What are the allowable dimensions of BPH?

The prostate gland in men: size, rate of

The prostate gland in men - an important organ of the reproductive system, which is an exocrine gland of the urogenital tract. Prostate functioning depends intimate life, health, representatives of strong half of health.

The determining factor secretory organ condition is the size, structure, prostate volume. Any pathology, inflammatory infections, malfunctions in the urinary tract organs leads to its increase.

What should be the volume of the prostate gland is normal, what sizes are considered normal, and that points to the pathology.

The anatomical structure of the prostate

The prostate gland - odd secretory organ composed of the right and left lobes, which are connected by an isthmus. Iron has a tubular-alveolar structure, dense elastic consistency. It is shaped like an inverted trapezoid, or chestnut.

Iron is available in men slightly below the bladder. It covers the cervix, the proximal urethra. Excretory organ ducts open into the urethra. The back of the prostate adjacent to the front wall of the rectum, which allows for a diagnostic study by palpation through the rectum.

The main function of the prostate - the allocation of a secret, which dilutes the ejaculate. Iron overlaps addition urethra during erection. Control of the main functions of the body is carried out of the pituitary hormones. prostate secret contains enzymes, zinc ions, vitamins, immunoglobulins.

The prostate - a very vulnerable organ, particularly in men from 35 to 60 years. Prostate size can change throughout life and depends on many exogenous and endogenous factors. The volume of the prostate gland, usually depends on the human hormonal background, age, individual characteristics of the male body.

With age men after 50-60 years Isthmus thickens, leading to compression of the urinary channel. In clinical practice, this lesion is called BPH.

What should be the size of the prostate gland

Formation of the body takes place in 22-23 years, due to the increase in the concentration of sex hormones. With age, size, volume of the prostate begins to grow. A slight increase in size is not a deviation from the norm and not indicative of the development of degenerative and destructive processes in the prostate tissue.

Pathological deviation is the rapid growth of the prostate, which is accompanied by various pathologic deviations characteristic clinical symptoms. To prevent the development of serious complications, it is necessary to know what the size of the prostate is normal and what is pathological.

Normal physiological size of the prostate in men of reproductive age indicate no abnormalities in the urinary tract organs. Normally, the size of the prostate in men of childbearing age must not exceed 40 mm in length and width, with a maximum volume of 30 cm3.

To determine the size of the prostate in men in the medical practice to use a special Gromov formula: V = 0,13 * B + 16.4, where:

• V - the volume of the prostate gland;
• In - patient age.

The dimensions of the prostate gland is normal:

• width (transverse dimension) - 27-42 mm;
• length (upper-lower) - 23-45 mm;
• Thickness (anteroposterior) - 15-25 mm.

These figures are the norm for men aged 23 to 40 years old. After 40-60 years, these parameters may normally have different values.

Determining the size of the prostate in men

What width, length, thickness has prostate, allows the most accurate method to determine transrectal ultrasound diagnostics (TRUS). The sensor is inserted through the rectum into the lumen of the prostate area. The main advantage of the method is that the examination can be carried out without the need to fill the bladder.

A source: https://mzdorov.com/andrologia/bolezni-prostati/normalnyj-razmer-predstatelnoj-zhelezy.html

How to increase the prostate adenoma: the norms and sizes for surgery

Benign prostatic hyperplasia is diagnosed more often, not only in older men, but also in individuals as young as thirty-year age limit.

BPH size grows with the passage of the disease, depending on its severity. Determining the size of the tumor will help you choose the right treatment.

If drug therapy is not enough, the patient is sent to the operation.

Pathological anatomy of benign prostatic hyperplasia

Adenoma - a tumor originating from the prostate epithelium. It is shaped like a nodal connection with clearly defined contours, located deep in the prostate.

Due adenoma secretions accumulated in it can be detected cystic cavity. In addition to proliferation of glandular component body occurs branching muscle fibers. This increases the size of the tumor to more than 200 grams.

