Prostata: il laser cura l'Ipertrofia Prostatica Benigna
Benign prostatic hyperplasia or benign prostatic hyperplasia BPH is a condition characterized by enlarged prostate with benign characteristics, ie, no relation to prostate cancer.
In this text we will explain what is benign prostatic hyperplasia, addressing its causes, symptoms, diagnosis and treatment options. The prostate is a walnut-sized gland 3 cm in diameterapproximately 20 grams laser prostatite calculous weight, present only in males. It is located at the base of the bladder and surrounds the initial part of the urethra, a canal that carries urine from the bladder to the penis.
The prostate is part of the male reproductive system, responsible for the secretion of an alkaline fluid with high pH that protects sperm from the acid environment of the vagina and increases its mobility, facilitating the arrival of the spermatozoa to the egg. Because it has an intimate relationship with the urethra a channel that drains urine from the bladderchanges in prostate size can compress it and make it difficult to pass urine, leading to laser prostatite calculous of prostatism, which will be explained later.
Because the prostate is leaning against the rectum, it can laser prostatite calculous palpated through rectal examination, one of the simplest methods of assessing the gland. An enlarged or irregularly shaped prostate due to the presence of a tumor can be easily identified by this method. Increased prostate size is a process stimulated by the presence of the hormone testosterone and occurs throughout life in males.
The older a person, the longer their prostate had to laser prostatite calculous. This means that with age, virtually all men will have a large prostate. Benign prostatic hyperplasia, as its name suggests, is benign growth, which has nothing to do with cancer. This confusion often arises because almost laser prostatite calculous patient with prostate cancer is older laser prostatite calculous 60 years, at which age the prevalence of BPH is high.
By making a rough comparison, we can say that many laser prostatite calculous with prostate cancer have white hair, but even so we do not think that having white hair causes cancer.
The enlargement of the prostate itself is not a problem. The problem is that the prostate is anatomically located along some structures of the urinary tract, especially the urethra.
The enlarged prostate gland compresses the urethra and impairs the urine output, and may even cause obstruction, hydronephrosis accumulation of urine in the kidney laser prostatite calculous, and kidney failure.
See the illustration at the beginning of the text to understand how the urethra is compressed. The symptoms of benign prostatic hyperplasia are related to obstruction of the urethra. The first signs are loss of urinary jet strength and the need to urinate often. Explaining: The enlarged prostate compresses the urethra and impairs the drainage of urine.
Most of the time this obstruction is partial and allows some urine to pass, especially when the bladder is full and the pressure can overcome the resistance caused by the enlarged prostate. However, when the level of urine inside the bladder drops, the pressure drops and laser prostatite calculous jet, which is already weak, stops.
The end result is a bladder that can no longer empty itself completely, always with some urine inside. Therefore, the patient feels like urinating frequently, but can only eliminate small volumes. The complete emptying of the bladder causes a large volume of urine to be always dammed, favoring the growth of bacteria in the interior, since the act of urinating expels much of the microorganisms present in the urine.
As the prostate grows, the more tightly the urethra is to the point where there may be complete obstruction of the laser prostatite calculous of urine. Urine that is not drained accumulates in the urinary tract and eventually attacks the kidneys, leading to hydronephrosis dilatation of the kidneys. The end result is severe renal insufficiency, and urgent hemodialysis may be required. It is worth noting that complete suspension of urine laser prostatite calculous not necessary to have a serious kidney laser prostatite calculous.
The patient may still be able to urinate and still be with obstruction and severe hydronephrosis. It is enough that it has a lower urine elimination rate than that produced by the kidneys.
The longer the kidneys become clogged and filled with urine, the less chance of recovery after clearing the flow. After 7 to 10 days of laser prostatite calculous, irreversible damage to the kidneys begins, a process that is complete after months of obstruction, at which time the patient will probably remain dependent on hemodialysis, even if he corrects the problem.
As many patients with enlarged prostate and hydronephrosis still manage to urinate, it is not unusual for them not to seek medical help early, neglecting their urinary symptoms.
This behavior eventually makes the picture much more severe, often causing the patient to stop in the hospital, later, with a picture laser prostatite calculous advanced renal failure. It is important that any elderly person, at laser prostatite calculous first sign or symptom of prostate growth, is evaluated by a urologist.
There are 7 questions and each receives a score of 0 to 5. The above score evaluates the severity laser prostatite calculous prostate symptoms, but does not differentiate between BPH, prostate cancer and prostatites, which present very similar symptoms. PSA is a marker of prostate disease, collected through blood tests. PSA less than 2. PSA between 2. Patients with low PSA rarely have cancer. PSA greater than 20, practically only appear in cancer or in some cases of prostatitis.
The rectal touch can detect the increase of the prostate, because it is leaning against laser prostatite calculous rectum. This examination of the prostate, when done by an experienced doctor, allows in many cases to know if the enlargement of the prostate is uniform, ie caused by BPH, or localized, caused by a tumor.
The rectal touch allows the doctor to detect irregularities, nodules, asymmetries and changes in prostate consistency. The ultrasound performed by the rectal route allows a good visualization of the prostate, allowing to calculate its size and volume, and also to detect suspicious nodules.
The abdominal ultrasound allows to calculate the volume of urine laser prostatite calculous the bladder and to evaluate the capacity of emptying it. It is also possible to see the kidneys and diagnose any serious obstructions that are laser prostatite calculous hydronephrosis.
If after the laser prostatite calculous of all these tests, the cancer remains a hypothesis, it is necessary to perform the biopsy of the prostate to close the diagnosis. Patients who present BPH diagnosed on routine exams and do not present any laser prostatite calculous or signs of urinary obstruction can be followed regularly without specific treatment.
If there is enlargement of the prostate and signs of moderate obstruction of the urinary tract, usually the indicated treatment is done with medicines that decrease the size of the prostate. Among the available drugs we can mention:. When the obstruction of the urinary tract is severe or when the treatment with medicines is not successful, that is, if there is no reduction of prostate size, surgery becomes an option.
Transurethral resection of the prostate TURP is currently the most commonly used surgical procedure. In this procedure the urologist removes laser prostatite calculous of the prostate with a device called resectoscópio, that is introduced through the urethra. By this apparatus it is possible to introduce a blade to resect the prostate and aspirate the removed tissue.
Usually the entire interior of the prostate is removed, leaving only the outside. If the prostate is not very large a possible surgery is laser prostatite calculous transurethral incision of the prostate ITUPsimilar to TURP, but only removing a small part of the prostate tissue, enough to unclog the urethra. Laser prostatite calculous are other techniques for resection of the laser prostatite calculous, such as laser, microwave, cauterization, etc.
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