on its own. Such recipes will be useful:
- Infusion of nettle roots. It is necessary to pour a tablespoon of raw materials into 300 ml of boiling water, insist for 2 hours and take 100 ml three times a day. Drink means 30 minutes before meals.
- Pumpkin seeds. Half a kilogram of raw materials must be passed through a meat grinder and mixed with honey (250 g). The drug is taken for 1 tsp. twice a day.
- The infusion is celandine. To prepare it, you need 1 tbsp. l dried herbs and 250 ml of boiling water. Infuse the mixture for 2 hours. It is necessary to use the medicine for 30 days for 1 tbsp. l three times a day. It is better to drink the infusion half an hour before meals.
- A decoction of the roots of burdock. It is necessary 2 tbsp. l pour half a liter of boiling water into the raw materials, additionally boil for 15 minutes over low heat and insist 3 hours. Next, the product should be cooled, filtered and taken in a third of a glass up to 4 times a day.
The presented drugs can reduce the intensity of the inflammatory process, stop the growth of damaged tissue, improve the outflow of urine. They help eliminate symptoms.
Other treatment
Treatment of prostate adenoma at home involves dieting, giving up bad habits, and performing exercise therapy exercises. In addition, the patient is prescribed physiotherapeutic procedures:
- Phonophoresis.
- Magnetic therapy.
- Vibro massage.
An effective method of treatment is massage of the prostate gland and lumbar region. The first type of procedure should be done by a urologist. It is also useful treatment with leeches, exercise therapy.
Disease prevention
In order not to have to experience the discomfort that can provoke an adenoma, it is necessary to prevent its appearance:
- Eat right (fruits and vegetables must be present in the diet).
- Completely exclude alcohol and tobacco from life.
- Periodically take multivitamin complexes to strengthen immunity.
- Engage in light sports.
- Avoid overheating of the genitals.
Prostate adenoma is a common disease that cannot be delayed with treatment. Timely and proper therapy will provide a positive prognosis.