Previously called hypertrophy, benign prostatic hyperplasia is a definition for prostate enlargement. The term “benign” means that this enlargement is not a cancer, and it has nothing to do with the severity of the symptoms. BPH has mostly urinary consequences because the inflated prostate squeezes the urethra. Men therefore have difficulty urinating, with a low urinary flow despite a feeling of urgency and an incapacity to empty the bladder, as well as a frequent need to urinate at night.
ADENOMA OF THE PROSTATE
One of the most common ailments of the prostate is a benign tumor, benign hypertrophy of the prostate (or prostate adenoma). It is a benign tumor, that is to say that part of the tissues constituting the prostate will increase in volume. But, unlike cancer, the tumor remains limited to the prostate, it will not recur after treatment and will not disseminate in the rest of the body in the form of metastases.
It is due to hypertrophy of the innermost glandular tissue. It appears from about fifty years old, and becomes more frequent with age. By occlusion of the urinary tract, this hyperplasia is the first cause of the disorders of urination in the mature man. Diagnosis and surveillance are necessary to ensure that the tumor is benign and does not cause complications. Indeed, benign hypertrophy risks, in the long term, to cause an accumulation of fluid upstream, followed by a dilation of the urinary tracts which can evolve towards the renal insufficiency.
Normal prostate weighs about 15 to 20 grams, a medium volume adenoma weighs 60 to 80 grams, it can be much bigger (200 grams and more, sometimes!). But there is no relationship between the size of The adenoma and the discomfort it can cause: a small adenoma can very well cause a retention and a very big being very well supported. Prostate adenoma develops in men at the age of 50 with extreme frequency, nearly 80% of men are reached at 60 years! But on this large number of adenomas, few will lead to disorders and, of these, only 10% will require surgery.
Any adenoma carrier is not necessarily ill. Any patient with adenoma is not necessarily to operate! The adenoma usually develops laterally on either side of the urethra in the form of two lobes which are easily palpated with the rectal touch but sometimes also in the form of a median lobe, Inside the bladder and which, although sometimes very bulky, will not always be palpable with the rectal touch.
The exact causes of this benign prostatic hypertrophy are not yet fully elucidated. It is simply known that this disease only occurs after a certain age (fifty years), only in the presence of male hormones, and rarely occurs in people of African and Asian origin who do not present Practically never of prostatic adenoma.
SYMPTOMS AND SIGNS
- DIFFICULTY TO URINATE
- FREQUENT REVIEWS TO URINE THE NIGHT
- SENSATION NOT TO EMPTY HER BLADDER
The symptomatology of prostatic adenoma is essentially determined by the situation of the prostate that surrounds the urethral canal. In case of development of the adenoma, this urethral canal will be progressively strangled, which will result in:
- Too frequent urges to urinate especially at night (it is not normal, unless excessive drinking the night before, to get up more than once at night to go to urinate).
- The existence of imperious urges to urinate.
- The appearance of an abnormal delay between the moment when one wishes to urinate and the moment when the urine leaves.
- The need to push: this is not done in a natural and automatic way and it is necessary to make an effort to evacuate the urine.
- The significant decrease in the force of the jet resulting in a drip.
- The difficulty of refraining from urinating or even the involuntary loss of urine.
All these signs should not be considered as a fatality due to age and aging but should lead the patient to consult his attending physician; The latter must also systematically in the course of a consultation seek the existence of these signs by careful interrogation.
COMPLICATION OF THE DISEASE
The anatomical situation of the prostate explains that the adenoma may Diminishing the caliber of the urethra, on the bladder, and even later on the ureters and kidneys. But, let us repeat, many adenomas will have little or no effect. Others, more rare, will interfere with the bladder and the high apparatus.
Retention on the urethra
The prostate surrounds the urethra under the bladder and, as it increases in volume, will stretch the urethra and decrease its size, hindering the evacuation of urine. This embarrassment to urination will be at the origin of the resonance of the adenoma on the bladder and the rest of the urinary tract (ureters and kidneys).
Reduction on the bladder
The bladder is not a sac of urine but a hollow muscle intended to collect the urine secreted continuously by the kidneys and to evacuate voluntarily at regular intervals. The urethra is finer, so the effort required to evacuate the urine will be greater, and like any muscle that works against increased resistance, the bladder will thicken (like the biceps of an athlete) 3 to 4 mm in normal time, it can thicken to 1 or several cm. It is a muscular bladder, a bladder of struggle. The muscular bundles are hypertrophied and draw under the mucosa columns delimiting between them cells - bladder with cells and columns.
Complete retention of urine
The urethra may be totally obstructed during an inflammatory outbreak of the adenoma or its enlarged volume, so the bladder can no longer be emptied. It is the complete retention of urine, which is often the circumstance of discovery of the adenoma, as the patient will then consult urgently to be relieved of this urge to urinate impossible to relieve.
Incomplete retention of urine
She is the sneakiest. The bladder empties, but incompletely, the urethral resistance has exceeded the strength of the bladder, and at the end of urination, it will permanently remain more or less large (300cc, 1 liter, and sometimes more). The bladder is distended, has lost its normal capacity and will not recover a normal contraction force after treatment.
Finally, it is necessary to prevent and combat prostate adenoma because it can become dangerous.
The primary goal in the treatment of benign prostatic hyperplasia (BPH) is to provide the essential nutrients for the proper functioning of the prostate as well as to support the hormonal system of men, by preventing the transformation of testosterone into its active form. , dihydrotestosterone (DHT). To do this, the addition of soy products that are naturally rich in isoflavones and beta-sistérol will help counteract the undesirable effects of DHT. Thus, the diet should be rich in lean protein and free of caffeine and alcohol (especially beer), but should be rich in zinc (pumpkin seeds, Pacific oyster, wheat germ, veal liver, legumes, etc. .). Antioxidants will also have a place of choice with an emphasis on fresh fruits and vegetables. The good fats provided by fish and cold pressed oils are also essential for the proper functioning of the prostate.
- Limit your fluid intake in the evening so you do not make your urination worse at night.
- Bicycling compresses the prostate and can worsen the symptoms. Use walking as physical exercise because it decreases urine retention.
- Lifting heavy loads increase pressure on the bladder and can increase urinary discomfort. Note, an inability to empty the bladder can cause a urinary tract infection.
- Consume cranberry products as prevention in your diet.
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