Benign prostatic hyperplasia: causes, symptoms and treatment in men

In benign prostatic hyperplasia (abbreviated BPH) is currently more often called "benign prostatic hyperplasia" ("BPH").

In the initial stage of the disease is the appearance of a small nodule or group of nodules on the gland. With the course of the disease are rapidly increase in size and number. Unlike cancer, adenoma does not give metastasis in other organs, i.e., is a benign tumor. This urological disease most often diagnosed in men older than 50 years.

Adenoma of the Prostate in men

Causes

The causes of BPH in men has not been elucidated so far. The only thing that is proved and beyond doubt – a direct link between age and the presence of disease.

With the age of the men disturbed the function of testosterone production which is the main male hormone, and begins to in large quantities to produce estradiol estradiol (hormone, to stimulate the increase of the level and intensity of reproduction of the prostate cells). So, the closer to the critical age of 50 years, the greater the likelihood that the diagnosis of BPH in men.

It is demonstrated that the following factors, which provoke the formation of the disease; their presence increases the risk of disease:

  • inactivity, sedentary lifestyle and excess weight – these conditions contribute to the accumulation of excess fat in which produces estrogen, disruption of the balance of testosterone and estrogen in the male body;
  • bad heredity – if close relatives have been patients with a diagnosis of BPH, the risk of disease increases;
  • frequent inclusion in the diet of unsuitable food, the abuse of fast food and comfort food, eating large amounts of food with spices, fried and greasy food.

The symptoms of BPH

In men, the symptoms varied. Their development and expression affects the progression of the disease, the age and the social status of the patient, as well as for his mental and physical condition.

The first characteristic symptom of the disease, it is considered that the delay in the initial stage of urination, and the manifestation of false urgency. Along with these symptoms are usually noticed occasionally the flow of urine.

Over time the disturbing symptoms begin to grow: the patient complains, problems with urination. To urinate must strain the muscles of the peritoneum. In the cavity of the bladder, residual urine is observed, then the amount that came out, because of the fall of the tone of the muscle membrane of the bladder (detrusor muscle). It consists of mutually interwoven layers, forming a single muscle. Normal contraction of this tissue is an important indicator of male health.

The treatment of BPH

If left untreated, at this stage of the disease, this symptom becomes overwhelming. This process is characterized by a reduction in the number of urine eliminated from the normal, that is very rarely the flow of urine is sometimes reduced to tears stream. In some cases, the tension of the detrusor is reduced so that the amount of fluid in the bladder becomes critical – more than one litre.

Often treatment is complicated by the fact that many patients consider these symptoms of BPH normal for their age and not hurry to consult with a specialist. But in the context of the subsequent problems due to sexual dysfunction, men still go on reception of the urologist.

Obstructive and irritative symptoms of benign prostatic hyperplasia

  • 1. Irritative:

Such functions are known as symptoms of irritation. These include frequent urination or the urge to empty it urinary incontinence. Often the patient is forced to go to the toilet at night - 2 or 3 times to get up to relieve himself. Such signs depend on the severity of the disorder of the muscle membrane of the bladder.

Now science it is known that it is the result of age-related hormonal changes in the body greatly progresses the oxygen starvation of the muscles of the pelvic organs. This condition is called instability of the bladder.

These irritative symptoms, which affect the quality of life of men with the correct diagnosis and timely, quality treatment of the least dangerous.

The problem is, that patients can simultaneously observe the irritative and obstructive symptoms. The classic clinical picture is characterized by the presence of both groups of symptoms.

  • 2. Obstructive:

For the manifestation of the symptoms of BPH in men a great influence on the formation of the clinical picture of the disease, making the existence of chronic inflammation of the prostate. Swelling of the tissue of the prostate often notice a deterioration in the erectile function of the penis. Chronic prostatitis is often manifested by disorders of urination. The presence of this syndrome increases the number of postoperative complications in patients with different stages of disease development.

The possibility of accurate diagnosis is often complicated by the fact that the clinical picture is formed also pathological processes in the body that are not associated with BPH. This means that not every patient needs a surgical intervention, given the fact that patients with moderate shows obstructive symptoms after surgery to improve the condition usually does not occur.

Diagnosis

The stage of the disease

The development of BPH experts divided into three phases:

  • A paid phase is usually manifested in a slight increase in the body. The changes are negligible consequences: the boundaries of the prostate clearly delineated, palpation provokes pain. The density of the body is kept in normal mode. The notch palpation is detected. The patient manifested a delayed residual urine.
  • Subcompensated stage. Characterized by a strong enlargement of the prostate, to the level, when it comes to implementing a strong impact on bladder function. The symptoms are the following: batch and partial liberation of the bladder, the bladder wall to become swollen and much thicker walls of the body in normal condition, the overflow of the bladder, often occurs partial urination unmanageable.

Often, the urine becomes opaque, the turbidity appears, and sometimes sediment. In some cases, the urine contains a mist of blood.

  • Decompensated stage. This is an extreme degree of prostatitis. Patients present to the critical amount of residual urine, urination is very difficult and occurs drop by drop, the muscles of the bladder, which is very weak, because of the constantly increased status. Often in this stage, it is complicated by the lack of hemoglobin in the blood anemia. In the breathing of the patient felt the characteristic smell of urine.

Diagnosis

After listening to their complaints of the patient, the doctor proceeds to collect the medical history and begins the study of the health status of the organism. The first method, which is used in the preparation of the clinical picture is palpation and visual inspection.

