One of the most frequent pathologies of the prostate is adenoma. The danger of adenoma is that it leads to an increase in the size and squeezing of the urethra, which passes through it.
It is a benign tumor that often occurs in men older than 40-50 years.
It is the proliferation of prostate tissue and the occurrence of benign tumors in it (tumors, “nodes”). Since the prostate gland envelops a part of the urethra, as it expands, it squeezes it, and urination becomes difficult.
The reason for the development is hormonal changes that occur in the body of a man with age: a decrease in the level of male hormones (testosterone), while an increase in female hormones (estrogen). The risk increases after 40-50 years. In young men, this disease is extremely rare.
They are the following:
- urge to urinate at night, which leads to sleep interruption;
- weakening of a stream pressure, weak, thin, intermittent stream of urine;
- the need to urinate immediately after urging;
- feeling of incomplete emptying of the bladder, urination in two doses with an interval of 5-10 minutes;
- the need for straining when urinating;
- If the bladder is full, urinary incontinence may occur.
Prostate adenoma develops gradually, passing through three stages. In the first stage of the disease, urination disorders are minimal. There is a slight increase (especially at night) and lethargy of the urine stream. The duration of the first stage is individual from 1 year to 10-12 years.
In the second stage of the disease, the disorders are more pronounced: the urine stream becomes intermittent, there is a need for straining and a feeling of incomplete emptying of the bladder. After the urine begins to remain in the bladder, which leads to its delay in the urinary tract and inflammation of their mucous membranes. This is manifested by pain, a feeling of “burning” when urinating, pain in the suprapubic area and lower back. The second stage almost always turns into the third.
In the third stage of the disease, urine (at night, and then during the day) periodically or all the time is released involuntarily, which requires the use of a urinal.
Acute urinary retention is manifested by the inability to urinate. In prostate adenoma, acute urinary retention can cause:
- alcohol abuse;
- forced bed rest;
- delayed emptying of the bladder.
In this case, you must urgently contact the surgical hospital!
Inflammation of the urinary tract
It includes urethritis, cystitis, pyelonephritis, which are caused by stagnation of urine in the urinary tract, which creates a favorable environment for the development of infection. Violation of urine outflow from the bladder and inflammatory changes lead to such diseases of the bladder, first of all, urolithiasis. Serious violations of urine outflow from the kidneys lead to hydronephrosis and renal failure.
The disease can be stopped early. If a timely visit to the doctor and take the prescribed treatment, the prostate will not increase in volume and urination will not occur. In the later stages of the disease, the quality of life is significantly reduced and the risk of complications increases.
They are the following:
- control of body weight (the greater the body weight, the larger the prostate);
- a diet – limit the consumption of red meat, animal fats (butter, margarine, milk), easily digestible carbohydrates (flour products), vegetables and fruits should prevail in the diet;
- every man over the age of 45 should annually be examined by a urologist and check the PSA level.
Prevention of acute urinary retention
It is important to avoid the following:
- bladder overflow;
- limit the spicy foods consumption.
In the presence of prostate adenoma, it is advisable to undergo a control examination every 1.5–2 years.