There are the following forms of adenomas:

1. intravesical. Height formation is directed into the lumen of the bladder;
2. podpuzyrnaya. Growing lump in the side of the rectum;
3. retrotrigonalnaya. The tumor arises under vesical triangle.

Sprawling nodes compress the urethra, which leads to disruption of the flow of urine.

Over time, the bladder wall muscle hypertrophy, the body becomes sluggish, there is incontinence of urine.

Urinary retention facilitates the penetration of infection in the kidneys, and the development of pyelonephritis.

size standards and prostate volume in men by age

In infancy, the size of the gland slightly more than a pea. Adolescence is the most significant increase in the body. Prostate matures around the age of twenty, when a man passes from adolescence into mature period.

In the course of life, it increases, and normal body size is not very different from the pathological changes. In 25 years, its size is 19.6 cm 3, and in 50 years - 22.9 cm3, that is not much modified in bulk.

Normal and enlarged prostate

Normal values ​​are the following prostate volume, depending on age:

• up to 20 years - up to 20 cm 3;
• 20-30 years - up to 25 cm 3;
• 30-50 years - up to 30 cm3.

In men older than 50 years, it can reach 35 cm 3.

Determination of benign tumors value

Determine quantity can neoplasms using the following methods: finger body examination, ultrasound, X-ray.

Uroflowmetry allows us to estimate the rate of urination.

This parameter is important because the tumor grows violates urination. Laboratory research - an important tool in the diagnosis of any pathological processes, including the determination of the size of tumors.

The patient is administered urine, blood and test for prostate specific antigen. Radiological research methods help detect kidney stones, bladder.

finger study

Rectal cancer research undertaken by an urologist. Finger method makes it possible to obtain information about its size, consistency, presence or absence of seals.

Palpation of the prostate study

The doctor determines how painful it responds, and whether there is a groove between body proportions. In a healthy person it should be palpable.

Ultrasound and TRUS

Instrumental methods prostate research are the most informative for diagnosis.

Ultrasound examination shows the size of each share of the prostate, a condition for the presence of parenchymal nodules, rocks.

It shows the amount of residual urine. With this method it is possible to detect a cyst, tumor nodules, calcifications. Transrectal ultrasonography is a variation of the traditional method. It is based on the introduction through the anus of a special sensor, whereby the body can be inspected in more detail.

Dimensions of prostatic adenoma by Category

Length healthy body - from 2.5 to 4.5 cm, a thickness - of 1.5 to 2.3 cm, width - from 2.6 to 4.3 cm. Normal prostate volume - from 20 to 30 milliliters.

When pathological changes of benign prostatic hyperplasia and the development of indicators vary depending on the severity of the disease:

• in a first step the volume increased to 50 ml, thickness - 4 cm;
• in the second step becomes iron in volume to 60 milliliters in girth - 7 cm;
• in a third stage body increases in volume to 120 milliliters.

In the last step becomes greater thickness, length, width gland.

The patient has an acute urinary retention, since tumor overlaps the channel for urine output.

The man increased lymph nodes, kidney failure develops in severe cases.

critical size

Normal size of the male organ ranges from 15 to 24 millimeters. Transverse prostate size varies from 26 to 40 millimeters. Measure body in three dimensions: length, width, thickness.

Critical dimensions:

• length - 4.5 cm;
• width - 40 mm;
• thickness - 0.023 m.

Displacement gland should be in the range of 20 to 30 cm3.

Indications to Step

Drug therapy can help men only at the first stage of the disease.

In severe cases, surgery is indicated:

• found stones in the urinary system;
• the patient can not walk independently to the toilet;
• there were problems with the functioning of the kidneys.

Also, the operation will be scheduled, if from the medication has not occurred the expected effect.

The Literacy therapy would lead to stopping the growth of adenomas, reducing the size of the prostate by 30%, thus avoiding surgery.

