Benign prostatic hypertrophy
Benign prostatic hypertrophy
It consists of the engrandecimiento, employee of the age of the
Its prevalence (amount of total cases) anatomical increases from
20% in men of 40 to 50 years, to more of 80% of the greater men of 80 years.
It produces symptoms in
25% of men of 55 years, raising this proportion until more than half of the men of 75 years.
Diagnosed and treated on time, the prognosis is excellent as far as the life expectancy.
The symptoms can persist, although with smaller intensity.
The prognosis in relation to the
life is shadier, being able to be affected by the treatments.
Most important they derive from the obstruction to the flow of tinkles:
it can get to cause
The relation of the HBP with the
is doubtful (they are not originated in the same zones of the
) being able to affirm that under two
that can coexist,
that one does not take to the other.
Diagnosis and treatment.
The diagnosis is made by means of.
palpación by means of rectal tact,
visualization of the
by means of ecografia (ultrasounds)
analysis of laboratory to discard renal affectation by the obstruction,
sometimes it is necessary to make
studies of tracto
Several therapeutic options exist, in relation to the importance of hipertrofia and its repercussion on tracto
Inhibitors of the receivers alpha one (Prazosin, etc. of isolated form they are useful in
proportion of patients. Associated to the following ones they are quite effective.
Adrenérgicos antagonists (of masculine
hormones) more used in the
, are useful,
they reduce líbido (the
impulse) and the
, reason why they are reserved for tactical missions.
From the operation to opened sky, little employee at the moment, very effective and with few functional sequels,
operation of greater surgery, with the own risks of this.
until the techniques of transuretral resección (RTU) by means of the insertion of
tube and the extirpation of the
weave by means of electrocoagulación, Laser or microwaves, very little aggressive,
that can produce sequels in the
happening through the simple incision of the gland (without eliminating it) useful procedure in young patients (with active
life) and with glands of small size.
All the treatments, except the antagonists alpha one, and habitaulamnete the
incision, can cause
Factors of risk.
It does not exist.
It seems to be transtorno multifactorial, under hormonal control.
Signs and symptoms.
It presents / displays the following symptoms:
Disuria (annoyances when tinkling)
Urgency (sensation of urgent necessity to tinkle)
Frequency (desire to tinkle constantly)
Nocturia (desire to tinkle during the night)
Delay in the beginning of the micción,
Spurt of tinkles little powerful, with pauses,
Sensation of incomplete evacuating,
Dripping after finalizing.
Several systems exist to score the
, that can orient towards
type of treatment or another one.
It can cause
retention, with sensation of abdominal fullness, or pain in pelvis and enlargement of vejiga.