Prostatitis – prostatism
What is the prostate?
The prostate is a gland that is man, located just below the bladder, responsible for the production of liquid or seminal plasma. Around age 50, sometimes gradually it begins to grow and only then can cause problems.
What changes can occur in the prostate?
Hypertrophy: Is enlargement of the prostate at the expense of new tissue (benign) known as adenoma, growing prostate compresses the urethra and interferes with the normal emptying of urine.
Prostatitis: Is infection of the prostate gland. In addition to the discomfort of the infection may lead to a worsening of symptoms of hypertrophy and a burning sensation when urinating and / or ejaculating.
Cancer: Although the prostate cancer can manifest symptoms of obstruction, initially is often asymptomatic. The location of the prostate allows the physician to easily palpated. Everyone over age 50 should undergo an annual review by a urologist (early detection of cancer). 90% of cases of prostate cancer can be detected in this way.
How will I know I have a prostate problem?
You may notice more frequent urination during the day or you have to get up at night. You may experience difficulty starting urination or lose strength in the jet. If these symptoms have gone unnoticed can even stay on hold, that is unable to urinate. The specialist can request examinations to confirm the diagnosis as blood tests and prostate specific (PSA), urine and ultrasound. If appropriate it will make a flow measurement.
What should I do if have these symptoms?
To prevent worsening, do not drink too much, make healthy lifestyle and urinate as in need (not containing). If they are increasing urgent treatment it is necessary to prevent further damage to bladder and kidney. See your doctor.
When should prostate surgery?
If despite medical treatment, you do not completely empty the bladder, still has to get up at night, or if it stays on hold urine, see a urologist who will advise you based on your symptoms.
What examinations are usually performed before surgery?
They are all routine scans and include complete blood, urine, chest radiographs, kidney and bladder and / or ultrasound and electrocardiogram.
What types of prostate surgery there?
There are several options, your doctor will recommend the ideal for you:
- · Prostatectomy: is an operation in which the adenomatous tissue is removed. Several types:
- · Transurethral resection (TUR): involves removing the prostate through the urethra with an instrument called a resectoscope; no external incision.
- · Open prostatectomy-removal: of the prostate through an incision in the lower abdomen. The urologist will decide which procedure is best for you, depending on several factors such as size, position and additional medical problems that must be taken into account (obesity, heart disease, etc.).
- · Laser surgery: Today, there is laser surgery for benign prostatic hyperplasia. Our center was the first to offer this technology Balearic and today, we accumulate more experience. Learn more
Urolift: minimally invasive technique able to increase the diameter of the urethra directly, relieving urinary disorders uncut dry or remove the prostate. It involves inserting a cystoscope into the urethra under anesthetic sedation. The device inserts a needle into the prostate that releases a titanium staple which is fixed outside the prostatic capsule. This staple is placed in the urethra compressing the prostate to open the urethra and allow urine flow more easily. Clinical results support a rapid improvement of patients and relieving the symptoms two weeks after the intervention. It has demonstrated its low incidence of post-operative complications and preserving sexual function. This treatment can be performed in small prostates with no middle lobe, regardless of the age of the patient and is especially recommended for men with symptoms of benign prostatic hyperplasia who want to improve their urinary symptoms without losing the ability to ejaculate.
Security and simplicity provided by this method, as well as minimally invasive technique are the main advantages of this treatment. The complexity of the operation is reduced, it is performed under local anesthetic and does not require hospitalization. Dr. Fernández Arjona, a member of our team of Madrid is a pioneer in this technique in Spain.
What happens after surgery?
You will have a catheter in your bladder to collect urine, which removed 24 hours after the urine is clear. It is common after surgery to remove blood mixed with urine. Systematically analyze the prostate is usually extracted by a pathological study, and as a result the patient indicates the most appropriate course of treatment.