Urology


What is the prostate?

Located in the bottom of the bladder, the bladder after urinary tract (urethra) that surround the initial part is a walnut-sized organ at about 20g weight. Found only in men.

What is the function of the prostate in the body?
Menin (semen) helps the formation of the liquid portion.

What are prostate diseases?
Benign prostatic hyperplasia (benign prostatic hyperplasia, benign prostatic hypertrophy), inflammatory diseases of the prostate and prostate cancer.

Are there risk factors for benign prostatic hyperplasia?
There. Known risk factors are age and hormonal status.

Prevention of benign prostatic hyperplasia possible?
No I Do Not. Every two risk factors are characteristics that can not be avoided for the moment.

What are the symptoms of benign prostatic hyperplasia?
Frequent urination, frequent urination at night, difficulty starting urination, intermittent urination, urine decrease in forward throw, inability to relax after urinating urine in the bladder that feeling of having urinary incontinence.

These symptoms can also cause other diseases?
Yup. Prostate cancer and other diseases of the prostate inflammatory diseases of the prostate can also cause the same symptoms. In addition, urethral stricture, urinary tract infections, urinary tract stone disease and bladder same symptoms seen in diseases such as neuromuscular dysfunction.

No complaints should go to the people with no medical supervision after a certain age sturdy?
Yup. After 50 years of no complaints, but not every man should go to once a year for the PSA and urologist to make digital rectal examination. PSA is mainly a matter of increasing amount of blood in the release from the prostate and prostate diseases. Prostate cancer is very helpful in the early diagnosis of. The digital rectal examination fingers means the anus. This is obtained important information about the structure of the prostate examination and examination is a valuable method. 1st degree relative with a history of prostate cancer for people age 40 to start the controls.

How is the diagnosis of benign prostatic hyperplasia?
Just the patients referred to a urologist with complaints mentioned complaints are evaluated. An international name IPSS symptom scoring system used to assess the extent of these complaints in an accurate and objective way. In this way the light of complaints of patients classified as moderate or severe. Then this will be a detailed medical history of the patient and physical examination is performed. These patients also urinalysis, inspection PS I described above, renal function, serum creatinine measurement is made on us that information. Uroflow urine flow test called for having information about urine flow, the measurement of residual urine in the bladder after voiding and ultrasound examination of the urinary tract to be done to diagnose the disease are other diagnostic tests.

What kind of treatment for patients diagnosed with benign prostatic hyperplasia is applied?
Treatment follow-up, medical treatment and surgery are treatment options.

How to decide which treatment option will be selected?
The degree of the patients complained of mild, treatment follow-up is recommended. It made some lifestyle advice to patients. Limitation of this lifestyle advice 1,5-2lt average daily fluid intake, avoidance of cold, caffeine, spices and alcohol avoided or reduced and the treatment of constipation, if any. The degree of the patients complained of moderate or medical therapy and surgical treatment if there is an absolute requirement for the network.

What are the medical treatment options? A definitive treatment for medical treatment?
3 groups of drugs used for this purpose. 1 group of drugs in the bladder neck and prostate legal act by the relaxation of smooth muscle in the urinary tract. 2. male hormone testosterone in the group of drugs act by inhibiting the conversion to the active form in the body. 3. The effects of drugs in the group of plant extracts with different shapes and has not been confirmed as a full scientific activity. 2 and 3 are küçülts the drugs prostate volume in the medical treatment group also provide symptomatic benefit in this disease and need for continuous use activities.

Are there any side effects of medical treatment?
Yup. Nausea, vomiting, diarrhea, nausea, dizziness, feeling faint, headache, impotence, decreased libido, ejaculation disorders and there are several side effects such as gynecomastia that breast growth.

Which is recommended surgical treatment to patients?
Patients who do not benefit from medical treatment, do not want medical treatment and insisted on surgery patients who want to recurrent urinary retention that is recurrent inability to complain due to catheterization or patients with a history of installing core six catheters, patients with a history of recurrent urinary tract infections, recurrent and medical treatment patients with a history of unresolved hematuria, good-natured prostate gland that patients with renal impairment, depending on the growth of developing bladder stones and a large group of patients are included in the recommended surgical treatment.

What are the surgical options? How to decide which surgical option to apply?
Two different methods are used, including open and closed surgical treatment. This method is applied to decide which of the physician. Although prostate volume less now with the open method of advancing technology implemented large (> 100 ml) of large bladder stones or bladder diverticula and along with that is applied in which the herniated bladder. Off method is applied to the other group of patients should be surgery.

Are there any complications of the surgery?
Yup. These complications are divided into 2 groups according to early and late. Inability to work early complications, bleeding and urinary tract infection. Late complications of urinary incontinence, impotence and bladder neck stenosis is. In addition to the open method of wound infection can develop them.

The diagnosis and treatment of benign prostatic hyperplasia patients given how they were being followed?
According to the treatment of patients should be applied must be checked at different time intervals. These controls are usually 6 weeks, 3 months, 6 months and 1 year is done.