Hyperplasia of prostate, otherwise the adenoma of the prostate — the most common disease in the middle of a strong half of humanity that has reached the milestone of 50 years. This disease is caused by a spontaneous growth of the prostate gland and the floor of the body of the urethra. Worse, the urine output, starts the accumulation in the bladder of pathogenic bacteria that cause different complications.
The adenoma of the prostate: causes, symptoms, clinical picture
The prostate gland is one of the internal organs, which participates in the execution of a man's reproductive function. With age, in this organ can form the seals, the clots of matter, and the tuft of the fibers. These neoplasms are benign. Today, this condition is treated with success as with medicines, and through surgical intervention. The most important thing – identify the presence of the disease and start the treatment, then you can get to positive results, even without the intervention of surgeons.
As well as through the prostate gland passes the urethra, the increase in size of a body, this channel being compressed during. This condition the main symptom of this disease – delay in urination. Normally, it is noticeable when for once the urine is excreted less, the amount of urgency increases, and the stream to the east, the time is" imperishable". With time, you also have to make efforts to make the urination. When the patient experiences unpleasant sensations. In the sex life becomes less active, the erection occurs with difficulty and not always.
Among the reasons are mainly a hereditary predisposition and the age. Age is a key factor, is the of the men, who more than forty years, the adenoma is more frequent. Not worth trusting in the myths of sexually transmitted diseases, the earlier may be the cause of the development of neoplasms. Also it is not transient sexual life.
Part of the symptoms have already been named, but, in addition to those mentioned above, are the following:
- it seems that after passing urine your bladder was not completely destroyed;
- erectile dysfunction;
- nocturnal need to urinate;
- this process can be interrupted.
Briefly about the types of interventions
The removal of the adenoma occurs several surgical methods.
It is worth saying that this is not necessarily a classic cavernous operation, today's medicine offers other, less invasive, the way of the removal of the hyperplasia.
Bph occurs benign tumor found in the tissues of the prostate.
The tumor does not give metastases, and does not penetrate into the vicinity of the organs and tissues, however, the removal of the adenoma shown in some cases.
If you previously, this disease was considered the prerogative of men after 45-50 years, now more and more is recorded in the case of illness, from the age of 25.
The most effective way of treatment of benign prostatic hyperplasia (bph) — the removal of the adenoma of prostate species or minimally invasive method. There are several types of surgery — the distinguished among themselves, the complexity, the list of complications and the cost of the prostate surgery. To choose the best option, it is necessary to study the consequences of the operation of removal of the adenoma of the prostate and of the clients about their different variants.
The surgery offers the following types of surgery of adenoma:
- open adenomectomy;
- TOUR (transurethral resection of the);
- laparoscopiceski methods;
- minimally invasive intervention (laser and electrical vaporization, laser ablation, microwave thermotherapy, kriodestruktsiya, enucleation, and others).
More often today employs the method of the TOUR. Most of the time the surgeons practice abdominal adenomectomy. Less traumatic are minimally invasive forms, however, it is not always possible. The laser is the most modern and effective for the treatment of bph.
The life expectancy in prostate cancer 3 grade
According to statistics, every second, in the case of prostate cancer in russia is diagnosed precisely in the third phase. As a general rule, the men, even feeling the discomfort and pain sensation, to postpone the visit to a doctor for such a delicate subject, and come then, when the cancer has already grown considerably and beyond the prostate. This stage is characterized by:
- metastasis in nearby organs – bowel, urinary or seed bubbles;
- significant alteration of the power;
- the presence of blood in the urine and the semen;
- the pain in the crotch and the lower back.
What are the effects of the operation of removal of the adenoma of the prostate in men?
Every surgical intervention has certain types of negative result.
Often, after resolving the adenoma of the prostate, will produce consequences almost always.
Is defined is the fact that the patient later requested the help of a specialist, as a result of this, the disease progresses, and the time of diagnosis remains extremely little.
It should be noted that the onset of effects depends largely on the skill of the surgeon and of the reception of the surgery. Also an important role in the postoperative play the individual characteristics of the patient and speed of recovery of function.
It is worth noting the most common side effects after the removal of adenoma:
- incontinence, or urinary retention;
- blood cells of the selection or the presence of an internal bleeding;
- lack of erection or retrograde ejaculation;
- the impossibility of conceiving a child;
- the intoxication of the organism.
The prostate biopsy involves the occurrence of bad consequences.
The cause of the appearance of these unpleasant symptoms that can be repeated to the realization of the biopsy. Often all the effects you spend a few days and do not cause great discomfort to the patients.
As the operation is being performed, and the treatment of adenoma of a prostate?
After the operation of removal of the benign prostate hyperplasia patient is prescribed the therapy of painkillers, antibiotics for the prevention of inflammatory processes of the sphere urogenital, diuretics drugs, diet, and curative gymnastics for the strengthening of the pelvic floor.
After the surgery, there can be small complications:
- small impurities of the blood and formation of clots in the urine throughout the week;
- incontinence of urine, frequent urination, which little by little passes on its own;
- pain during urination, usually disappearing, when the catheter is removed from the urethra;
- when ejaculation is possible the return of shot of semen into the bladder (this is not dangerous).
The cause of the disease consists in a failure in the hormonal system. That is to say, the level of testosterone decreases significantly, and, behold, the estrogen, on the contrary, increase.
