the
- Frequent urination typical first signs of an enlarged prostate gland is penetrated.
- There are a variety of therapy options.
When every man is with age, the prostate larger. Due to the hormones: circulating sex hormones – including androgens and Estrogens to count change. The prostate gland is called the male sex gland that produces part of the semen, responds to it and begins to grow. The benign enlargement of the prostate (BPH) usually begins after the age of 50. Years of age. The BPH only describes the multiplication of the prostate cells. In view of the various complaints, Doctors speak of a benign prostate syndrome (BPS). Exciting, but just no time?
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quality of life limited
given the widespread urological disease it comes to prostate-related malfunctions, which may limit the quality of life greatly. A particularly disturbing many of those Affected feel especially the frequent water. The sudden urge to urinate can be so strong, that this is only a very brief stand, before the men have to go to the bathroom.
Also, the urinary stream may weaken, so that more time is needed to empty the bladder completely. In particular, these urge symptoms, one of the key symptoms of the benign prostatic syndrome, the Affected to the doctor.
the size of the prostate alone, there will be no complaints
makes A great prostate not caused automatically complaints. The benign prostatic syndrome, many factors work together. Some of the men develop from the prostate gland size of a walnut (about 30 grams), tremendous discomfort, and complaints about the loss of quality of life. On the other hand, there are cases in which the prostate gland is about a show as big as an Orange, and Affected but no symptoms at all.
From the BPS apart, there are other diseases that can affect the function of the bladder. These include infections, stones, tumors, neurological changes, or cicatricial constrictions in the urethra, for example, after a Trauma, which can cause similar symptoms include. About the experts
Boris Hadaschik Director of the Urological clinic at the University hospital of Essen and head of the prostate cancer centre. Cancer in the urogenital tract is the focus of his research. For this purpose, the Professor of urology in his specialty by leading areas of bladder, kidney, testicular and prostate oncological studies and new diagnostic and therapeutic technologies.
Doctors need to cancer anxiety early
Due to the complex symptoms of the benign prostatic syndrome should be Concerned to investigate, if the Suffering is on the increase. The urologist can calm many anxious men and a cancer of fear, Because behind the symptoms of the BPS prostate cancer is only rarely.
In terms of prostate cancer is a Pension from the age of 45. Age is advisable. In particular, in the case of a family predisposition, screening is advisable, because the risk for malignant changes increases when the brother, father or grandfather are already suffering from prostate cancer or were. The prostate cancer screening includes a tactile examination, and after discussion about the advantages and disadvantages of the same the offer of a determination of the PSA value.
To BPS-diagnostics include a urinary stream measurement, a urine analysis and an ultrasound of the abdominal cavity, with the additional provision of the Restharns to the water. In addition, standardized questionnaires, or a view into a patient diary are useful.
- How often the person needs to use the toilet?
- when is the urge to urinate at the most?
- Be experienced pain during urination?
So the pressure is more precise to determine and clarify whether a drug therapy is out of the question.
Only then treat the
watching, Because Not everyone is Affected the same should be for patients. Although an investigation is appropriate to exclude malignant disease. The doctor finds a benign change, which affects the quality of life only a little, but the more Observe. The benign prostatic syndrome is a normal variation in the age at which people in many cases can be old. Active urologist in the rule, only at a greater pressure.
In the case of drug therapy so-called Alpha can help blockers, the complaints lessen. Relax the bladder outlet to act quickly and show little side effects. The Affected can then better water is, the more prostate growth stopping the active ingredients but.
for This purpose, enzyme inhibitors, so-called 5-Alpha-reductase inhibitors are used. The drugs inhibit the action of the sex hormone Dihydro-testosterone. Over a period of three to six months, this leads to the fact that the prostate is smaller. In addition, PDE-5 inhibitors can improve the blood circulation in the prostate. This active ingredient dilates the vessels and is already a known agent for the treatment of erectile dysfunction.
combination of different active ingredients is a growing Trend,
so-Called antimuscarinic drugs, may help to curb the urge symptoms. Weaken the bladder function and bladder in the Irritable treatment used successfully. Hope for people the promise of new Beta3-agonists. The drugs may block the receptors in the bladder and the urge symptoms normalize. For the future, a combination of enzyme inhibitors and Alpha-draws increasingly from blockers in order to improve the Situation for those Affected in the long term.
not enough drugs alone, in order to reduce the discomfort effectively, surgical intervention may be necessary. In Germany annually about 75,000 predominantly minimally invasive prostate are performed reductions. Of this total, 65,000 are made in the classic resection of the prostate through the urethra is peels. This is a standard method achieves very good long-term results. This means not only an improvement in the urinary beam, but also to improve the quality of life.
OP often leads to success
Also laser procedures are now approximately 10,000 Times in the year. In particular, the Laser-enucleation is patients promising, the need to take several blood thinning agents, or their prostate is very large, which made until now, a cutting operation is required. However, the procedure is complex and requires a lot of experience.
At the time of laser vaporization is to be observed, however, that this evaporation loses procedure, prostate tissue is becoming increasingly important, since it offers a few advantages over classic resection. In contrast, the embolization will experience in the coming years, further growth. In this new procedure, an interventional Radiologist occludes the blood supply to the prostate. The procedure is performed under local anesthesia and a catheter which is introduced over the bar.
The fabric shrinks because of the reduced blood supply to the urethra is relieved and the patients can leave after a few weeks of better water. Another promising and efficient method, the water vapour ablation is. The device is introduced through the urethra and sterile water burns steam excess prostate tissue, which dies after the other. This is a lack of experience, however, still a long time. Tips for the everyday
- the main risk factor for benign prostate syndrome the age. According to men can do in the run-up only a little as a preventive measure.
- be able to relieve exercises A healthy lifestyle, enough sports and relaxation complaints. Advisable is also to distribute the drink throughout the day and not the evening hours to reduce nighttime urination.
- The bladder or pelvic floor training is Concerned of the benign prostatic syndrome only in a limited sense. The water should be Affected plenty of time, so that the bladder is completely emptied.
incontinence and erectile dysfunction possible side effects
surgery should be considered in the rule, only consider, if the means of drug therapy have been exhausted. Although an open operation is always less necessary, it can also come in the minimally invasive procedures bleeding and infection. In rare cases, the sphincter or vessels are injured, which can have a incontinence or erection problems. Moreover, it may be that even after the OP to continue the previously observed symptoms are, so you may again have to be operated.
By the OP, the fertility is affected indirectly, since the sperm may decrease, the changes in resistance. The conception in a natural way becomes more difficult. Due to the predominantly advanced age of the Affected the desire for children is not included usually in the decision-making. Ragout in Pesto-cream sauce: The perfect recipe for the celebration evening PCP Ragout in Pesto-cream sauce: The perfect recipe for the evening celebration
