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Symptoms of prostatitis and adenoma. Symptoms of prostate adenoma in men and the most effective methods of treatment. How to treat prostate adenoma

Prostate adenoma is a male disease. It occurs with inactive sexual activity. The disease is a neoplasm, the beginning of which is the glandular epithelium or the stromal component of the prostate.

The neoplasm is benign in nature, which greatly simplifies its method of treatment. But it is important to do it in a timely manner. Otherwise, there is a risk of aggravation of the patient's condition and the development of complications.

Prostate adenoma in men has symptoms and requires treatment. The result obtained depends on how timely this is done. At the first sign of illness, you should consult a doctor. Only a qualified specialist will help to cope with the problem. As practice shows, self-treatment leads to an aggravation of the situation. As a result, it is more difficult to fight the disease.

Adenoma is presented in the form of a prostate, which has an enlarged size. At the same time, it is of a benign nature, therefore it is not accompanied by the formation of metastases that affect the lymph nodes located nearby, and other organs and tissues. This formation on the gland becomes an excellent environment for inflammatory processes. Since it creates optimal conditions for their appearance. Therefore, quite often the disease is accompanied by inflammation of the prostate.

This plays an important role in the formation of the symptoms of the disease. As a result, the ureter is significantly compressed, which complicates the process of urination. If appropriate measures are not taken, the adenoma will continue to increase in size. This will lead to the development of stagnant processes. Accumulation of urine in the bladder worsens the patient's condition. The likelihood of prostatitis is high.

Prostate adenoma in men always requires treatment, sometimes surgery.

Symptoms:

• The urine stream changes. It is characterized by low pressure and discontinuity;
• Frequent urge to urinate. In this case, the bladder is completely empty;
• Sleep disturbance. It is interrupted due to the fact that there is a need to empty the bladder;
• Retention of urine in the bladder. It does not come out when emptying in full. This phenomenon only gets worse as the disease progresses;
• Difficulty urinating. It takes extra effort to produce it. For example, push;
• Difficulty holding back urine. This is especially true when the bladder overflows. This mainly occurs in the later stages of the disease.

How to treat?

At the first sign of an illness, it is necessary to be treated. This can be done in many ways, both modern medicines and traditional medicine. But the whole process of treatment should be strictly under the supervision of a doctor. Only in this case, you can count on a complete recovery, will function as before.

The first thing to do when symptoms of malaise appear is to determine their cause. If prostate adenoma is diagnosed, then the following methods of treatment are used:

• Medical;
• Operation;
• Minimally invasive;
• Folk remedies;
• Unconventional.

Wellness procedures are also quite effective. They allow you to bring the gland into a normal state. At the same time, it is necessary to adhere to a diet, perform a special set of exercises, lead a correct lifestyle, give up bad habits.

What drugs will help?

Medical treatment consists of taking a number of drugs. They should only be prescribed by a doctor. This method of treatment is used, mainly at the initial stage of the disease. It is during this period that it is most effective. Their action is aimed at reducing the rate of growth of adenoma tissues. In this case, the disease stops further development. His process stops.

Whether it is worth taking drugs can only be determined by a doctor. This takes into account the stage of development of the adenoma and the presence of other ailments. It is also worth determining how possible the operation is.

Therapy, which involves the use of drugs, is long. In addition, it has side effects. Some drugs are very effective, but lead to new complications. For example, erectile dysfunction. Others are significantly inferior in efficiency, but their consequences are much less. The choice of the necessary drugs is discussed with the patient and is carried out only with his consent.

Conventionally, drugs are divided into two types. They differ in their action. The first lead to the fact that the tissues of the formation are reduced. This is explained by their ability to act on oppressed testosterone, to become the form that is positive for an increase in the size of the formation. It's mostly about D. utasteride (Dutasteridum) and F nasteride (Finasteridum).

