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Benign prostatic hyperplasia -
Benign prostatic hyperplasia
What is benign hyperplasia of the
prostate? The prostate is a male gland of the
size of a nut It is located under the bladder, surrounding the
urethra, which is the tube that carries urine outside. This gland
produces the seminal fluid, which, together with the sperm, composes the
semen, which is what man emits to
ejaculate.
With the age,
This gland can be enlarged, which occurs at most
the men. This growth usually causes urination problems.
due to the compression exerted on the urethra when the
Prostate increases its size.
This growth in itself does not entail any danger and therefore
called "benign prostatic hyperplasia".
What kind of problems can cause
benign prostatic hyperplasia? The increase in the size of
the prostate compresses and distorts the urethra, thereby obstructing the flow
urinary. The main symptoms are:
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Prostatitis
Urinary flow (jet) weak or
interrupted so that several attempts may even be necessary to
empty the bladder
Difficulty starting to urinate
even when the sensation is full bladder.
Feeling that the bladder is not completely empty after urinating.
You want to urinate very often both during the day and
during the night (in fact, the need to urinate
overnight is one of the earliest symptoms).
Sensation of urgent or pressing urination. Some men can
experience involuntary loss of urine for this reason.
Residual drip after urinating.
Stinging
during the time of urination.
The symptoms
they vary according to the different patients, they can even vary in the same
individual during the course of the disease. It is important to emphasize that
The symptoms mentioned above do not necessarily mean that the prostate
It has increased in size. Other diseases can produce symptoms
similar, so a man with problems urinating should always consult
a doctor.
Doctor consultations
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Can other problems arise? There are some
Additional complications in this disease.
In
some cases, the patient finds that, suddenly, he finds
Impossible to urinate This situation is known as acute urine retention. The
studies indicate that this disorder affects 1-2% of
patients / year with benign prostatic hyperplasia. It is a very painful process and
You need urgent medical attention for symptom relief.
On other occasions, complete emptying of the bladder results every
more difficult, leaving more urine in it after urination, which
this retention gradually develops, which in this case is called
chronicle. The treatment of this situation is intended, in addition to
solve the symptoms, avoid the possible repercussion to other organs such as,
for example, the kidneys.
Among other possible
Complications include repeated episodes of cystitis (infection of the
bladder) and formation of stones in the bladder.
How is it diagnosed? The general practitioner can
make the diagnosis usually with the following method:
Asking patients about their
symptoms, and even asking them to fill in a questionnaire about symptoms
to better clarify their nature and the degree of discomfort that
carry. The patient can also be instructed to aim for a period of time.
short of time (for example, three days) the amount of water they drink and what
They are urinating.
Making the patient in the consultation a
rectal touch to check if the prostate size is really right or wrong
increased, as well as its consistency.
Conducting
(usually) a
urine analysis with culture and
antibiotic sensitivity as well as about
blood tests to see kidney function and
levels of prostate specific antigen (PSA), a protein secreted by
prostate cells whose level rises in certain circumstances (about
all tumors, but also in benign prostatic hyperplasia, infections,
prostate infarctions, etc.)
Yes other analyzes
additional necessary, should be indicated by the urologist. Can be
necessary to determine the characteristics of urination by
flowmetry (test that determines the maximum and average urine flow, the
volume of the same, the duration of urination, etc.) and tests
radiological (ultrasound), to evaluate, among others
data, if the bladder empties completely or not after urination.
How is the
benign prostatic hyperplasia? There are several
treatments for this condition, and therefore the following should be considered
factors:
It is only necessary if
The symptoms are bothersome or there is some complication.
Each treatment has its advantages and disadvantages.
The doctor will have to decide, in each particular case, which
It is the most convenient.
If there are only symptoms
mild, the most reasonable is probably to wait and observe the development of
the symptoms. The patient, in these cases, must visit the doctor with certain
regularity to avoid the appearance of complications.

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