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UROLOGY FOR ALL – Hyperplasia or prostate growth

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

From an anatomical point of view, in the posterior aspect of the prostate is the rectum, through which an anal examination is performed to assess the prostate during consultation with a urologist. When the prostate grows, it can progressively suppress the urethra, which can inhibit the act of urinating, that is, difficulty urinating. This difficulty almost always starts invisible to the patient until it can cause bladder damage and even kidney failure by urinary retention which occurs over time, this occurs when urethral compression is almost obstructed. complete the discharge of urine from the bladder to the outside.

Prostate hyperplasia or benign prostate growth is a very common disease in men, which usually starts after 30 or 35 years; Very rarely have any symptoms before the age of 40 years.

Already in 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 can cancel dribbling, difficulty urinating, etc.

Symptoms of prostate growth are classified as irritant and obstructive.

Obstructive symptoms are intermittent when urinating, incomplete emptying, weak flow and forced to urinate.

Irritation symptoms are the urgency to urinate, wake up at night to urinate and accidentally discharge urine. Other symptoms can be blood in the urine, infection, urinary retention and kidney failure, among others.

The prognosis is generally satisfying, because almost always the patient responds to the treatment given in order to increase or reduce obstructive symptoms and irritation which is a decrease in the quality of life of the patient. The drugs we use act by relaxing the urethra and bladder tissue, allowing almost normal urine evacuation and, in turn, avoiding complications.

The diagnosis of this disease is made with detailed clinical history, physical examination, analysis, rectal digital examination, sonography, uroflowmetry, and cystoscopy.

Patients must reduce their consumption of fluids before going to bed and reduce their consumption of alcohol and caffeine.

When medical treatment fails, the prostate patient must be operated on, in what may be open surgery or endoscopy. It is good to show that at present, most operations are carried out endoscopically, that is, without scars, and bipolar energy or laser energy can be used.

When in doubt, visit your urologist.

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