The second type of medication causes the muscles of the prostate and bladder to relax. Thus, the process of urination improves, its violations are eliminated. This includes such tablets as kornam, omnic and so on. They are shown in the photo below.

If necessary, other means are used during the treatment of the prostate with a medical method. Their action is aimed at:

• Elimination of erectile dysfunction;
• The fight against bacteria that appear during an infection. For this purpose, antibiotics are used.

It is not always advisable to use tablets. Often much more effective than candles. This is because the latter directly go to the prostate. Microclysters have the same effect. They consist of water and a conductive medicinal substance, which is mainly used as fat and oil.

Candles, depending on their type, can have the following effect:

• Spasmolytic;
• Antiseptic;
• Anti-inflammatory.

As practice shows, the most effective is the complex administration of drugs. Only in this way it is possible to influence all the causes of the disease. As a result, they are completely eliminated and recovery occurs.

Minimally invasive treatment method

A minimally invasive method of treatment is quite effective for prostate adenoma. Therefore, it is often used in the fight against the disease. There are different ways to use it. The main ones include:

• Embolization of the arteries located on the prostate. It consists in blocking the supply of blood to the arteries, which contribute to an increase in the organ;
• laser therapy. It is aimed at sealing the blood vessels located in the tissues of the adenoma;
• Cryotherapy. It is based on the use of cold, which affects adenoma cells. As a result, tissues are destroyed. This method of treatment is most effective for small formations;
• microwave therapy. A special probe is used, which is inserted into the ureter at the level of the prostate. A current passes through it, which contributes to the heating of the tissues of the formation. As a result, the latter fall apart. At the same time, the urinary tract is protected and not damaged;
• Ultrasonic. High temperatures act on adenoma tissues, which lead to their destruction.

Surgery

In some cases, surgery is the only solution to the problem. Basically, it is necessary in the later stages of the disease. It is characterized by the large size of the adenoma. The recovery period after surgery is long and painful.

But there is an alternative in the form of modern methods that are less traumatic. They consist in the use of special devices. For example, Vitaffon, Electrostimulator And so on. Also effective:

• Transurethral resection, which is carried out by inserting a resectoscope into the ureter;
• Transuresal incision . This is one of the ways of endoscopic surgery. It is carried out on prostate tissue that has grown.

When choosing a method of treatment, the first thing that is taken into account is the stage of the disease. Experts recommend starting the elimination of a male ailment at the first manifestations. Delays can backfire.

Exercise and nutrition

Any method of treating an ailment must be accompanied by proper nutrition and a number of special exercises. This will not create favorable conditions for stagnation in the prostate area. As a result, it will be easier to deal with the disease, and the therapy used will bring the desired effect faster. The main purpose of exercise is to improve blood circulation. This will help a special set of exercises that the doctor will select. Since they must be feasible for a sick organism.

No less important in the process of treating the disease is nutrition. It requires special attention. Quite often, the disease is associated with a change in the hormonal background, which is observed after forty years. You can regulate the production of testosterone with the help of nutrition. When choosing food, it is important to remember that it is necessary to exclude the possibility of constipation, obesity and impaired kidney function. In this regard, from the diet should be excluded or limited:

• Animal fats;
• red meat;
• Canned food;
• Spicy, salty food;
• Food containing harmful additives.

A beneficial effect on the patient's body will have food that is rich in fiber, vitamins and nutrients. Therefore, it is worth eating fruits and vegetables. In addition, products containing zinc and polyunsaturated fatty acids are recommended.

22.04.2018

Prostatitis and prostate adenoma are considered fairly common diseases. Mostly they are faced by men after fifty years, but recently cases of earlier onset of symptoms of these ailments have been increasingly recorded. Adenoma and prostatitis are by nature different diseases, but very often they can simultaneously affect the prostate gland.

