Prostatic hyperplasia, or BPH, is the most common disease among the strong half of mankind has reached the milestone of 50 years. This disease is caused by the spontaneous growth of the prostate gland as well as the overlap of the lumen of the urethra. This deterioration in urine output, starts the accumulation in the urinary bladder of pathogenic bacteria that cause the various complications.
Benign prostatic hyperplasia: causes, symptoms, clinical picture
The prostate is one of the most important internal organs, which is engaged in the performance of male reproductive function. The age of this body may be formed with a seal, the knots of the mind, tangle the strings. These tumors called hypertrophy. To date, this pathology can be successfully treated with the drug, as well as direct surgical intervention. The most important thing is to have time to detect the presence of disease, and the treatment begins, then we can achieve positive results without the intervention of surgeons.
Since the prostate passes the urethra, because of the increased size of the organ, the channel is pinched. This causes the main symptom of the disease late the urination. Usually becomes noticeable when a time in the urine is allocated less number of pulses increases, but the stream at the same time, the "wither". You also need to make efforts to ensure that the urination. In this case, the patient experienced discomfort. The sexual life, it is still less active, an erection occurs with difficulty, or not all.
Among the reasons can be distributed especially genetic predisposition and the age. The age is a key factor in the men who are over forty years old, adenoma is more common. Do not trust myths is the fact that the venereal diseases through earlier can cause the development of tumors. Also it's not unusual sex life.
Part of the symptoms already from the name, but in addition to the above call, for example:
- it seems that after urination the bladder was not completely emptied;
- erectile dysfunction;
- night urination;
- this process can be stopped.
Briefly about the types of interventions
The prostate occurs more surgical manner.
It is worth saying that this is not necessarily the classic cavernous surgery, medicine today offers a different, less invasive way to remove the enlargement.
The prostate cancer presents with a benign tumor, which is located in the tissues of the prostate.
The tumor does not give metastases, but not penetrate into the surrounding organs and tissues, however, the removal of the adenoma, it has been shown that in certain cases.
If you have previously the disease was considered the prerogative of the men after 45-50 years, now increasingly recorded cases of the disease starting at 25 years of age.
The most effective method of treatment of benign prostatic hyperplasia (BPH) — removal of the prostate invasive or minimally invasive method. Several types of surgical interventions distinguishes them from each other, the complexity of the list, the complications and the cost of prostate surgery. Select the best option, you need to study the effects of the surgery the not get feedback about the different options.
The surgery offers the following surgical treatment of adenoma:
- open adenomectomy;
- TUR (transurethral resection);
- laparoscopiceski methods;
- minimally invasive intervention (laser, electrical ablation, laser ablation, microwave thermotherapy, cryosurgery, enucleation, etc.).
The most commonly used method, ROUND. For the longest time practicing surgeons abdominal adenomectomy. The least traumatic minimally invasive methods, but their use is not always possible. The laser is the most modern, effective methods of BPH treatment.
The life expectancy of prostate cancer grade 3
According to statistics, every second case of prostate cancer in Russia, it is diagnosed in the third stage. Usually the men even discomfort and itching, postpone visit to the doctor for such a sensitive subject, come on, when the cancer has already significantly spread beyond the prostate. This section features:
- metastases in the surrounding organs – the intestines, bladder, or defining bubbles;
- a significant violation of potency;
- the presence of blood in the urine or semen;
- pain in the perineum or lower back.
What are the effects of surgical removal of the prostate gland in men?
Every surgery has a certain negative result.
Often after the removal of the prostate consequences of occur, almost everything.
It is established that the patient later turns for help to a specialist, as a result, the disease progresses, and diagnosis is still too little.
It should be noted that the event's consequences depends largely on the skill of the surgeon, and the selected receiving surgical intervention. It is also important in the postoperative period of the game the unique characteristics of the patient, and the speed of the recovery function.
It is worth noting that the most common consequences after removal of the adenoma:
- urinary incontinence, or urinary;
- the bleeding or the presence of internal bleeding;
- the lack of an erection or retrograde ejaculation;
- the inability to get pregnant;
The histological examination of the prostate leads to the appearance of bad consequences.
The reason for the appearance of these unpleasant symptoms, repeat biopsy. Often, the above effects line in a few days, it's not too much trouble to the patients.
How is the surgery for BPH?
After the surgery to remove the prostate adenoma therapy the patient is prescribed analgesics, antibiotics, for the prevention of inflammatory processes of urinogenital sphere, diuretics, diet and therapeutic exercises for the pelvic floor.
After the surgery, but there are complications:
- minor contamination of the blood blood clots in urine for weeks;
- incontinence, frequent urination, which gradually takes place of itself;
- hip during urination usually disappears when the catheter is removed from the urethra;
- during ejaculation, it is possible to return the reflux of the semen into the bladder (the safe).
