Benign prostatic hyperplasia (obsolete - prostate adenoma) is a benign tumor, an increase in the number of cells of the periurethral glands of the prostate, the most common disease in older men. Occurs at the age of 40-50 years. At the age of 50, about 25% of men have BPH symptoms, and at the age of 65 - 50%, with time, the disease develops in 85% of men. Histological (microscopic) signs of BPH occur, starting from the age of 30-40 years of age.
Clinically, this disease manifests itself in various symptoms associated with a violation of the passage of urine along the lower urinary tract: the need to wake up at night to empty the bladder, reduce the tension of the urine stream, the feeling of incomplete emptying of the bladder after urination and the presence of difficultly restrained urge. Often, the above symptoms are joined by a difficulty at the beginning of the act of urination, more pronounced in the morning and causing patients to strain. In the absence of adequate treatment in the final stages of the disease, the risk of acute urinary retention sharply increases. It must be remembered that these symptoms are not strictly specific for BPH and can occur in prostate cancer, prostatitis, neurogenic disorders of urination and many other diseases.
Violations of urination in BPH are caused by both mechanical compression of the urethra (urethra) by the nodes of BPH, and contraction of the muscles of the prostate and urethra due to hyperactivity of adrenoreceptors of the neck of the bladder, prostatic urethra and prostate.
Transurethral resection (TUR) of the prostate gland is used in our clinic for surgical treatment. This method has been known since the 80s of the last century and to this day remains the "gold standard" for the treatment of BPH all over the world.
Operation technique. The enlarged prostate gland is excised step by step using a special tool - a resectoscope inserted through the urethra (no incisions are performed during the operation)
After surgery, a urethral catheter remains in the urethra for 3 to 5 days. Staying in a hospital for 3 days or more. After removal of the urethral catheter, the patient is strictly prohibited physical activity during the month, strict control of blood pressure level, prevention of constipation is necessary.