The main symptoms of prostate adenoma

Adenoma is usually called a benign neoplasm, which is characterized by active progression and growth. This tumor begins to grow from the paraurethral glands, which are located in the thickness of the prostate itself, not far from the urethra. Such an increase in these glands leads to a strong compression of the urethra, and also lengthens it. All this leads to a noticeable increase in resistance during the outflow of urine. With an adenoma, the gland tissue is slightly moved away and it turns out that it is located in the peripheral region of the bladder.

The prostate itself is a heterogeneous organ and consists of several tissues. The main component of the prostate is glandular tissue. This tissue is represented by a certain number of glands, in which the excretory ducts in the normal state open into the lumen of the urethra. Usually these pieces of iron are 30-50 pieces. The secret of the prostate gland through these excretory tracts enters the canal during ejaculation. It is the secret of the prostate that makes up most of the ejaculate. Also, this secret can be released during prostate massage.

Violations of the process of emptying the glands of the prostate can lead to stagnation of the secret. If any infection enters, this can cause the appearance of bacterial prostatitis. The appearance of an adenoma creates additional factors that will make it difficult to empty the glands. From this we can conclude that prostate adenoma is an ailment that creates conditions for the development of an inflammatory process in the prostate.

It is for this reason that characteristic symptoms familiar to many men arise. Adenoma contributes to the development of prostatitis and most often these two ailments accompany each other. And the appearance of prostatitis aggravates the symptoms and significantly complicates the treatment of adenoma. The inflammatory process over time may be accompanied by swelling of the prostate tissue, which will further impede the outflow of urine.

The main symptoms of adenoma

• Weakening of the urine stream.
• Difficult and frequent urination.
• Intermittent urination.
• There is a feeling of incomplete emptying of the bladder.
• In some cases, there is urinary retention.

The detection of one of these symptoms is the reason for contacting the appropriate specialist. In some cases, this disease can occur for a long time without severe symptoms. Therefore, older men are advised to regularly be examined by a urologist.

Symptoms and treatment of prostatitis

Prostatitis is a chronic or acute inflammation of the prostate gland. In this disease, the secret of the prostate changes its properties, which leads to the appearance of characteristic symptoms. First of all, with prostatitis, there is a decrease in male sexuality, the body's defense against certain infections decreases, and hormonal disruptions may occur.

Chronic prostatitis is considered the most common form of this disease. In this form, prostatitis can develop over several months or even years. In many cases, this disease is the result of a sexual infection, which is also chronic. Such infections include ureaplasmosis, chlamydia, trichomoniasis. Sluggish chronic prostatitis can be manifested by such minor symptoms that most often they are not paid much attention to. But over time, erection problems may appear and even changes in behavior can be observed.

Treatment of prostatitis, which is accompanied by adenoma, is a rather lengthy and complex process. Today, in the treatment of these ailments, various methods of physiotherapy and prostate massage are used. But often the presence of a benign tumor (adenoma) precludes the use of physiotherapy and therefore has to use drug treatments.

An actively developing inflammatory process of the gland can lead to a significant increase in the level of prostate antigen. This leads to the need for a differential examination to detect traces of prostate cancer. Mechanical removal of adenoma in the presence of prostatitis often requires specific treatment of the inflammatory process at the stage of preparation for the operation. After surgery, treatment usually needs to be continued.

Benign prostatic hyperplasia develops in older men. The disease significantly reduces sexual activity, delivers a lot of pain and discomfort. What is prostate adenoma? This is a benign neoplasm that is formed from the stroma of the organ or from the glandular epithelial layer. To cure the disease with minimally invasive methods, it is required to diagnose it in a timely manner. Consider the causes, symptoms and methods for diagnosing prostate hyperplasia.

Causes of prostate adenoma

If a man is worried about burning during urination, constant pain in the perineum, then this is prostate adenoma or prostatitis. It is impossible to ignore the signs, only timely therapy guarantees a favorable prognosis.