Causes of mucus, and squamous epithelium in prostatic secretions

When the fence prostatic secretions for analysis under the microscope should be observed for more than two epithelial cells.

The excess of the norm - a sign of body tissue inflammation. High values ​​show that men deskvamatozny inflammation, ie peel the epithelial lining.

The appearance of the mucus indicates that the ducts breast swelled, and the lumen is obstructed discharge, sometimes with pus.

Related Videos

About prostate cancer in the video:

If you suspect a violation of activity of the prostate gland is important to determine its size and volume. These parameters are very important for diagnosis. Prostate Dimensions vary with benign enlargement of the body - hyperplasia (BPH).

Size is important when prescribing drugs and indications for the operation. Ultrasound and TRUS can not only determine the value, but also to study the structure of the body.

If you suspect a prostate adenoma, especially if a man violated urination, he should consult a doctor, a urologist. Early diagnosis of the disease allows a drug therapy without surgery.

A source: https://prostata.guru/prostata/adenoma-prostaty/razmery.html

The importance of prostate size at geperplazii

When choosing a method of treatment of an adenoma simplicity, including surgical, physician is important to determine the size of the patient's body. Estimated prostate volume as in the primary diagnosis, and during treatment. After all of the values ​​of these parameters will depend on the further strategy of treatment.

In the diagnosis of adenoma to consider the size of the prostate gland

methods of diagnosis

To determine the size of the prostate adenoma and primary diagnosis apply common survey methods to evaluate these parameters:

1. Primary diagnosis provides for manual research. The prostate is located in the bladder in close proximity to the rectum. Therefore, manual access to it is open only through the rectum. For this urologist finger enters directly through the anus to a depth of no more than 5 cm. Feeling the prostate gland, the physician evaluates its size, volume and structure. The norm is defined in the range 2.5-3 cm. If the patient is found deviations, put the preliminary diagnosis, since it requires more study to determine the exact size. Usually when it detects any deviation from normal patient ultrasound examination is appointed.
2. The most informative method of diagnosis of BPH is ultrasound. Transrectal examination is conducted, therefore, the diagnosis method is called TRUS. Thanks to ultrasound procedures are defined with great precision all the diagnostic parameters, including size, volume and weight of the prostate. Subsequently it is carried out using TRUS control dynamics of change in tumor and postoperative observation. To determine the size of the prostate is carried her palpation
3. X-ray examination is used much less frequently. Prostatography necessarily performed with the use of a contrast agent that helps to paint and highlight the diseased organ in the pictures. If there are deviations from the norm, x-ray shows them accurately. But the method is rather complicated and requires additional training of the patient.

What is the size of the prostate is the norm

A boy is born with the beginnings of the prostate gland. Initial weight and not more than 1 m. During puberty begins a significant increase in male organ, and it reaches its maximum size to 18 years.

And almost 55 years, the rate of all prostate saved settings. However, these parameters are highly individual and may vary within acceptable parameters.

After 55 starts the natural decrease in size, due to age-related decrease of male hormones.

prostate sizes vary depending on age

However, in some endocrine pathologies associated with a deviation in sexual development, the iron can not reach the required size. The deviation from the norm is observed in inflammatory processes, the development of tumors. Therefore, every man needs to know what the rate of prostate size.

Average size is considered acceptable length and width of 3 cm. The wall thickness is determined to 2 cm, but there are minimum and maximum allowable rate.

Thus, it may be at the minimum size prostate:

• width - 2.2 cm;
• length - 2.5 cm;
• thickness - 1.5 cm.

If the size of the prostate exceed the norms should identify the cause and begin treatment

To maximize the size of the norm is:

• 4 cm in width;
• length 4.5 cm;
• 2.3 cm in thickness.

For these dimensions calculated volume of the prostate. There are ways of automatically calculating during ultrasound. But physicians have more confidence in simple mathematical calculations as automatic has a large error.