The treatment of adenoma of prostate is entirely dependent on its degree of negligence. If the disease has been detected in the first or second stage, the estimate of the sequence of therapy will be such:
- the medical therapy;
- the correct hygiene;
- the compliance of the diet;
- physiological the procedure.
- radical prostatectomy;
- transurethral resection of the;
Normally in the initial phase of the disease, when the symptoms bother you a bit and are expressed to a lesser extent, the patient is prescribed the pharmacological treatment of benign prostatic hyperplasia.
But when the disease has reached that level, when cured with medicines is not possible, uses a method of surgical intervention. This method is the most effective drug, but it has its disadvantages and specific risks, the treatment may call risky.
Most popular of the variety of operations of the adenoma of the prostate:
- Transurethral resection of the prostate (TURP).
The essence lies in the fact that in the urethra of the patient is inserted with a special device that is called a resectoscope. At the time of the procedure, the patient remains lying on the back, with feet sections, bent at the knees. With this device, introduced through the external opening of the urethra, and carries out the surgical intervention.
Through this instrument performs the procedure for removal of the prostate hyperplasia. He is able to "scrape away excess tissue" and immediately perform the "burning" of the capillaries, which start to bleed. The last manipulation helps to avoid internal bleeding.
One of the mandatory elements is the installation on the outside of the urethra of a catheter that leads to the urinary bubble. This tube would be removed a week after surgery.
All of the steps that is usually performed under general anesthesia. Sometimes it allows the use of spinal anesthesia in these cases.
Obvious advantage is that it is not applied to the sheet reinforcement of the bottom of the dissection of the tissues of the body, which means that post-operative, rehabilitation will be faster and the recovery will be more effective, the treatment will last for ever. In addition, after it not leaving scars, as well as the planar of the incision is not.
It also reduces to a minimum the duration of stay of the patient in the hospital the hospital after the surgery:
- Transvesically adenomectomy.
This type of intervention involves the incision in the abdominal cavity. Is carried out in the area between the navel and the pubis. In the course of open surgery, the surgeon cuts through all of the benign tumors, growths special scalpel. As well as following transurethral resection of the prostate, the urethra, the catheter is placed.
The advantages of a specify that the procedure is often much more effective than the TOUR. By against it can be a longer period of recovery and permanence in the postoperative observation in the hospital.
What could be the consequences of transuterine resection of the prostate (TURP) and Transvesically adenomectomy?
The risk of the opening of internal bleeding. Among the consequences of this, perhaps, is the most dangerous. And after any other intervention, after the removal of the benign prostatic hyperplasia there is always the risk of occurrence of bleeding. This risk depends on the quality of the realization of the surgical intervention, as well as koagulyatsionnih of the properties of the body, that is to say, the operation of the function of blood clotting.
If the bleeding has emerged in the course of the procedure, you can apply a blood transfusion, which can often be the only chance to save the life of a patient during the time of bleeding of the dangerous blood loss. It can also be a risk of blockage of the blood vessels of clots of dried blood, which also represents a danger to the life of the patient after transurethral resection of the prostate (TURP) and Transvesically adenomectomy.
Statistics show that these cases are very common, especially among elderly men, the survivors of the work of the surgeon.
Hydro-intoxication. It is also one of the most popular of the consequences after the removal of the adenoma of the prostate, and also one of the most difficult. Also this pathology, which can be called in the medical literature as the TOUR's syndrome. A factor of development of the syndrome is carried in the blood, the liquid used for the purification external of the urethra at the time of the intervention of removal of the prostate hyperplasia.
Yes, and also the more modern technology, that are used during the work of the surgeon, give the possibility of reducing to zero the probability of such consequences.
The delay of urine. Another popular result is the delay of the urine after the intervention, and many of the customers are talking about it. Especially serious is it that they feel men in the age over 60 years. The triggers of this impact is more often the silting urinary flow of blood clots. Also this may be the cause of an error by the surgeon during the procedure. To avoid serious health problems, the patient should consult a doctor to resolve this problem.
In 1-2 of 100 of the cases in men as a result of the operation of removal of the prostate hyperplasia can be seen in incontinence of the urine. Rarely this phenomenon is the steady basis, the most common is that occurs in case of strong surges (physical or psychological, to the same extent). Also in most of the cases, this phenomenon is found in the first few days after the surgical intervention.
The problems ms often lead to these:
- podtekanie of the urine;
- the sensation of pain;
- difficulties in the process.
Of course, they are, basically, the problems become, with time, without the need of medical act. If you do not pass, the more likely it is that the surgeon during the operation made a mistake, and you will need to go to the hospital to solve the problem.
Infectious diseases. The probability of the occurrence of infectious diseases after the surgery is always very high. According to some, this occurs in 20% of cases. We typically treat these standard mechanisms – with antibiotics.
The danger lies in the fact that the inflammatory process can become chronic and periodically publicize.
There is No ejaculation. This problem, perhaps, distributed more of everything. Some statistics speak of the figure of 99%. Why is this happening? The answer to this question lies in the fact that the seed after the orgasm is released into the bladder. In the medical literature what is the ejaculation takes the name of a retrograde. This does not harm the body of the men, but there are problems with the ability to have children.
The violation of the power. These complications is quite understandable, but are less than 10% of the cases. Of course, it is the consequence may cause fear in many patients. However, modern medicine does everything possible to reduce to zero the probability. If the operation is performed correctly, there is that fear of the dysfunction of the power.