Prostate hypertrophie. Benign prostatic hyperplasia
How is BPH treated? What is benign prostatic hyperplasia?
Prostate Enlargement (Benign Prostatic Hyperplasia)
Benign prostatic hyperplasia BPHor benign prostatic hypertrophy, is an enlargement of the prostate, a walnut-sized gland that forms part of the male reproductive system. During ejaculation, the prostate secretes fluid into the urethrathe narrow tube that runs through the center of the prostate.
If you and your doctor choose this treatment option, your BPH will be closely watched but not actively treated.
When a man urinates, the bladder squeezes urine out through the urethra. As a man ages, the prostate can become enlarged. Because it surrounds the urethra right at the bladder exit, the prostate may squeeze or pinch the urethra as it gets larger over time.
This may cause difficulty with urination such as a slow stream, the need to strain, increased frequency, urgency to urinate, incomplete emptying of the bladder, and intermittent flow or dribbling. BPH is the most common disorder of the prostate gland and the most common diagnosis by urologists for males between the ages of 45 and More than half of men in their sixties and as many as 90 percent in their seventies and eighties have some symptoms of BPH.
Although research has yet to pinpoint a specific cause for BPH, theories focus on hormones and related substances like dihydrotestosterone DHTa testosterone derivative in the prostate that may encourage the growth of cells.
Early diagnosis of BPH is important because if left untreated it can lead to urinary tract infections, bladder or kidney damage, bladder stones and incontinence. Distinguishing BPH from more serious diseases like prostate cancer is important. Tests vary from patient to patient, but the following are the most common: Filling out a questionnaire: Prostate hypertrophie doctor is most interested in the severity and prostate hypertrophie of symptoms you have, and how much they prostate hypertrophie you or impact your life.
A simple questionnaire is a common starting point. Urine flow study: During this test, the patient voluntarily empties his bladder and the amount of flow prostate hypertrophie measured.
A special device can help physicians detect reduced urine flow associated with BPH. Digital rectal examination DRE : The physician inserts a gloved finger into the rectum located next to the prostate and feels the back of the prostate.
Prostate cancers can sometimes be detected as lumps or bumps on the prostate here. Cystoscopy: In this examination, the physician inserts a thin tube with a tiny camera on the end called a cystoscope through the opening of the urethra at the tip of the penis.
The camera allows the physician to inspect the inside of the prostate, urethra channel and bladder. Transrectal ultrasound and Prostate Biopsy: There are two potential reasons for this exam: prostate hypertrophie If there is suspicion for prostate cancer, this test may be recommended.
The physician uses an ultrasound probe to acquire images of the prostate and guides a biopsy needle into the prostate to remove small slivers of tissue for examination under a microscope.
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In this case, only an ultrasound image will be obtained; no needles will be used. Transabdominal ultrasound : This exam may be performed to measure the size of the prostate and the amount of urine prostate hypertrophie in the bladder after urination. Prostate magnetic resonance imaging MRI : MRI provides views of the entire prostate with excellent soft tissue contrast.
In some cases, in particular where symptoms are mild, BPH requires no treatment. When treatment is necessary, many men will simply require daily medication s. If this fails to completely treat the symptoms, or if there are signs of damage from BPH, the doctor may recommend minimally invasive endoscopic surgery no "cuts" into the abdomen.
Or, in some cases, traditional surgery may be recommended. Drug treatment: The FDA has approved several drugs to relieve common symptoms associated with an enlarged prostate, including drugs that inhibit the production of the hormone Prostate hypertrophie and drugs that relax the smooth muscle of the prostate and bladder neck to improve urine flow. For surgery, there are many procedures to choose from, and the choice depends largely on your specific prostate anatomy, and surgeon preference and training.
These procedures all have a common goal of widening the urethral channel as it passes through the prostate.
Benign Prostatic Hyperplasia (BPH) (Enlargement of the Prostate)
Procedures include the following: Transurethral resection of the prostate TURP : The most common or "gold standard" surgical prostate hypertrophie for BPH, TURP involves the insertion prostate hypertrophie an instrument called a resectoscope through the urethra to remove the obstructing tissue, prostate hypertrophie like removing the core from an apple, thus widening the channel.
Laser surgery: When a TURP procedure is done with a laser instead of traditional scraping, the procedures are similar although differently named, depending on the type of laser used. The physician passes the laser fiber through the urethra into the prostate and then delivers bursts of energy to vaporize obstructing prostate tissue. Transurethral incision of the prostate TUIP : In this procedure, the surgeon widens the urethra by making a few small incisions in the prostate gland and the neck of the bladder where it joins the urethra.
How is BPH diagnosed and evaluated?
Transurethral needle ablation TUNA : This minimally invasive approach delivers low-level radiofrequency energy through twin needles to destroy prostate tissue and widen the urinary channel, which prostate hypertrophie improve urine flow. Elviszem az ökot a prostatitisben system treatment: This minimally invasive procedure widens the urethra by placing tiny implants that hold the enlarged prostate tissue out of the way, thus improving urine flow.
High-intensity focused ultrasound: The use of ultrasound waves to destroy prostate tissue is a promising new area of treatment that is still undergoing clinical trials in the United States.
Comparing normal and enlarged prostate glands Open pop-up dialog box Close Comparing normal and enlarged prostate glands Comparing normal and enlarged prostate glands At normal size, the prostate gland is about the size and shape of a walnut or golf ball. When enlarged, the prostate may obstruct urine flow from the bladder and out the urethra.
In open surgery, the prostate hypertrophie makes an external incision and removes the enlarged tissue from inside the gland. The entire prostate is not removed, but rather the outer "shell" or capsule of the prostate remains.
No incision is made.
However, kidney damage in particular can be a serious health threat when it occurs. When to Seek Medical Care A person may have urinary symptoms unrelated to benign prostatic hyperplasia that are caused by bladder problems, UTIs, or prostatitis —inflammation of the prostate.
This is a specialized type of procedure currently performed only by select centers in the United States. The procedure duplicates open surgery, with a shorter time requiring a urinary catheter.
What is benign prostatic hyperplasia?
Prostate artery embolization: For this procedure, an interventional radiologist inserts a hollow wire into the artery in the leg and maneuvers it to the arteries that only supply the prostate. The radiologist will then prostate hypertrophie material to slow or stop blood flow to the prostate, which can cause it to shrink or soften.
This is a relatively new procedure and may not be widely available; it may require enrolling in a clinical trial to be eligible for this treatment. This page was reviewed on January, 28, Send us your feedback Did you find the information you were looking for?
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