The volume of a healthy prostate should vary in the range of 20-30 cm 3. For medical use norm computation formula, where the patient's age multiplied by a factor of 0.13 and added to 16.4. It is with these data, and compares the calculated volume of the prostate. healthy prostate weight at diagnostics may vary within 16-19 grams.

Calculate the volume of the prostate is possible by ultrasonography

adenoma size at different stages of development

When different sizes adenomas diagnosed certain stage of the disease, which is reflected on the symptoms, and methods of treatment.

The first stage

At this stage prostate sizes vary slightly. Typically the volume is increased in the range of 30-50 ml, as already appear scars. If the size is greater than 4 cm, already diagnosed adenoma. That increase in size gives unpleasant symptoms.

First of all, it is a problem with urination, which is frequent and painful. In this case, the jet during a discharge of urine sluggish. The urinary ducts formed concretions. All this makes it difficult to drain urine from the kidneys, so there is residual urine.

However juice prostate has synthesized and walks normally, if not to the pathology joined the inflammatory process that is prostatitis.

No treatment in the first stage of an adenoma leading to the formation of stones

In the absence of severe pain treatment is carried out solely by conservative. Great importance given to secondary prevention.

Man should reconsider its attitude to food, sport, their habits. It is advisable for those who are used to flip the iron to change the types of heavy loads on walking and swimming.

If not carried out at this stage of the disease therapeutic and preventive measures, the adenoma is growing rapidly and becomes complicated by the second stage.

The second stage

Already at this stage prostate size becomes abnormal, since the volume reaches almost 60 cm3. On the 2 nd stage of drug treatment may not give results. Therefore, make the operation of excision of the diseased tissue overgrown.

Bladder at this stage is not completely emptied never diseases. Residual urine may be stored up to 200 ml. Sam uric constantly increased.

To implement urinating man forced to tighten, but the process is intermittent and takes longer than expected. Ureters constantly expanded, contributing to the development of renal failure.

Against this background, there are signs of intoxication, the problems with the skin, the sensation of thirst.

In the second stage of adenoma is increased in volume as the prostate and bladder

If a strong sprouting adenoma pathological tissue can pinch the intestines and even grow in the rectum.

In this case, the patient is suffering from constipation, bleeding is observed from the anus and mucus, it suffers permanent desires in a toilet.

If the operation is not done at this stage, adenoma increases further and goes to the third step.

The third step dekompensatsionnaya

At this stage, fixed volume prostate 100-120 cm3. In this case, the operation is carried out only through the open. After this intervention remains a huge scar. The patient is faced with sexual disorders and urinary problems. If you do not remove the tumor, it violates the outflow of lymph. Against this background, the lymph nodes are deformed that provoke swelling.

The patient is always present desire to urinate, and the urine is released meager portions. The large size of the tumor almost cover the urethra.

Significant enlargement of the prostate in the third stage of volumes requires immediate surgical intervention

The man observed all the signs of toxicity, including nausea, general weakness.

This is due to the development of decompensated renal insufficiency. The patient refuses to receive liquid that leads to a constant feeling of thirst and dehydration.

At the third stage of psycho-emotional disorders often occur against the background of constant pain, urinary problems, sexual dysfunction appear.

When the operation is carried out

In the initial treatment stage is carried adenoma drugs that are inhibitors group. The course of therapy may reach six months, but some patients reduce the size obtained to 30%.

However, even in the first stage at a size of about 42 cm3 surgery may be assigned if medication It does not give the expected results, and the patient appeared characteristic painful symptoms associated with impaired urinating. To surgery was less traumatic, try to reduce the size of adenomas less than 63 cm3. If adenoma exceed 80 cm3 in volume, it is carried out only open surgery.

