Prostate adenoma is a disease in which a benign neoplasm appears in the prostate region, represented by an overgrown glandular tissue. The resulting volumetric formation compresses the urethra, which leads to a gradually progressive violation of urination. As statistics show, such a pathology is diagnosed in every second man over fifty years old and in almost ninety percent of men over eighty years old. If left untreated, it can cause acute urinary retention, the formation of bladder stones, and so on. In this article, we will look at BPH in terms of signs and treatment.

Clinical picture of prostate adenoma

Clinical picture of prostate adenoma

There are three stages in the development of prostate adenoma:

  • Compensated;
  • Subcompensated;
  • Decompensated.

The compensated stage is characterized by some increase in the urge to urinate. A sick person indicates that he has to get up once or twice a night to go to the toilet.

Over time, the frequency of the urge to urinate increases in the daytime. The volume of excreted urine is somewhat reduced, the urine stream becomes more sluggish. At the same time, the functional activity of the kidneys is preserved.

At the subcompensated stage, the bladder is stretched, more than fifty milliliters of residual urine is determined in it. There are complaints about the need to make significant efforts during the entire act of urination. The very act of urination becomes intermittent, multi-phase. The functional activity of the kidneys is disturbed, signs of chronic renal failure gradually increase.

The decompensated stage is manifested by the inability to empty the bladder even with intense stress. The patient experiences a constant desire to urinate, urine is excreted in very small portions or drops. In some cases, there is an intense pain syndrome localized in the lower abdomen.

The bladder is full and distended, signs of chronic renal failure are progressively progressing.

Principles of treatment of prostate adenoma

Prostate adenoma can be treated with both conservative and surgical methods.

Conservative therapy implies the appointment of alpha-blockers, 5-alpha reductase inhibitors. In 2015, scientists from the Saratov State Medical University named after. IN AND. Razumovsky published a work, the results of which established the effectiveness of such an inhibitor of 5-alpha reductase, as dutasteride, in the treatment of prostate adenoma.

In the event that a secondary bacterial infection has occurred, antibiotics are indicated.

It is worth noting that self-treatment of prostate adenoma is unacceptable. Any medicines can be used only as prescribed by a doctor.

As for surgical intervention, it may mean a transurethral resection, removal of an adenoma through the bladder. In addition, in recent years, laser methods for removing this neoplasm have been widely used.

Posted on 04/04/2021 20:48

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Used sources

benign prostatic hyperplasia / Lopatkin N. A. 2001

Clinical and morphological aspects of therapeutic pathomorphosis of prostate adenoma under the influence of a bivalent inhibitor of 5-alpha reductase / Lomakin D.V., Popkov V.M., Maslyakova G.N. // Bulletin of Medical Internet Conferences 2017 #2

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