Strictly speaking, the increase in the prostate is not a disease but an inevitable consequence of aging. During puberty, the prostate is grown under the influence of male hormones to become inherent in adults. In
Regardless of the degree of elevation, the aging prostate would not cause problems when no channel urinary tract overlaps: the urethra passes through the prostate, it surrounds on all sides – the way you guarantee problems.
SYMPTOMS.
Trouble starts unexpectedly when enlarged prostate completely blocks the urethra. Acute urinary retention is easily facilitated with the help of a catheter. A few days later the prostate is usually reduced, and urination is reduced. Being random complication of prostatitis, acute urinary retention is usually celebrated as the first symptom of BPH, approximately 10% of men, and others begin to notice some problems as how slowly increasing prostate squeezes the urethra.
After 60 years, man detects a weakening pressure on urination. The jet is not poured away and looks thinner than ever before. You may need to pull their socks up, even before the bladder, overcoming the resistance of the constricted urethra begins to empty. If it is not enough pressure, urination practically ceases, often lasting as drops or spray.
The weakening of the urine jet head annoying, but not necessarily an ominous sign, and BPH progression is not always the case. Many men are adapting to these changes and did not go to the doctor. But it is better to make it as similar symptoms occur in infectious diseases and cancers.
If the urethra continues to narrow, men prefer to urinate sitting on the toilet, in part to give the bladder a little more time to create pressure, partly because the sitting posture relaxes the pelvic muscles around the urethra, reducing its resistance to flow. But in the end the possibility of bladder reach the limit, and from that moment, in spite of best efforts, he can not be emptied completely.
If a man with BPH appears residual urine, its problems increase. Stagnant urine favors the infection, but even without them the life of such a man centers around the bathroom and toilet. A full bladder is usually itself comprises urination, so a person who is partially filled bladder will feel them more often. The situation may worsen because overstressed bladder often irritated by cutting, even when nearly empty, because of which the patient is forced to constantly run to the toilet to barely squeeze out a little urine. This finally convinces him that the situation is much worse than he thought. Since the urgency increases the frequency of night, he may have to wake up every hour or approximately every 2 hours (nighttime urination).
In such circumstances, few people would get stubborn refrain from visiting the doctor. And it fortunately because of increased pressure from the bladder eventually overcomes the resistance of the valves in the ureters, which remove urine from the kidneys. Reverse flow of urine covers the outflow of fresh urine from the kidneys, causing them irreparable harm. Once men with BPH have died because of kidney damage, but today this should not happen.
DIAGNOSTICS.
In the absence of infection urine test is useless. In the most severe cases, it is determined by a blood test of kidney damage.
The best evidence gives rectal examination. When probing a normal prostate feels like a rubber doctor bump with the groove in the middle – about a tip of the nose. By increasing the size of the prostate reaches baseball, and the groove disappears. In this case the doctor touches the back of the prostate adjacent to the rectum – the rectum. Any increase here is safe, because the urethra is surrounded by only the front part of the prostate. Determining the degree of urethral compression requires more complex tests.
Residual urine in quantities of more than 150 cm3 is a deviation from the norm. Traditionally, its volume is measured by inserting a catheter after urination, but today it can be made more comfortable for the patient way – ultrasound.
An experienced doctor can assess the degree of compression of the urethra, watching the patient urinates into a graduated cylinder and measuring the minute volume with a stopwatch. Today, both the flow rate and the pressure in the bladder was measured by means of electronic devices.
Intravenous pyelogram outlines the entire urinary tract – so you can see an increase in kidney stones and floors urethra.
Sometimes people with BPH appears blood in urine. This immediately makes do cystoscopy – procedure performed under local anesthesia. Urologist penis enters through a flexible tube and examines the urethra, prostate and bladder. Blood in the urine in this case is not a sign of a serious breach, but the urologist has to make sure that it was the source is not another disease like bladder tumors. Cystoscopy – not the necessary procedure for an average increase in the prostate, but it is often prescribed because urologists understandably want to take a closer look at something with which to be dealing with.