Prostate

What’s a prostate?

Prostate

Prostate is a gland that is part of the male reproductive system.

Anatomically, the prostate is located in the small pelvis of a man, surrounding the upper part of the urethra.

The main functions of the prostate are:

  • Production of a special secretion that makes up about 30% of the volume of seminal fluid. This secretion provides nutrition and mobility of spermatozoa.
  • Participation in the ejaculation process. During sexual arousal, the prostate contracts and secretes the accumulated secretion into the urethra.
  • Protection of spermatozoa from the acidic environment of the woman’s vagina. The prostate secretion is alkaline, favorable for the vital activity of spermatozoa.

The normal size of the prostate is usually comparable to the stomach. In an adult man, it weighs about 20 grams. A healthy prostate has a soft consistency.

The most common problems are associated with prostate inflammation and benign hyperplasia of the prostate in older age.

 

What symptoms can indicate prostatic hyperplasia?

The main symptoms that may indicate benign prostatic hyperplasia include:

  • Frequent or difficult urination. Straining when trying to start urinating.
  • Weak or intermittent urine flow. Feeling of incomplete emptying of the bladder.
  • Nocturia (nighttime urination).
  • A feeling that the bladder is always full.
  • Pain or discomfort in the lower back, hips, pelvic area.
  • Gradual worsening of the urine stream over time.
  • Urinary tract infections (cystitis) due to urine stasis.

It should be remembered that these symptoms can also be caused by other problems of the urinary tract. Ultrasound and PSA blood test are used to diagnose prostatic hyperplasia.

What treatment modalities are commonly used for prostatic hyperplasia?

Prostate

The main methods of treating benign prostatic hyperplasia include:

  • Drug therapy – prescribing alpha-adrenoreceptor blockers (tamsulosin, doxazosin, etc.), 5-alpha-reductase inhibitors (finasteride, dutasteride).
  • Transurethral resection of the prostate (TURP) – surgical removal of excess prostate tissue through the urethra under local anesthesia.
  • Prostate electroresection – destruction of tissues by electric current through an endoscope inserted into the bladder.
  • Laser ablation of the prostate – using laser to destroy prostate tissue.
  • Photodynamic therapy – destroying tissues using a photosensitizer and laser.
  • Electromagnetic waves – applying energy of an electromagnetic field to destroy tissues.
  • Observation – for minor symptoms, a conservative approach is used without treatment.

The choice of method depends on the stage and severity of the disease, accompanying factors.

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What symptoms of prostatic hyperplasia may indicate the need for surgical intervention?

The main symptoms of prostatic hyperplasia indicating the need for surgical treatment include:

  • Difficult or painful urination.
  • Frequent urination even with a small volume of urine in the bladder.
  • A feeling of incomplete emptying of the bladder after urination.
  • Acute or chronic urethritis (inflammation of the urethra).
  • Obstruction (difficulty urinating) due to a significantly enlarged prostate.
  • Frequent urinary tract infections as a complication of the disease.
  • Ineffectiveness of conservative treatment for 6 months or longer.
  • Deterioration in quality of life due to symptoms.

With such pronounced symptoms present, surgical intervention (prostate resection) is recommended to eliminate the causes of obstruction.

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