Hypertrophy of the prostate

Disease, which consists in an increase in the size of the prostate gland due to its adenomatous or fibroadenomatous degeneration is prostatic hypertrophy. This disease in men usually appears after the age of 50 years. The elderly men have a significant change in the endocrine system, which are due to a weakening of the intrasecretion of the testicles with a violation of the normal interaction of male and female sex hormones.

What happens with prostatic hypertrophy?

During this disease, adenomatous fibro-or-myo adenomatous tissue proliferates, which comes from the periurethral glands, or from the prostate gland itself. As a result, adenomatous masses to the periphery are pushed back prostate tissue and atrophy. The posterior, prostatic part of the urethra is compressed, greatly elongated, turning into a narrow elongated gap. Sometimes adenoma develops due to the median part of this gland, germinating into the neck of the bladder from below, or it has the character of neoplasm on the stem, like a valve that closes the inner hole of the urethra, as a result of which the outflow of urine from the bladder is disturbed.

What are the symptoms of hypertrophy of this organ?

In humans, as a result of this disease, dysuric phenomena occur which, in the initial stage of the disease, occur in rapid and difficult urination. There is also an acute complete retention of urine, which occurs due to congestive hyperemia of the prostate( this is the effect of constipation, abuse of alcohol, sexual excesses, hypothermia, long stays on the road).The prostate is usually diagnosed during digital rectal examination.

How does the gland hypertrophy proceed?

There are three periods of the course of this prostate disease. Characterized by the first period of the disease rapid urination, even with complete emptying of the bladder due to detrusor hypertrophy. The second period of the disease can be characterized by the gradual development of depletion of the vesicle muscle, because of which its compensatory hypertrophy is replaced by partial atrophy, atony. There is a persistent partial retention of urine, the urine remains in the urinary bladder, stretching its cavity. The stretching of the bladder significantly increases in the third period. Its wall becomes thin. The tone of the cystic muscle disappears completely. The delay of urine partial is replaced by the full: the urination urination with a full bladder is absent, the urine is spontaneously evolved. This is explained by the atony of the muscle of the bladder, as well as the weak tone of his sphincter.

Various changes in the urinary tract( upper), which are observed to varying degrees in any period of prostate hypertrophy, are expressed especially in the third period of the disease. There are changes in the expansion of the ureters, chronic nephritis, renal pelvis, pyelonephritis.

Due to chronic intoxication, the condition of patients becomes difficult. Intoxication in the body arises from the delay in the body of nitrogenous slags( this is azotemia) and because of the infection of the urinary system, which often joins. Appearance of loss of appetite, anemia, weight loss, dry mouth, circulatory disorders, increased thirst, polyuria with a small specific gravity of urine, dyspepsia. In this period, the kidney function is significantly reduced.

Treatment of prostatic hypertrophy

There are two methods for treating prostatic hypertrophy. This is a medical and operational method. It should be noted that drug treatment is advisable only at the initial stages of hypertrophy, when the patient normally urinates and the bladder is completely emptied. Use in such cases, drugs that block pain and reduce the prostate.

The most effective method is the surgical treatment of the disease. At the same time, you can solve the problem of prostate hypertrophy once and for all. In the event that the patient has not had complications on the kidneys, the prostate is removed through the urethra. If the prostate is large enough, other methods of removal are used.