The operation to remove can be carried out by various methods, including using a laser

Also open prostatectomy, surgery can be carried out:

1. Transurethral means. When this penetration occurs through the urethra.
2. Laser method. It is low-traumatic and bloodless way to burn excess tissue with simultaneous coagulation of blood vessels.
3. Method of embolization.

prostate size increases, not only at an adenoma. This symptom may indicate the development of prostatitis or prostate cancer tumor. Therefore so important timely and correct diagnosis while increasing the volume and size of the prostate and the first signs of such deviations.

Learn more about prostate adenoma can from the video:

A source: http://bolezni.com/stati-o-boleznyah/adenoma-prostaty/razmery-predstatelnoj-zhelezy-pri-adenome.html

BPH: BPH allowable dimensions

To solve the problem of choosing the method of treatment, including the surgical treatment, to determine the methods of operation are of great importance allowable dimensions of BPH.

Tumors of small sizes can be treated conservatively or completely removed using endoscopic surgery (transurethral resection of the prostate).

But large adenomas have to be removed by abdominal surgery or have surgery in clinics, specialists who own laser surgery of prostate adenoma (such date in our country Little).

Determining the size of the prostate

prostate size in men approximately evaluated already during the digital rectal exam. In prostate normepoperechnik is from 2.5 to 3.5 cm, the longitudinal dimensions gland - 2.5-3 cm. However, these data may be sufficiently expressed by the individual variability (physiological age features).

The next step in determining the size of the prostate is the US, and it is better that it was a transrectal ultrasound (TRUS).

TRUS prostate volume with healthy men is about 20 ml and should not exceed 30 ml.

Estimated for the individual patient in the assessment of prostate volume, you can use Gromov formula: V = 0,13 B + 16.4, where V - volume of the prostate, and B - the age of the patient.

TRUS can more accurately examine linear dimensions: length, width and thickness of the prostate. Normal prostate size will be equal to 2.4 - 4.5 cm 1.6 - 2.3 cm 2.7 - 4.3 cm.

The true volume of the prostate during TRUS will be more accurate if the physician ultrasound diagnosis calculate its own, based on the obtained linear dimensions.

The fact that the automatic counting method gland volume, the availability of modern devices, can distort the actual volume of the prostate, especially when expressed expansions of nodes. And without the irregular shape is deformed gland nodes, and automatically derived sizes are incorrect.

size of the prostate adenoma markedly increased. Even slight deviations from the norm in TRUS prostate are cause for further examination, as adenoma in some cases growing fast enough, causing major changes in the body patient.

Timely start of treatment can help stop the growth of prostate knots and will be able to stop only at conservative therapy, either to resort to the gentle way of operational treatment.

In countries with well-developed health care of the population in connection with the early detection of adenomas of the small size, resorting to surgery is not more than 20% of patients.

After all, despite the fact that the operation is only radical way of getting rid of the tumor, a significant proportion of patients are not satisfied (too frequent all sorts of complications).

When the volume of prostate adenoma from 30 to 55 ml in the absence of clinical symptoms and disorders the functions of other organs should be conservative therapy using drug combinations drugs.

If nodes greater than 40 mL, no effect of drug therapy and patient seriously concerned about the problems with urination, it has recommended surgery to remove a portion of the prostate gland.

Acceptable dimensions of BPH, in which there is still a probability of less traumatic endoscopic operation, should not be more than 60 ml.

If the nodules glands increase the volume to 60-80 mL or more, it will be shown open operation having a number of shortcomings, among them - the presence of visible scarring, post-operative complications - sexual dysfunction, urinary incontinence etc

A source: http://healthprostata.ru/adenoma-prostaty-dopustimye-razmery-adenomy-prostaty

Adenoma of the prostate: symptoms and treatment, dimensions

Benign prostatic hyperplasia - the most common pathology of the genitourinary system in men aged 55 years. Dimensions of BPH will depend on the severity of the disease.

Allocate pathology severity degree 3 - compensated (step 1), subcompensated (step 2) and decompensated (step 3). Each stage is slightly different symptoms and degree of severity of clinical manifestations.