The exact etiology of the pathological neoplasm has not been studied. Numerous clinical studies have linked the disease to age-related changes. It is believed that the older the man, the higher the likelihood of developing hyperplasia of the glandular organ. At a young age, adenoma is diagnosed extremely rarely.

It is worth knowing: the neuroendocrine regulation of the activity of the gland is of great importance in the development of pathology. With age, the production of testosterone, the main male hormone, decreases in men, while the content of estradiol, a hormonal substance that stimulates increased reproduction of prostate cells, increases.

In medical practice, there are a number of provoking factors that significantly increase the likelihood of developing the disease:

• hereditary factor. If there is a family history of prostate adenoma, then men over the age of 40 are recommended to have regular ultrasound examination of the prostate gland;
• Obesity or excess weight, which contributes to the disruption of metabolic and metabolic processes, endocrine regulation disorder;
• Poor nutrition, bad eating habits. Excessive consumption of spicy, salty, spicy and fatty foods.

There is an opinion that the development of prostatic hyperplasia is promoted by alcohol consumption, smoking, irregular sexual activity, infectious pathologies, and some other points. But in reality this is not so. The conducted experiments did not reveal any relationship with the disease.

Symptoms and Diagnosis

So, what is prostate adenoma? In simple words, this is an increase in the size of an organ due to uncontrolled tissue growth, which leads to the development of various symptoms.

Clinical manifestations of hyperplasia of the male organ are determined by the stage of the disease. The first stage is accompanied by complaints of a man with a complete emptying of the bladder. Another name is the compensation stage. In the second stage, there is a violation of the functionality of the bladder, as a result of which it is not completely emptied. In the third stage, complete dysfunction of the bladder can be traced.

For your information, all the symptoms of the disease are conditionally divided into two large categories. The first includes obstructive signs - they are associated with difficulties in the process of urination, the second - an irritative clinic - symptoms of irritation.

Patients at risk need to know what prostate adenoma in men is, how it manifests itself. Obstructive signs include the following manifestations:

1. The rate of urine output from the urethra is low.
2. The beginning of the process of urination occurs with a delay, which causes the man to strain the muscles of the abdomen and perineum.
3. Intermittent stream of urine. In other words, the process of emptying the bladder occurs in parts.
4. At the end of urination, urine comes out drop by drop (normally this should not be).
5. Constant feeling of an incompletely emptied bladder.

The occurrence of irritative symptoms is due to improper functioning of the bladder, which manifests itself when urine accumulates in it. Patients often complain about frequent trips to the toilet - up to 20 urination per day. Another complaint is sleep disturbance due to the urge to go to the toilet. This symptom is observed in all clinical pictures without exception. Usually at night, the patient gets up to go to the toilet 3 to 5 times.

If a man has the symptoms described above, then this is an adenoma of the prostate gland, respectively, you need to see a doctor. Diagnosis begins with the collection of anamnesis. Taking into account the patient's complaints, the doctor prescribes research methods:

• Ultrasonography helps to determine the exact size of the organ, the degree of its increase;
• Rectal examination of the prostate determines the size of the glandular organ, its structure, pain;
• Uroflowmetry (helps to determine the speed of urine flow), cystomanometry (pressure inside the bladder is assessed) is mandatory.

Complications of prostate adenoma

If you ignore the existing symptoms and postpone visiting a medical specialist, then a small problem can transform into a pathological condition that threatens not only the health, but also the life of the patient.

Important: the most common complication of prostatic hyperplasia is acute urinary retention, characterized by the inability to urinate. This consequence is inherent in the second or third stage of pathology. It is treated by inserting a catheter into the bladder.

Against the background of prostate adenoma, inflammatory processes often develop in men. Inflammation of the bladder, infectious pathologies affecting the kidney parenchyma are often diagnosed. To prevent them, you need to treat adenoma in a timely manner.

With a long course of pathology, calculi are formed in the bladder. This is due to incomplete emptying of the organ. Surgery is required.

