Prostate. The types of diseases and their treatment.
Prostate gland – a man's reproductive system located under the bladder. The main function of the gland is to provide a fluid part of semen. Thanks to the seminal fluid, the sperm become more mobile and hardy.
With age the prostate can affect three diseases. Proper and timely treatment can help avoid serious complications and to prevent further progression of the disease.
Types of prostate diseases
- Inflammatory disease. When inflammation of the prostate gland swells and becomes very painful. In most cases, the cause of the disease are bacterial infections.
In other cases, to identify the cause fails. It may be associated with hypothermia, stagnation of blood in the pelvic organs, etc. inflammation of the prostate called prostatitis is a common disease among men older than 30 years.
- Benign disease of the prostate gland. Aged 45 years and above the tissue of the prostate often begins to grow. This growth is called BPH or benign prostatic hyperplasia. The fabric of the gland compresses the urethra and causes problems with urine excretion.
- Malignant tumor of the prostate. Prostate cancer is most common after age 50 and is the result of uncontrolled and rapid increase in cells of the glandular tissue. Unlike adenomas, in which grows the inner part of the prostate, in cancer, the tumor generally develops on the outer areas of the prostate.
Methods of treatment of the prostate for prostatitis
Treatment of prostatitis is performed on an outpatient basis and in many cases using conservative methods. Experts identify two main directions in the complex treatment of the disease: the first is to eliminate infection, and second, measures aimed at improving the blood supply to the prostate.
The first stage of treatment
It consists in passing the examination. It is necessary to accurately determine the cause of the disease and determine how starts the process of inflammation of the prostate.
The first step is very important because it allows the physician to properly and accurately will be able to prescribe treatment.
The second stage of treatment
The antibacterial medications that help to eliminate the cause of inflammation. Most often, an antibiotic is prescribed: rulid, erythromycin, ciprofloxacin etc.
In addition, selected antispasmodic and pain relievers, they have a beneficial effect on the health of the patient: help to relieve stress and an unpleasant, painful sensation. As these drugs are prescribed microclysters decoction of chamomile, lemon balm,anesthetic candles, etc.
Antibiotic therapy includes the intake of various herbs: Valerian, fennel seeds, marigold, motherwort, and many other sedative and antispasmodic herbs.
The third stage of treatment
Is the application of physiotherapy techniques, such as magnetophones, electrophoresis, impulse currents inductothermy, laser.
To zoom in place the procedure to the affected part of the prostate allow the following methods of exposure: endourethral, transurethral, and transrectal projection. Such techniques are necessary in the implementation of physical therapy on the internal organs.
The fourth stage of treatment
It is a local treatment of the disease using the prostate massage. This procedure is considered the most painful for many men is humiliating, but the massage helps to improve blood circulation, thus improving muscle tone and allowing the antibiotics to better penetrate the inflamed prostate tissue.
Massage is performed with a full bladder for one minute. Held pressure and stroking on the body. Massage can be performed in the clinic and at home.
The fifth stage of treatment
Restorative and immunocorrective therapy, which allows to restore the body and prevent further progression of the disease.
At this stage, the assigned multivitamins, minerals, tools that help boost immunity. If necessary, may be appointed and light sedative sleeping medications.
Methods of treatment of the prostate gland with adenoma
Treatment for an adenoma required, not all men. If the disease is in the first stage, the gland size is small and the man is not experiencing pain and other discomfort, active treatment he does not need. In this case, once in six months to come on survey to the urologist to monitor the size of the prostate and to exclude the development of cancer.
If you experience symptoms of BPH, which take a lot of pronounced discomfort and discomfort treatment. The choice of method depends on the degree of breast augmentation, symptoms, patient's age and existing complications. Main methods of treatment for BPH is diet, medication and surgery.
Diet with adenoma makes it easier and eliminates some of the symptoms of the disease. Its main principles are the use of plant foods and limiting animal fats, red meat. It is necessary to completely give up alcohol, as alcoholic beverages significantly exacerbates the symptoms of the disease.
Drug treatment of BPH is shown in ifthe disease is manifested pronounced symptoms, but without serious complications.
In the treatment of benign prostatic hyperplasia most often use the following drugs:
- Blocker alpha-1-receptors, such as doxazosin, alfuzosin, tamsulosin, etc. These tools will relax the muscles of the prostate and the initial division of the urethra, facilitating the outflow and excretion of urine.
- Inhibitors of 5-alpha reductase – a group of drugs finasteride (serlan, prosterid, alfinal, etc.). These medicines help to reduce the size of the prostate and reduce symptoms of the disease. The effect of the treatment is noticeable after only 6-12 months after initiation of drug therapy.
In addition to these groups on the decision of the expert can also be prescribed hormonal drugs, pain relievers, sedatives, etc.
Surgery for BPH is required if drug treatment has not brought the desired effect, or in the development of serious complications: bladder stones, acute urinary retention, hydronephrosis, etc.
There are several methods of surgical treatment of adenoma, each of which has its indications, advantages and disadvantages. The choice of method depends on the overall health of the patient and the size of the prostate.
TUR (transurethral resection of the prostate)
Is performed under General anesthesia or spinal anesthesia. The removal of glandular tissue is performed with a special instrument inserted through the urethra.
During the operation there is a small risk of bleeding. After TURP comes the improvement of health, but some patients may complications, such as narrowing (stricture) of the urethra, incontinence and damage to the bladder wall.
Treatment benign prostatic hyperplasia laser
Carried out through the urethra under General anesthesia or local anesthesia. During the operation sections of the prostate are destroyed by the laser and are ejected through the urethra.
Surgery with a laser by a lower risk of bleeding than TURP. The disadvantage of this method of treatment is that the laser may not always bring the desired result.
Needle ablation of the prostate
Performed using radio waves, which help to destroy the cells of the glandular tissue.
Radio waves are delivered to the prostate through a special device introduced into the urethra. The procedure is performed under local anesthesia, and the patient is same day discharged home.
Microwave treatment of benign prostatic hyperplasia
Contributes to a significant reduction of symptoms. This is due to the removal of affected areas of the prostate that compress thethe urethra.
The drawback of this method is the development of a temporary slight swelling of the body that can disrupt excretion of urine. After completion of the procedure with a catheter that is excretion of urine.
The procedure in which the urethra is administered a small frame, not giving the increased squeeze on the urethra and disrupt urine excretion.
Stenting is assigned only in the case where the General condition of the patient allows to carry out another operation (for example, men who have concomitant disease, and they can not to have surgery).
Methods of treatment of prostate cancer
The treatment of prostate cancer depends on the stage of the disease, patient's age and the presence of metastases. Localized forms of prostate cancer are treated with surgical intervention, that is, radical prostatectomy, cryotherapy and radiation therapy.
Radical prostatectomy is performed in an open way (through a skin incision from the umbilicus to pubis in the retropubic or the perineal incision at the access). In this operation the prostate gland is removed along with surrounding tissues and seminal vesicles. After completion of the procedure, the patient is in the clinic under observation for another 4-7 days and then releasing him.
- Cryotherapy of the prostate is the freezing of the prostate by means of electrodes, which reduce the temperature of the glandular tissue. The procedure is performed under General or local anesthesia. Body several times frozen and thawed, resulting in complete destruction of the tissue.
- Radiation therapy is carried out using a radioactive seed to be introduced in the area of the prostate affected by cancer (this method is called brachytherapy). Thus is destroyed the DNA structure of irradiated cells, they begin to lose the ability to play, to grow old and eventually die. Brachytherapy applied at the initial stages of the disease, in the absence of metastasis.