In benign prostatic hyperplasia are two possible ways of treatment - medical and operational. Moreover, in choosing the method takes into account the size of the prostate adenoma.

Definition of adenoma and its causes

Definition of benign prostatic hyperplasia can be summarized as follows: adenoma - a disease in which the prostate area appears benign tumor.

What are the causes of adenoma? The cause of the tumor is hormonal changes. The fact is that with age, testosterone levels decrease and estrogen levels increase.

During the period of hormonal changes increased levels of estradiol. It is this hormone has the ability to stimulate the growth and reproduction of pathogenic prostate cells. Doctors say that there are a number of factors that negatively affect the hormonal male background.

These factors include:

• Obesity. In the presence of excess weight appears increased amount of adipose tissue. That adipose tissue is a substrate for the synthesis of estrogen.
• Genetic predisposition.
• Bad habits. An extremely negative impact on prostate health and hormonal influence tobacco, alcohol and drugs. Especially dangerous is beer. The drinks contain phytoestrogens, so avid beer drinkers were significantly more likely to suffer from adenoma.
• Passive lifestyle.
• The presence of chronic diseases of the cardiovascular system. Especially dangerous atherosclerosis and hypertension.
• Inflammatory diseases of the pelvic organs.
• Unhealthy eating habits. By drinking a large amount of fatty and sugary foods, the level of testosterone in the blood decreases, and estradiol levels on the other hand - significantly increases.

Adversely affect the prostate can anabolic steroids. When they used the body receives from the outside an increased amount of testosterone. As a consequence - the body starts to produce less of testosterone, resulting in hormonal failure.

The dimensions of healthy and diseased prostate

What are the dimensions of the prostate is considered normal? A healthy prostate normally has a length of 2,4-4,5 cm, the circumference - 1.6-2.3 cm, a width - 2,7-4,3 cm. Optimum prostate volume - 20-30 ml.

If there are deviations, these parameters others. As mentioned above, everything will depend on the stage of development of adenomas. When the compensated stage (first degree) increases the volume to 30-50 mL. Circumference becomes approximately 4 centimeters. Often compensated for in step urolithiasis ducts are formed concrements.

If the disease is passed on subcompensated (second) severity, prostate volume increased to 60 ml. In the girth glandular organ can be increased up to 6-7 centimeters. Subcompensated stage is often accompanied by an extension of the ureters. As a result of delays in the treatment of kidney failure is possible.

The most difficult stage of adenoma - decompensated. When it glandular organ increases in volume up to 100-120 ml. The deviation in the girth of 4-5 centimeters. Significantly increases the width and length of the body.

Decompensated stage adenoma and lymph nodes accompanied by deformation of acute urinary retention. This is due to the fact that most tumor almost completely blocks the urethra. As a result, the patient is very difficult to empty the bladder.

Symptoms and diagnosis of adenoma

How proves benign prostatic hyperplasia? Everything will depend on how big the prostate adenoma. The neglected diseases, the more intense clinical manifestations occur.

If there is enlargement of the prostate adenoma, the first thing that starts to feel a man - it trouble urinating. Often jet becomes sluggish and intermittent. Also concerned about the patient's urgency to urinate, a feeling of incomplete emptying of the bladder, pain in the perineum while urinating.

In addition to problems with urinating, you experience the following symptoms:

1. Low back pain. Often, this symptom indicates that renal insufficiency develops gradually.
2. Problems with potency. Prostate Adenoma 2 degrees and 3 degrees of severity sometimes accompanied by painful ejaculation.
3. Involuntary urination.
4. Signs of intoxication. They occur in decompensated adenoma. A man concerned about body aches, nausea, dry mouth, fever, loss of appetite. Often there constipation, and reduced body weight.

