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Какво е доброкачествено уголемяване на простатата? Доброкачествената простатна хиперплазия, представлява уголемяване на простатната жлеза. Простатната жлеза обгражда уретрата, тръбата през която преминава урината от пикочния мехур, за да напусне тялото. Когато простатната жлеза нарасне, тя може да причини стесняване или да блокира частично уретрата. Това от своя страна може да предизвика проблеми с уринирането. Доброкачественото уголемяване на простатата се проявява при повечето мъже в напреднала възраст. Това не е рак, причинява неудобство, но не е сериозен проблем. Около половината мъже над 75 години имат симптоми. Доброкачествена простатна хиперплазия е позната също, като доброкачествена простатана хипертрофия. Какво причинява уголемяването на простатата? Вероятно доброкачествената простатна хиперплазия е нормална част от процеса на стареене при мъжете, причинена от промяната на хормоналния баланс и растежа на клетките. Какви са симптомите? Уголемяването на простатата причинява следните проблеми с уринирането: - Трудно уриниране, трудно започване и приключване (дриблинг). - Често усещане на нужда за уриниране. Усещането може да причинява и саъбуждане през ноща. - Слаб поток на урината - Усещане за ненапълно изпразване на пикочния мехур след уриниране. В редки случаи, при простатна хиперплазия, пикочния мехур може да бъде блокиран, правейки невъзможно или много трудно уринирането. Този проблем може да причини уринарна ретенция (задържане на урина), водеща до инфекция на пикочния мехур или камъни в бъбреците и други увреждания. Простатната хиперплазия не причинява рак на простатата и не оказва ефект върху мъжките оплодителни способности, както и не е причина за проблеми с ерекцията.
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The prostate is a walnut-sized gland in men. It is located beneath the bladder, between it and the urethra. The prostate produces fluid that nourishes and transports semen. Benign prostatic hyperplasia (BPH) simply means that the prostate has become bigger than normal over time. This is a common condition in men over 40. It is not related to prostate cancer and does not seem to put a man at greater risk for developing prostate cancer. Most cases of BPH are not serious, but do cause urinary issues. However, if the prostate becomes too large, it can seriously block the flow of urine, which can lead to urinary tract infections, a weakened bladder, bladder stones and even kidney damage. Why Us? - We offer a wide range of medical and surgical treatments for BPH - Our surgeons are some of the few in the Southwest who have experience in and offer Holmium Laser Enucleation of the Prostate (HoLEP), a safe and effective form of laser surgery to reduce prostate size and improve urine flow - Because we are actively involved in laboratory and clinical research and integrating the latest research findings into practice, we offer patients a wider spectrum of the current and cutting-edge treatment options Treatment Options Non-Surgical Treatments BPH is often treated with medication. There are two types of medications typically used, and they may be used individually or together (one new pill also combines a form of both): - Medications that relax the muscles and fibers of the bladder and prostate within days of starting treatment, making it easier to urinate; these medications are in a class called "alpha-blockers" - Medications that slowly shrink the prostate over the course of weeks or months; these medications are called "5-alpha reductase inhibitors" Both medications can cause "retrograde ejaculation," in which semen harmlessly goes into the bladder at the moment of ejaculation instead of out the tip of the penis. Medications that shrink the prostate can also cause impotence and decreases sexual desire. Surgical Treatments Medication is often the first line of treatment for an enlarged prostate. When medication doesn't work or when the prostate is severely enlarged, there are a number of surgical treatments: - In open surgery, the surgeon makes an incision in the belly to reach the abdomen and then cuts away some of the prostate to relieve blockage - Transurethral surgery involves inserting tiny instruments into the tip of the penis and down the urethra to reach the prostate, then cutting part of it away or making incisions in it to make more room for the flow of urine - Laser surgery is also done with tiny instruments guided through the tip of the penis and the urethra; depending on the procedure, the surgeon may use laser to burn away or cut away part of the prostate - Finally, surgeons may use microwaves or radio waves to heat up the prostate, which causes it to shrink; these procedures are also done with tiny instruments inserted through the tip of the penis and the urethra These procedures require different levels of anesthesia and recovery and have different side effects and potential complications. For more detailed information, see our prostate treatment info sheet. Your surgeon will help you determine the best treatment option based on your individual case and circumstances.