Adenoma (benign Prostatic Hyperplasia). Its Treatment.

BPH – benign prostatic hyperplasia (old name – prostate adenoma), a disease of men of mature age, is a benign tumor that grows from the gland tissue and causes various disorders of miction.

Because of a large spread of the disease it is suggested a number of different methods of treatment: rapid, less invasive transurethral techniques, medication, etc.

Now we’ll talk about the most simple and accessible method, which is medical. It is based on the results of years of research, functions and mechanisms of vital activity of the prostate. Studies in recent years have made some clarity in the pathogenesis of tumor growth and gave an opportunity to develop a fairly effective drugs that act on different links in the chain of changes leading to development of disease.

The main drugs used in our clinic are those drugs, which effectiveness we have seen in our own experience, among them the most acceptable to our mind are – Finasteride, Tamsulosin hydrochloride, Doxazosin mesylate, Doxazosin mesylate, Serenoa repens.

– Finasteride- causes a reduction in the size of the prostate, improves the flow of urine, much lower risk of acute urinary retention, which requires urgent surgical intervention, or bladder catheterization, reduce the manifestation of symptoms.

-Tamsulosin hydrochloride – this drug reduces the tone of smooth muscles of the prostate, bladder neck and prostatic urethra parts, which in turn improves the flow of urine.

-Doxazosin mesylate – the usage of the drug leads to a decrease in resistance and pressure in the urethra, reducing the resistance in its internal bore, which helps improve urinary flow and reduce the symptoms of BPH.

-The extract of Serenoa repens- has anti-inflammatory and antiexudative action that reduces the functional disorders of urination in BPH.

It is rooted the opinion In Ukraine about the appointment of medical method as an alternative to surgical, if there are contraindications to open surgery. Our observations show that the use of drugs in the early stages of the disease not only improves the results of subsequent surgical treatment, but more than half of patients completely eliminates the question about the operation.

These observations are consistent with international experience. Less than 30% of patients with BPH are operated in different ways in the developed countries.

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