The disease cause lies in the malfunctioning of the hormonal system. The level of testosterone is considerably reduced, but the estrogens, on the contrary, increase.
Treatment of BPH depends on the extent of the neglect. If the disease was discovered in the first or the second stage in the approximate sequence of the therapy will be this:
- drug therapy;
- appropriate hygiene;
- physiological procedures.
- radical prostatectomy;
- transurethral resection;
Typically, the initial stage of the disease, when the symptoms bother you enough, there are expressed, at least in patients with the prescribed medications for the treatment of prostate hyperplasia.
But when the disease has reached the level, when you need to manage the drugs is not possible, using the method of the surgery. This method is more effective than medication, but there are drawbacks, but the risks, the treatment can be called risky.
The most popular version of operations of the BPH:
- Transurethral resection of the prostate (TURP).
The point is, that the urethra, the patient introduced a special tool called a resectoscope. During the intervention, the patient in the supine position, the legs, which bent at the knee. With this device, introduced by the external opening of the urethra, as well as the surgery.
With the help of the device carried out a procedure to remove the prostate adenoma. He is able to "scrape up the extra fabric" carry out "cauterization" of the capillaries which leads to bleeding. The last manipulation helps to avoid internal bleeding.
One important point is that the installation of the external urethra with the catheter, that the bladder. This tube will be removed a week after surgery.
All actions most commonly performed under general anesthesia. Sometimes allowed the use of spinal anesthesia in such cases.
The obvious advantage is that it is not applied to the cut fabric coating, the body, this means that after the surgery, the rehabilitation should be faster and the recovery will be more effective the treatment will not last long. Anyway, it's not a scar, as the flat section was not.
Also shortened to the minimum length of stay of the patient in the hospital after the surgery:
- Transvesically adenomectomy.
This kind of intervention means that a planar abdominal incision. This is the area between the navel and the pubic bone. During open surgery, the surgeon cuts out all the benign growths with a special scalpel. And after transurethral resection of the prostate, into the urethra and placed a catheter.
The advantage of the procedure is often much more effective than the ROUND. The disadvantages include a longer recovery period, and the presence of postoperative observation in the hospital.
What could be the consequence of transuterine resection of the prostate (TURP), and Transvesically adenomectomy?
The risk of disclosure of internal bleeding. Among the consequences of this, perhaps the most dangerous. As after any other intervention, after removal of the adenoma of the prostate, there is always the risk of bleeding. This risk depends on the quality of the surgical intervention, as well as the coagulation properties of the body, it is the function of blood clotting.
If the bleeding during the procedure can be applied to the blood transfusion, which is often the only way to save the patient's life during a severe bleeding dangerous blood loss. You may also have the risk of clogging of blood vessels in the blood clots of coagulated blood, which is also a risk to the life of the patient after transurethral resection of the prostate (TURP), and Transvesically adenomectomy.
The statistics show that such cases are quite common, especially the elderly man who survived the work of a surgeon.
Hydro-poisoning. This is also one of the most popular effects after the removal of adenoma of the prostate, and also one of the hardest. Furthermore, the abnormality can be referred to in medical literature as the TUR syndrome. Factor in the development of the syndrome appeared in the blood liquid used to cleanse the outside of the urethra during surgery to remove the prostate cancer.
In addition, the most modern technology which while in operation, the surgeon, allows to reduce to zero the probability of such consequences.
Urinary retention. Another popular effect urine retention after the procedure, and a lot of the reviews talk about it. Especially old men more than 60 years. The factor causing this result is most often a blockage of the urinary tract is the channel by which the blood clots. It also may cause errors the surgeon during the procedure. To avoid serious health problems, the patient needs a doctor for this problem.
1-2 in 100 cases, the men were as a result of the surgery to remove the adenoma of the prostate may be urinary incontinence. Rarely this is permanent, most often this occurs when severe stress (psychological or physical, both). The more common case, such a phenomenon is found in the first few days after surgery.
These problems often are the following:
- urine leakage;
- difficulties in the process.
Of course, most of these problems over time without any further medical intervention. If not, then most likely the surgeon during the surgery, I made a mistake, but you have to go to the hospital to solve the problem.
Infectious diseases. The probability of occurrence of infectious diseases after surgery is always very high. According to some people, this happens in the cases of 20%. These are usually treated in the usual way – with antibiotics.
The danger is that the inflammation can become chronic regularly prevail.
It happens the ejaculation. This problem maybe more widespread. According to some statistics this number is 99%. Why is this happening? The answer lies in the fact that you orgasm after thrown into the bladder. In the medical literature that a sperm donor is called retrograde. It doesn't hurt that the man's body, but there are problems with the ability to have children.
Violation of potency. Such complications are understandable, but there are less than 10%. Of course, this is a possible consequence of fear for many patients. However, modern medical science, every effort is made to eliminate this possibility. When the operation is completed, conducted correctly, you do not need to fear the disruption of potency.