For accurate diagnosis specialist settlements on the ultrasound. This can be TRANS-rectally – exactly the problem in this area, the prostate, or turn on the external review of the bladder to determine the stage of the disease, you need to know the volume of the residual urine.

The patient must pass several tests:

  • first and foremost, to carry out the General analysis of urine and blood. Gives information about the presence of chronic inflammatory processes in the body and explains the picture of the general health condition of the patient;
  • At the level of the content in the body of the PSA (specific antigen) levels in the body, is clearly indicative of the presence or absence of malignant cells in the tumor;
  • the level of creatinine. This analysis is a qualitative value of the indicator member are the upper part of the urinary tract leading;
  • uroflowmetry method is a qualitative method for the determination of urinary problems and their causes.
Diet

Treatment of BPH in men

According to studies, the treatment of benign prostatic hyperplasia may include the following types:

  • of medicinal products;
  • minimally invasive (another common name – HIFU-therapy);
  • surgical. (here there are differences – transurethral resection of the prostate, laser treatment or vaporization).

Drugs (medications)

Different types of drugs are an effective way to combat the disease in an early stage of their development. The most known types of drugs used in the treatment of benign prostatic hyperplasia, is considered to be:

  • Alpha blockers – their main task is to improve the drainage of urine in adenoma of the prostate and relieve the pain when urinating;
  • blockers. Medicines of this kind, which inhibit the production of toxic hormone dihydrotestosterone – this has a negative impact on the process of its increase, greatly speeding up the process. Medications by blocking the action of this substance make possible some reduction. In some cases, this process is irreversible and steadfastly maintained.

Diet

In benign prostatic hyperplasia, should carefully monitor the diet of the patient. In addition, the accordance with the following rules, is a good prevention of this disease, and many others. You must often use:

  • a variety of fruits, berries and vegetables, fresh;
  • products that contain fiber;
  • rich in unsaturated fatty acids, the products;
  • raw pumpkin seeds – contain a lot of useful for the male body's metabolism.

And, on the contrary, it is necessary to reduce or even refuse:

  • red meat and oily soup bones;
  • offal and viscera;
  • easily digestible ("fast") carbohydrates;
  • beans and peas;
  • canned goods, semi-finished products;
  • alcohol;
  • candy, especially chocolate in any form;
  • hot spices and spices.

Diet the patient must meet the basic rule is that you eat, as any proper person, who does not care for their own health.

Surgery

Surgery

With cancer of the prostate is to increase the volume – to a greater or lesser extent. How it changed the size of the body, responsible for the deterioration of the condition of the patient and the necessary changes to your treatment plan.

Indicators universal scale matching the size of the tumor and need for surgery, it is considered that:

  • 30-55 mm – surgical treatment is not mandatory. It is possible to conduct conservative treatment based on medications;
  • 40-60 mm in diameter – conservative treatment may be successful, but in combination with surgical removal of the prostate, is possible with laparoscopy;
  • 60-80 mm in this scale, breast enhancement operations are performed in 100% of cases.

This is absolute and cannot wait to indications for surgical intervention include:

  • the inability to answer the nature call even after catheterization of the urethra valve;
  • steadily extensive recurrent hematuria;
  • chronic or acute renal failure;
  • chronic inflammation of the urinary tract, water, or acute onset of these conditions;
  • diverticula of the muscles of the small pelvis;
  • stone in the bladder, or one (both) kidneys.

Often in the treatment of adenoma of the prostate, are used the so-called alternative therapies. Are the same – domestic or non-traditional. Sometimes those methods give good options.

Among the recipes of traditional healers and lovers of the most popular are the following:

  • an infusion of birch leaves. 2 tablespoons of fresh or dried leaves pour 0.5 liters of boiling water, infused for two hours and take half a Cup three times a day before meals.
  • a decoction of burdock root. If you want to do this, 2 tablespoons of the roots of the steam in the boiling water for three to four hours and drink 0.5 cups several times a day.
  • onion. Sometimes to relieve the symptoms of inflammation enough to eat one head of fresh bulb onion;
  • pumpkin seeds. You need to eat every day, we clean the seeds of these plants.

The use of these methods may not be independent – individually they will not bring the desired result, and may be done a disservice if you skip the self development of the disease and, if you want to skip the stage where you can still resolve without surgical intervention. However, when combining alternative and traditional means, prescribed by experts, it is possible to a good result of treatment.

Prevention

Prevents the formation and development of BPH in men need to follow a healthy way of life. It would be useful to take the following measures:

  • to engage in physical activity. A few minutes of exercise a day will help to prevent stagnation;
  • adhere to the proper diet;
  • monitoring of body weight. The risk of BPH is directly proportional to increase in body weight and the occurrence of unwanted body fat;
  • a year see a specialist-urologist for examination;
  • to prevent hypothermia;
  • try to urinate at the first urge not to create a situation in which the bladder or bowel is full.
Traditional medicine

Forecast

The Prostate gland in men for medical treatment, if the problem is detected at an early stage. However, in more complex cases, when the disease is long recognized that quality of life is deteriorating. One should not forget the more moral and ethical side of the issue.

With timely treatment to a specialist, a proper diagnosis and adherence to the treatment plan, the prognosis is very favourable.

But the discovery of the disease in the later stages, experts give a strong positive image. The disease is complicated by concomitant chronic urinary tract infections, formation of stones, sand and other deposits in the bladder and kidneys.

02.06.2019