Thursday , September 19 2019
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UROLOGY FOR ALL – Hyperplasia or prostate growth



It consists of benign prostate growth, also called benign prostate tumor. This means that it is not malignant, it is not cancer.

From the anatomical point of view, the posterior aspect of the prostate gland is the rectum, through which rectal examination is performed to evaluate the prostate gland during consultation with the urologist. When the prostate grows, it can gradually compress the urethra, which can make it difficult to urinate, that is, difficulty urinating. This problem almost always begins imperceptibly for the patient until it can damage the bladder and even renal failure due to urinary retention, which occurs over time; this happens when compression of the urethra almost blocks the urine from exiting the bladder to the outside.

Prostate hyperplasia or benign prostate growth is a very common disease in men, which usually begins after 30 or 35 years; It is very rare to have any symptoms before age 40.

Already at the age of 55-60 years, more than 50% of men suffer from this disease, and from 70 or 80 years to 90% of men have some symptoms of urination, which may be urination, difficulty urinating, etc.

The symptoms of prostate growth are classified as annoying and obstructive.

Obstructive symptoms are intermittency when urinating, incomplete emptying, weak stream and forced urination.

Irritating symptoms include urinary urgency, getting up at night with urination, and involuntary urine flow. Other symptoms may include blood in the urine, infections, urinary retention and kidney failure.

The prognosis is usually satisfactory, as patients almost always respond to medical treatment, which is performed to improve or reduce obstructive and irritating symptoms that worsen the quality of life of patients. The drugs we use act by relaxing the tissues of the urethra and the bladder, providing almost normal evacuation of urine and, in turn, avoiding complications.

The diagnosis of this disease is made on the basis of a detailed medical history, physical examination, analysis, digital rectal examination, sonography, uroflowmetry and cystoscopy.

Patients should reduce their fluid intake at bedtime and moderate intake of alcohol and caffeine.

If the treatment does not help, the patient needs to have surgery on the prostate, which can be an open or endoscopic operation. It is well to note that at present most of the operations are performed endoscopically, that is, without a scar, and bipolar or laser energy can be used.

If in doubt, visit your urologist.


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