When the characteristic symptoms of BPH should seek immediate medical. The urologist must assign the patient a comprehensive diagnosis. Necessarily performed a digital rectal examination, a blood test for PSA, blood chemistry, TRUS prostate, uroflowmetry. In some cases, the diagnosis is complemented by semen analysis and general analysis of urine.

Medical and surgical treatment

There are various methods of treatment of BPH. All will depend on the degree of disease severity. If the disease is at stage 1, it is possible to stop the pathological processes of medication.

If the size of the prostate in men is large, the use of alpha-1 blockers. Medicines of this group to help improve the flow of urine, eliminate the obstruction and irritation of the urinary tract, to stabilize the tone of prostatic smooth muscle. Best alpha 1-blockers are considered Tamsulosin and Alfuzosin.

More can be treated with medication adenoma using inhibitors of 5-alpha-reductase. These medications help to neutralize the negative effects of androgens on the prostate. Also medicaments promote stabilization of PSA level, and a decrease in tumor size.

In order to support applied painkillers, produced in the form of suppositories or tablets.

When a man is diagnosed surgical treatments subcompensated or decompensated stage adenomas are used, namely:

• Prostatectomy.
• Laser vaporization.
• Microwave therapy.
• Needle ablation.
• Embolization of arteries of the prostate gland.
• Cryodestruction.

Medical and surgical treatment are supplemented diet. The patient will have to give up alcohol, fatty foods, sweets, bakery products. The diet should prevail seafood, meat, dairy products, fish, cereals, fresh fruits and vegetables.

In order to support can be used folk remedies. They are useful decoctions of marigold, parsley, onion, echinacea. Also good effect on prostate bath with chamomile and oak bark.

During the period of drug therapy after surgery can be used supplements. Naturopathic means a positive effect on the prostate and urinary system. The most effective is the Chinese Urological patch ZB Prostatic Navel Plasters. It is able to withstand not only featured adenoma, but also reduce the size of the tumor.

Ask the doctor

A source: http://prointim.info/opuhol/razmery-adenomy-prostaty.html

The size of benign prostatic hyperplasia

Adenoma of the prostate gland - abnormal growth of prostate tissue.

The disease is dangerous because up to a certain point the patient may not notice it, but then adenoma grows to such an extent that was transferred by the urethra, which leads to problems on the part of the excretory system.

In order to determine the optimal treatment for each case, the urologist is necessary to determine the size of the prostate adenoma. The smaller the tumor, the greater the likelihood of full recovery without surgery.

The prostate gland refers to the male reproductive system and is used to generate special secret, which helps to enhance sperm activity and protect them from the negative impact of external factors. Prostate, walnut-shaped, is located in the pelvis in proximity to the bladder, the urethra passes through it, and the rear portion of the prostate gland adjacent to the rectum.

The prostate is a walnut looks like not only shape and size, but also the structure. It consists of two halves, which are connected by an isthmus. Outside, the prostate surrounds the connective tissue that forms the capsule, and inside contains glandular tissue, which produces a secret.

The main functions of the prostate include the following:

• production of special secret and its transportation to the testicles by means of special muscles;
• excretory system protecting man against viruses and infections.

Normal prostate size

In newborn boys prostate is very tiny, it weighs about 1 g Then, as they grow older boy, the prostate increases in size, stopping the growth to 18 years.

Then, after 50 years, the prostate begins to decline as falling levels of male hormones in the blood.

This explains the fact that the presence of certain endocrine diseases male prostate may not develop to its normal state.

For normal prostate is characterized by the following dimensions:

• volume - 20-26 ml;
• length (measured from top to bottom) - 2-4,6 cm;
• width (dimension from right to left) - 2-4,3 cm;
• width (dimension from front to back) - 1-2,6 cm.

These parameters - averages, mainly prostate size depends on individual factors.

The value of an adenoma

Because the disease is a benign tumor, prostate enlargement can not be avoided. From the size of the prostate adenoma depends on the manifestation of the main symptoms and treatment.

