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Treatment of prostate adenoma

Prostate adenoma or benign prostatic hyperplasia is one of the most common diseases in older men. In the presence of this condition, an enlarged prostate gland is palpable and can be diagnosed by a clinical or ultrasound examination.

The development of prostate adenoma and urinary disorders is usually determined by older age, genetic factors, sex hormones, various inflammations, or simply lifestyle.

As a result of benign proliferation, an enlarged prostate gland presses against the urethra, causing frustrating urinary disorders (urinary incontinence, excretory disorders and unpleasant symptoms after urination), significantly impairing quality of life and interfering with daily activities. The disease usually manifests by more frequent urination, particularly at night. Later, urination becomes more aggravated, the urine flow weakens, and partial urinary incontinence may develop. Sometimes the patient is unable to urinate at all.

Many patients, especially older men, still accept urinary incontinence as a natural symptom of ageing. They are ashamed to see a doctor and try to control their urinary incontinence themselves by changing their lifestyle habits, etc.

InnMed’s experienced urologists would like to warn patients that prostatic hyperplasia is a chronic and progressive disease that will not resolve on its own. Untreated or incorrectly treated urinary disorders may progress (symptoms may become more severe and complications may occur). Untreated prostatic hyperplasia can result in erectile dysfunction, bladder stones, urinary tract infection, renal failure, acute urinary retention and surgery, therefore, timely and accurate diagnosis and appropriate treatment are essential.

Treatment of prostate adenoma depends on the degree of enlargement of the prostate and urinary disorders, severity of the symptoms and their effect on a patient’s quality of life.

Mild symptoms can indeed be controlled by simple lifestyle changes, limiting fluid intake, and caffeine and alcohol consumption. However, medication should be used to treat moderate to severe symptoms. Only a urologist can prescribe a medication and the most appropriate treatment.

In order to select the most effective treatment plan, it is necessary to accurately assess the patient’s symptoms and their impact on the quality of life, perform a physical examination (rectal examination), determine the serum prostate specific antigen (PSA), and perform an ultrasound examination of urinary, bladder, prostate and upper urinary tract, and a uroflowmetry (a diagnostic test for urinary disorders).

In the past, benign prostatic hyperplasia was usually treated by surgical intervention. However, with the development of medicine and emergence of effective medical treatments, less than 10 per cent of the patients are currently treated surgically, while the majority successfully are treated with medication allowing to achieve symptom relief, significantly improve patients’ quality of life and reduce the risk of serious complications.