General characteristics of the disease
BPH or prostatic hyperplasia - is widespread male disease.
After about 40 years in human prostate occurring age-related changes of the cellular structure. The cells grow and formed a benign tumor - BPH. This tumor is gradually increasing and begins to compress the urethra. So there is one of the main symptoms of BPH - frequent urination.
BPH is diagnosed with different forms of expression half of men older than 50 years. In the age group 60-70 years, male incidence of the disease is already more than 70%.
Contributing factors to the development of BPH is a male fertility later. Thus, the earlier the male sex glands involution begins, the less his chances of developing BPH.
Among the causes of enlarged prostate in young men referred to a genetic predisposition to the disease, a chronic inflammation of the reproductive organs, as well as dietary habits.
The last factor needs more detailed study. However, at the moment already it is known that regular consumption of soy foods, tomatoes, squash, zucchini and green tea is an effective prevention of BPH. In regions where the above foods are part of the traditional menu, BPH is diagnosed much less frequently.
Symptoms of BPH
Only 10-15% of men BPH is not subject to progressive growth. In most patients, unfortunately, the gradual growth of prostate tissue leads to the appearance of the first symptoms of BPH - violations in the urinary system.
Early symptoms of BPH, firstly, due to compression of the bladder and urethra. Hence, frequent urination in men with BPH.
And, secondly, prostatic hyperplasia tissue always leads to increased activity of receptor organ. It causes muscle spasms of the urethra and urinary disorders. Therefore, feeling the urge to urinate, the patient with BPH is not able to do what they want.
Total, the symptoms of BPH include:
- weak or interrupted flow of urine during urination,
- constant feeling of not fully oporozhnёnnogo bladder
- palpitations urination, especially at night,
- strain when urinating.
Later symptoms of BPH include pain and uncontrollable urge to urinate.
Diagnosis of prostate adenoma
The symptoms of BPH are similar to clinical prostate cancer - a very dangerous disease. Therefore, it is important for the patient to early complaints of urinary problems carry out a thorough differential diagnosis of the disease.
Required stage diagnosis of BPH - physical examination: to test the degree of external bulging bladder filling above the vagina, and a digital rectal examination to study the state of the seminal vesicles and prostate.
More objective information on the stage of BPH possible to obtain transrectal or transabdominal ultrasound of the bladder and prostate. To assess the degree of voiding using another diagnostic method - uroflowmetry.
In diferentsionnoy diagnosis of BPH used as laboratory blood tests for the presence of prostate antigens and serum creatinine.
Treatment of BPH
Tactics of treatment of BPH depends on the patient's age, general state of health and the degree of hyperplasia of the prostate.
In the medical treatment of BPH drugs used 2 different mechanisms of action:
- blockers to block the increased sensitivity of receptors of the bladder, improving the blood supply to the walls of the body and the top of the contractile ability of the urethra.
- inhibitors of 5-a-reductase inhibitors to prevent further growth of prostate tissue.
The conservative treatment of BPH is often used as herbal drugs with antiedematous and anti-inflammatory, such as drugs based on palm fruit extract Serenoa repens, the seed and the roots of burdock, etc.
Unfortunately, pharmacological treatment of BPH are often only able to improve the quality of life of the patient. Moreover, to secure the effect of medical treatment of BPH, the patient needs frequent repetition rates of drug therapy.
Radical treatment of BPH - surgery to remove the prostate hyperplastic tissue.
Among several types of surgery to remove prostate adenoma distinguish open and closed methods resection. Open surgery to remove the prostate adenoma is held in chrespuzyrnoj or retropubic region.
Closed surgery to remove enlarged prostate is performed endoscopically. For minimally invasive methods of treatment of BPH include:
- microwave thermotherapy,
- laser ablation,
- elektrochastotnoe impact
- electrovaporization and prostate tissue.
The rehabilitation period after surgery for prostate adenoma
After surgery for prostate adenoma patient needs some time in the special conditions for recovery. The rehabilitation period is an average of 3 weeks.
After surgery for prostate adenoma patients is extremely important to follow the diet: eliminate pickles, spices, alcohol and other foods irritating the bladder action. If a man has no restrictions in connection with heart disease, it is recommended that the enhanced drinking regime and drink up to 3 liters of fluid a day.
After surgery to remove the prostate during the rehabilitation period the patient is not allowed to lift anything heavier whose weight 1, 5 kg. Standard postoperative treatment of prostate adenoma - month course of antibiotic therapy.
Sexual activity after surgery to remove the prostate is recommended to start no earlier than a month. Resection of the prostate does not affect the quality of orgasm, but can lead to infertility because of retrograde ejaculation - emission of semen into the bladder.
BPH Treatment folk remedies
In the treatment of BPH folk remedies are widely used sea buckthorn and pine oil. Cotton swab moistened with a mixture of these oils are recommended for the month to enter into the rectum and keep up stool.
The well-known folk remedy for the treatment of BPH - propolis honey. A teaspoon of honey have to dissolve in the mouth until dissolved before each meal. The treatment of BPH honey - 1 month. After 3 weeks of treatment interruption is recommended to repeat. It is also useful for men's health regular consumption of pumpkin, corn or oat porridge with honey.
For effective traditional therapies of BPH also include garlic and onions. It is recommended to use fresh. Rastёrty into mush and divorced boiling garlic (1st. Spoon on 0, 5 liters of water), as well as compresses on the lower abdomen of the minced onions are used in the prostate adenoma, impotence and prostate cancer.
Any of the above-named folk remedies for treating BPH is used only in conjunction with the main treatment.