X
Phone: +99871 253 20 51 | info@gmed.uz

Prostate adenoma is a benign neoplasm of the paraurethral glands located around the urethra in its prostatic Department. The main symptom of prostate adenoma is a violation of urination due to the gradual compression of the urethra by one or more growing nodules. Prostate adenoma is characterized by a benign course.

Prostate adenoma is not a rare diagnosis. This disease is diagnosed in 30-40% of men over 50 years of age and in 75-90% over 65 years of age. In fact, 9 out of 10 representatives of the stronger sex sooner or later face this disease.

 

Symptoms and causes of prostate Adenoma

The mechanism of prostate adenoma development is not yet fully defined. Despite the popular belief that prostate adenoma is associated with chronic prostatitis, there is no data that would confirm the link between these two diseases. The researchers found no Association between the development of prostate adenoma and alcohol and tobacco use, sexual orientation, sexual activity, and venereal and inflammatory diseases.

There is a pronounced dependence of the frequency of prostate adenoma on the age of the patient. Scientists believe that prostate adenoma develops as a result of hormonal disorders in men with the onset of andropause (male menopause). This theory is supported by the fact that prostate adenoma never affects men who are castrated before puberty and, extremely rarely, men who are castrated after puberty.

There are two groups of symptoms of prostate adenoma:

  • irritative
  • obstructive.

The first group of symptoms in prostate adenoma includes frequent urination, persistent (imperative) urge to urinate, nocturia, urinary incontinence. The group of obstructive symptoms characteristic of prostate adenoma includes difficulty urinating, delay in starting and increasing the time of urination, feeling incomplete emptying, urinating in an intermittent sluggish stream, and the need for straining.

 

Medication
The treatment regimen is selected by the urologist based on the severity of symptoms and the results of objective examinations. The main criterion is the degree of violation of urination – depending on this indicator, the patient may need medical or surgical treatment. In this case, the use of drugs helps to reduce the severity of symptoms, but does not completely eliminate the focus of hyperplasia.

Possible appointment

Alpha-blockers for relaxing the muscle components of the bladder and prostate. These medications make urination easier. Side effects of alpha blockers may include dizziness and retrograde ejaculation.
5-alpha-reductase inhibitors are drugs that reduce the concentration of dihydrotestosterone in the prostate gland. This medicinal effect helps to reduce the organ and improve the flow of urine.
Antibiotics in the event of infectious complications of the disease.
It is important to understand that medical treatment of prostate adenoma is selected only by a doctor based on clinical and diagnostic data. Independent treatment of the disease can cause a significant deterioration of the genitourinary organs.

Surgical treatment


If the drugs are ineffective and the symptoms of the disease increase, the patient may be assigned an operation. Surgical treatment is aimed at removing the affected part of the prostate and restoring the patency of the urethra. Depending on the indications, the doctor may choose a minimally invasive surgical method or radical removal of the adenoma. Before the operation, it is necessary to exclude the infectious process, as well as to assess the state of the cardiovascular and respiratory systems. Requesting medical history and additional tests helps to exclude contraindications to surgery.

Main types of surgery

  1. Transurethral resection of the prostate is a minimally invasive intervention performed for small adenomas and a small amount of residual urine. Also, before the operation, you mustexclude the presence of kidney failure. During the procedure, the doctor inserts an endoscope into the urethra and removes the organ tissue using special tools.
    Transurethral microwave thermotherapy is a minimally invasive removal of a small tissue volume of the breast. The doctor inserts a special probe into the urethra, equipped with a source of high-frequency electromagnetic waves. This method allows you to destroy the affected organ tissue by heating.
    Transurethral needle ablation-removal of affected prostate tissue using radio frequencies. The introduction of special needles also makes it possible to heat and destroy the components of the organ.
    TRANS-bubble adenomectomy-radical removal of prostate tissue through the bladder. This operation is most often indicated for complicated organ hyperplasia.

Common complications of surgical treatment include bleeding, infection, and organ dysfunction. At the same time, minimally invasive interventions significantly reduce the risk of developing negative consequences.

Tashkent clinic "Gatling-med", equipped with the latest equipment and doctors with 15 years of experience in the field of prostate Aden treatment, is ready to answer all your questions, as well as to conduct proper treatment at a guaranteed high level.