When a patient's urine contains a high concentration of red blood cells, they speak of hematuria. An additional symptom of this complication is a change in the color of urine - it becomes dark closer to a red tint.

Treatment of prostate adenoma

Having considered what kind of disease prostate adenoma is, we will find out by what methods the therapy is carried out. Treatment is surgical, conservative and folk - this option is used as an auxiliary method.

Surgical intervention

Surgical treatment is carried out in the form of emergency care, when it is required to perform an operation within 24 hours or in a planned manner. In the latter case, a complete examination of the patient is mandatory.

Note: emergency intervention is performed in case of acute urinary retention or in the presence of bleeding that threatens the life of a man.

Preparation for the operation includes the following items:

1. General blood test, which allows to determine anemia, an increased number of leukocytes.
2. Check the functionality of the kidneys by biochemical analysis of the biological fluid. If the tests show a high level of urea and creatinine, this indicates a pathology of the kidneys.
3. A blood clotting test to rule out the possibility of thrombosis.
4. ECG helps to timely detect violations of the cardiovascular system.

When a patient has an enlarged prostate gland, he may be prescribed a planned intervention. The patient is admitted to the hospital in advance to pass the recommended tests. The choice of the method of operation is determined individually in each clinical picture.

Brief description of the methods of surgical intervention:

• Transurethral endourological manipulation. Special endoscopic instruments are used during the procedure. The method is characterized by low traumatization, low probability of complications;
• Transurethral electrovaporization. The advantages of the method are the low risk of bleeding during the operation. It is recommended if the size of the affected organ is small or medium;
• Electroincision of a glandular organ involves dissection, rather than removal of the tissues of the enlarged organ. It is used if its size is small;
• Transurethral microwave thermotherapy. High temperatures are used on organ tissue.

When obstructive symptoms are severe, the doctor can apply an internal drainage system - bladder drainage is established by implanting a urethral stent.

Medical treatment

Medications do not help get rid of prostatic hyperplasia. Their influence contributes to slowing down the growth of a tumor, provides a decrease in the severity of anxiety symptoms.

Conservative therapy involves the use of such groups of drugs:

1. Alpha blockers help to expand the urethral canal, as they help to relax the smooth muscle tissue of the urethra, which improves the outflow of urine, reducing urinary resistance. The therapeutic effect is observed after 3-4 weeks of daily use of drugs. The most commonly prescribed Terazosin, Prazosin.
2. Alpha reductase blockers five. Their use against the background of the large size of the body helps to slow down its growth. The therapeutic effect is based on the transformation of the hormone testosterone into the hormone dihydrotestosterone. Recommend taking drugs - Dutasteride, Finasteride.

Fact: 5-alpha reductase inhibitors are not characterized by side effects of hormonal drugs, since they are not associated with hormone receptors. The effect of taking - after 3 months the prostate is reduced by 20%, after six months by 30% of its original size.

Folk methods

Treatment with folk methods will not give the desired result, since there are no non-traditional remedies that help reduce the glandular organ. Methods such as pumpkin seeds, infusions of parsley, calendula, and other medicinal plants are useless options for prostate adenoma.

Conventionally, folk methods include herbal remedies that help reduce the size of the male organ:

• Prostamol Uno reduces inflammation, prevents the accumulation of abnormal fluid. It does not affect the concentration of sex hormones, it can be used against the background of arterial hypertension. Studies have shown that the treatment does not affect potency and erection in men;
• Permixon works on the principle of drugs belonging to the alpha-reductase group. To obtain the desired effect - reducing the glandular organ, the medicine is taken for at least five years.

Prevention

To prevent pathology, it is necessary to lead an active lifestyle, engage in physical education. The exclusion of hypodynamia reduces the likelihood of congestion in the pelvic organs.

Be sure to adjust your weight. Losing weight helps speed up metabolic and metabolic processes in the body. Prevention includes the exclusion of promiscuity, the rejection of tight underwear.

