Monday , August 2 2021

UROLOGY FOR ALL – Hyperplasia or prostate growth



It consists of benign prostate enlargement, also called benign prostatic tumor. That means it's not malignant, it's not cancer.

From the anatomical point of view, in the posterior aspect of the prostate is the rectum, through which a rectal examination is performed to assess the prostate at the time of consultation with the urologist. When the prostate cancer grows, it can progressively compress the urethra, which can obstruct the action of urination, that is, difficulty in urinating. This difficulty almost always begins unnoticed by the patient until it can cause damage to the bladder, and even kidney failure by retaining the urine that occurs over time, this occurs when the compression of the urethra almost blocks the end exiting urine from the bladder externally.

Prostatic hyperplasia or benign prostate enlargement is a very common disease in men, usually starting after 30 or 35 years; Very rarely symptoms appear before the age of 40 years.

At the age of 55 to 60, more than 50% of men suffer from this disease, and from 70 or 80 to 90% of men have an urinary symptom, which may be in a state of dribbling, difficulty in wetting, etc. .

Symptoms of prostate growth are classified as irritating and obstructive.

The obstructive symptoms are disrupted during urination, incomplete emptying, poor flow and forced to urinate.

Irritant symptoms are urgently urine, rise during the night for urination and forcing out of the urine. Other symptoms may include blood in the urine, infections, urine retention and renal failure, among others.

The prognosis is generally satisfactory, as almost always patients respond to treatment treatments that are given with the intent to improve or reduce obstructive and irritant symptoms, which are the ones that worsen the quality of life of patients. The drugs we use are relaxing the tissue of the urethra and bladder, allowing almost normal evacuation of the urine and avoiding complications.

The diagnosis of this disease has been made with well-detailed clinical history, physical examination, analysis, digital rectal examination, sonography, uroflotometry and cystoscopy.

Patients should reduce fluid intake before bedtime and reduce alcohol and caffeine consumption.

When medical treatment fails, the patient with prostate should be handled, which can be open or endoscopic surgery. It is good to point out that nowadays, most operations are performed endoscopically, ie without scar and bipolar energy or laser energy.

When in doubt, visit your urologist.


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