Prostate Size adenomeMetod treatment

30-40 ml	medical
40-60 ml	Endoscopic surgery using instruments introduced into the urethra
60-80 ml	Open surgery, at which is cut peritoneum and bladder wall

Determination of adenoma

There are several techniques that allow the doctor to determine whether the prostate is enlarged. For a reliable determination of the size necessary to use all the methods in the complex.

finger inspection

This method is very simple and is used during the inspection in the first place. He is the doctor gently introduces the index finger into the patient's rectum and feels the prostate gland carefully. If the prostate is much enlarged, the doctor will notice it.

Ultrasound and TRUS

What is the US, they know everything. This method is the most accurate method to establish the presence of disease in the internal organs. TRUS - it is the same ultrasound, but the instrument then inserted into the rectum, which allows most accurately examine the organs of the male reproductive system.

TRUS can help determine all parameters of the prostate gland. It is possible to calculate the size of adenomas using a computer, but more reliable result will be if the doctor yourself manually calculate how big prostatic hyperplasia.

Causes of adenomas

Still not precisely determined what causes the abnormal growth of prostate cells. Scientists were able to install only the dependence of growth of adenoma from a hormonal background, the more testosterone produces the male body, the greater the likelihood of prostate pathological growths.

But, although the main reason has not been elucidated, scientists have identified risk factors that increase the likelihood of prostate adenoma growth:

• passive lifestyle;
• atherosclerosis;
• improper diet;
• excess weight.

The probability of adenoma development is also increasing with the aging of man and the natural hormonal changes.

symptoms of adenomas

While adenoma is less than 40 ml, the patient may not notice any pathological changes in the organism. As the tumor may occur changes in the process of urination. They are expressed as follows:

• urine flow becomes weak;
• there are frequent urination;
• the patient often goes to the toilet during the night;
• man can not empty your bladder until the end, for this we have much to stretch the muscles of the peritoneum.

The above symptoms - the first signs of increase of BPH. It is at this stage it is necessary to see a doctor, because in the early stages is likely recover, even without medication using the correct way of life, power and performance exercises.

When adenoma grows into the next stage, its size increases, it was transferred by the urethra, which is accompanied by the following symptoms:

• in the bladder of the patient always remains a certain amount of urine, which increases as adenoma growth;
• the bladder is constantly filled, it can not be emptied completely, intravesical pressure increases.

At the last stage of hyperplasia increases so that begins to put pressure on the rectum, which can cause problems with defecation. The patient may experience constipation, bleeding, mucous discharge from the anus.

Treatment for prostate hyperplasia

There are three methods of treatment that are assigned depending on the size of benign tumors.

medication

Such therapy take effect only if the adenoma is not too big. Patients prescribed medications that help to relax the smooth muscles of the bladder and facilitate the process of urination. Also, be sure to prescribe drugs that slow down the process of growth of adenoma.

Transuretralnayaretsektsiya (TUR)

This method is considered to be the most effective and safe because it does not do more cuts, the device is inserted into the urethra and the prostate excised tissue, releasing mocheispuskatelnyj channel. The risk of complications after surgery is very small, and recovery takes the least amount of time.

Adenektomiya

This method is an open operation wherein the abdominal incision is performed and bladder. Without such a surgery is not necessary if an adenoma has reached a very large size. The main advantage of surgery is that it is also possible to get the stones from the bladder.

Finally

BPH can be safe as long as it does not reach large sizes. If you do not look after their health, the situation could end unfavorably for the patient.

Particular attention should be paid to the process of urination, since he is the first harbinger of the problems with BPH, and men, I stepped over the threshold of 40 years, preferably at least once a year inspection at the urologist to monitor the size of the prostate and eliminate the possibility of its growth.

A source: https://UroGuru.com/bolezni-prostaty/giperplaziya/razmery_adenomy_predstatelnoj_zhelezy.html