Symptoms Of Benign Prostatic Hypertrophy (BPH)
What causes the symptoms of BPH, and what they represent themselves?
Because of the increase in the size of the prostate may squeeze the urethra (the urethra). This causes difficulty in urination: it becomes difficult to start urinating, urine stream is weak, weak, broken. Sometimes a man suddenly feels that in general unable to urinate (this condition is called acute urinary retention) - in this case require immediate access to a doctor. Severity of symptoms does not depend directly on the size of cancer - some patients may have symptoms with small amounts of the prostate, and sometimes with a strong increase in prostate symptoms may not be. In the early stages of the disease of the bladder muscle are still able to push urine through the narrowed urethra.
However, if the process of obstruction (narrowing) continues, the muscles of the urinary bladder lose the ability to reduce, losing tone and appear a large quantity of residual urine. There are strong immediate urge to urinate, sometimes ending with urinary incontinence, frequent urination (more than 8 times a day), urge to urination at night. After some time, may develop complications from a bladder or kidney disease: selection of blood in the urine, the formation of stones in the bladder, urinary tract infections, urinary retention. The most threatening complication of BPH is irreversible kidney damage - chronic renal failure.
When a patient should see a doctor?
If a man feels the symptoms that he was concerned, it is necessary to consult a doctor. The symptoms listed above are not always caused by BPH, so only a thorough examination of an expert to help establish an accurate diagnosis.
How diagnosed prostate?
During the visit, the doctor usually asks the history of the disease. Explores the state of the prostate with digital rectal method (through the rectum). This method is simple and usually does not deliver serious inconvenience to the patient.
- To conduct studies of other organs and systems, to determine whether there is concomitant diseases that can cause similar manifestations.
- Assigns a study of urine for the presence of blood, glucose, infection.
- Provides patient fill out a special
(IPSS), which allows to identify the symptoms and the degree of their influence on the quality of life. The patient may be very helpful to the doctor, if it comes with pre-filled questionnaire.
Also, in some cases may need blood test to exclude possible kidney damage. Blood tests are used for the study of the level of prostate specific antigen (PSA) - a substance emitted prostate and is an important indicator diagnosis of prostate cancer.
Ultrasonography (ultrasound) to evaluate the size and structure of the prostate, the condition of the urinary tract-ducting and the number of residual urine.
Performing the ultrasound examination of the prostate through the rectum (TRUS) in patients with diseases of the prostate is currently an integral part of modern diagnostic search and be sure to have all men after 45 years.