The prognosis is favorable if prostate adenoma is diagnosed at an early stage. If the symptoms are ignored, then the course of the pathology is unpredictable. Possible complications include acute urinary retention, urolithiasis, frequent infections of the genitourinary system.

An adenoma is a benign tumor that does not tend to grow into nearby tissues and metastasize. But when the process is running, it can become malignant, which leads to prostate cancer.

Content

The risk of developing prostatitis and prostate adenoma increases as a man grows older. Diseases occur after the age of 40 years. Glandular tissue growths in the bladder neck occur in 30–40% of men over 50 years of age and in 75–90% of men over 65 years of age. Pathologies lead to acute urinary retention, cystitis, urethritis, pyelonephritis, urolithiasis.

Functions of the prostate

Prostatitis and adenoma are common diseases of the prostate gland in men. The organ is located just below the bladder. Prostatitis is an inflammation of the prostate that causes potency disorders, causes problems with urination, erection, and reduces sperm activity.

Prostate adenoma is a benign tumor. It causes an increase in the size of the prostate in men, because of which its functions are also violated. In addition, the overgrown gland begins to put pressure on the bladder. Prostate functions that are violated in adenoma and prostatitis:

• The development of a specific secret that is part of the sperm and dilutes it. Due to this, spermatozoa become viable, acquire mobility.
• Ejection of the seed. Due to the smooth muscles of the prostate, it enters the urethra, due to which ejaculation occurs.
• Making a secret. It includes fats, enzymes, hormones, proteins, without which the male reproductive system cannot function normally.

Early signs of prostatitis and prostate adenoma

At an early stage, due to the inclusion of compensatory mechanisms, the body suppresses the incipient inflammatory process. Against this background, tissue regeneration occurs. This stage is called compensated. Diseases during this period may be asymptomatic. Symptoms may indicate other pathologies:

• urethritis;
• urinary tract infections;
• kidney disease;
• venereal pathologies.

Please note that by the nature of the clinical picture, prostatitis can be distinguished from adenoma.

In the first case, the symptoms are either pronounced or mild. Prostatitis in men occurs in acute or chronic form. With a tumor, some time after the onset, the initial signs of prostate adenoma in men will intensify, as the disease proceeds in stages. Early manifestations of both pathologies include:

• loss of interest in intimacy;
• difficulty urinating;
• burning in the urethra;
• itching in the perineum;
• urge to urinate, in which urine is excreted in drops;
• general fatigue;
• weakness;
• temperature rise to 37–38 degrees;
• chills;
• decrease in performance.

Symptoms of chronic inflammation

All signs of chronic inflammation of the prostate in men are divided into two main groups. They appear as a result of squeezing the urethra by an overly large gland and secondary changes in the structure of the bladder. So, problems with the prostate indicate:

• Irritative signs. Also called annoying. Occur due to instability of the muscles of the urinary bladder.
• obstructive symptoms. They join later when the lumen of the urethra narrows, which causes a slight contraction of the muscles of the bladder and exacerbates inflammation.

Irritative

Signs of an irritant nature are less severe. They often appear at an early stage. These symptoms include:

• nocturia (predominance of nocturnal diuresis over daytime);
• increased urination;
• imperative urge to urinate;
• urinary incontinence.

Obstructive

With the growth of prostate adenoma, the urinary tract is pinched, which further disrupts the outflow of urine. This is indicated by the following signs:

• Feeling of an incompletely empty bladder
• difficulty urinating;
• sluggish urine stream;
• delay in the onset of urination;
• increase in the duration of the act of emptying the bladder;
• the need to strain to urinate.

Signs of adenoma depending on the stage

The development of prostate adenoma occurs in stages. At each phase, more and more new symptoms are added, and the first signs only intensify. In total, 4 main stages of the formation of prostate adenoma are distinguished:

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