Prostate adenoma – common pathology among urological patients. In men, the treatment of this disease requires complex therapy. After collecting an anamnesis and evaluating the results of diagnostic studies, taking into account the patient's state of health and the degree of neglect of the disease, the urologist selects a therapeutic regimen. It includes medical and surgical techniques, recommendations for nutrition and massage. We will tell you more about the management of patients with prostate adenoma in the article estet-portal.com, indicating the drugs of choice and types of operations.
Treatment of prostate adenoma in men with medicines
The following drugs become drugs of choice:
- alpha1-adrenergic receptor antagonists,
- 5alpha reductase inhibitors,
- for hormonal correction,
- antibiotics,
- of vegetable origin.
Innovative developments in the field of pharmacology can influence the development of hyperplasia in the tissues of the male gland. Drug treatment is prescribed only in the early stages of pathology detection. It slows down the division of neoplasm cells, blunting the growth of adenomas.
All the time of conservative treatment, the doctor monitors the condition of prostate adenoma and the general health of patients. The first signs of the transition of the disease to the next stage, or if the growth of the neoplasm does not stop, then they decide on the treatment of the man through surgical intervention. In parallel with the appointment of specific drugs, the correction of concomitant diseases is carried out: diabetes mellitus, heart failure, endocrine pathologies, etc.
Prostate adenoma: methods of surgical treatment
In men, the treatment of the disease is carried out surgically. For example, transurethral microwave thermotherapy (TUMT) is carried out as a temporary measure to alleviate the disease. When choosing a method of operation, the age and state of health of the patient, the size of the gland, the amount of residual urine, the stage of the disease, etc. are taken into account. We list some types of surgical interventions that are relevant for benign neoplasms of the prostate.
- Transurethral incision (TUIP). The urologist makes two incisions on the prostate adenoma without excising excess tissue. TUIP is suitable for small tumors.
- High Intensity Focused Ultrasound (HIFU). A method of non-invasive surgery that destroys the tumor with a focused ultrasound beam.
- Transurethral electrovapuration. Partial removal of the tumor through the urethra using a cystoscope
- Laser therapy: laser interstitial coagulation, visual laser ablation
- Water Induced Water Therapy (WIT) and prostate chemoablation – these are innovative developments undergoing clinical trials.
- Transurethral Needle Ablation (TUIA), etc.
Applying massage and other treatments
Prostate adenoma is not compatible with thermal therapies. Prostate massage through the anus is gaining more and more popularity. But the opinion of urologists on the advisability of using the technique was divided. We do not recommend treating the disease in men using prostate massage through the anus, especially during periods of exacerbation or when advanced stages of the disease. Here are the arguments:
- the pain won't lessen,
- it is easy to provoke the movement of calculi, which in case of urolithiasis are often located in the urethra,
- mechanical effect on adenoma cells can push the benign course of the disease to degenerate into cancer,
- Massage movements will cause swelling of the glandular tissue, increasing the difficulty in passing urine.
With prostate adenoma, massage of the sacrum, buttocks and hip joints is useful. Massage movements kneading, rubbing. They activate blood circulation in the small pelvis, which has a therapeutic effect on the prostate. The prostate gland can be massaged through the perineum, using castor or sesame oil, carefully rubbing it into the skin pores. Finish such a massage with stroking movements directed from the anus to the base of the scrotum.
Nutritional recommendations to help men manage BPH
In men, the treatment of prostate adenoma is accompanied by strict adherence to nutritional recommendations. The diet consists of dishes that do not cause constipation. Follow the regular chair – an important process in hyperplasia and adenomas are simple. Sixty percent of all vegetables eaten should be consumed raw. This will provide enough fiber for normal bowel function.
Prostate adenoma significantly slows down its growth if you include shrimp, oysters, seaweed, mackerel, herring, mackerel, sardines, salmon, tuna in the menu. They contain a lot of linoleic and / or alpha-linoleic polyunsaturated acid, selenium and zinc. Here is another group of products that contribute to the treatment of adenomas in men are simple: legumes, buckwheat and oats in the form of porridge, pumpkin and sunflower seeds, mushrooms, celery and parsnips.
Read also: Prostate massage: friend or dangerous enemy of a man?
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