Prostate diseases, causes, diagnosis, treatment
Among the basic modern diagnostic methods that are conducted in our medical center in Dubai Medical City for prostate diseases are: imaging and measurement of size and pathological inflammatory changes and benign and malignant inflation; At the same time, a prostate specific antigen (PSA) is examined.
Benign prostatic hyperplasia:
Thanks to the advancement of diagnostic and therapeutic medical sciences, the ways to diagnose and treat many diseases, including benign prostatic hyperplasia, which is one of the major health problems in many countries of the world, including Arab countries, have changed. Over the age of forty, which leads to pathological problems and symptoms in urination and sexual and general health in these men.
Benign prostatic hypertrophy is an annoying condition that affects men with age and with a high rate after the age of forty, but not all of these people have symptoms of cystic neck stenosis, which is located directly below the prostate gland, which surrounds the urethra channel, forming a ring around it, where the percentage of symptoms increases with increasing enlargement size.
Causes of enlargement :
There are several reasons that lead to an increase in the prostate gland, which is age, the inflammatory cause of the prostate gland, the hormonal cause and the vascular sclerotic cause in it. Knowing that the prostate stem cells have their role and their relationship to factors that control cell reconfiguration, characterization, and programmed death, where Prostate stem cells may be in hibernation or (remission) or in the case of proliferating and repetitive formation of cells and at the end of their programmed death.
- Weak urine flow from the bladder through the urethra.
- Frequent urination with a feeling of urgency to urinate.
- Frequent waking up at night to urinate.
- Weak control of urine.
- Delayed onset of urine output (hesitation).
- Urine flow is interrupted.
- Urine drops continue after urination has finished.
- Failure to fully empty the bladder.
Flatulence of the lower part of the abdomen is due to the large size of the bladder caused by urinary retention until the opposite is proven and the prostate can be examined by the (rectal) exit in order to diagnose inflation in this gland and this examination cannot determine the degree of narrowing and obstruction in the urethra.
Usually acute acute renal impairment is diagnosed laboratory if the urinary retention continues as a result of inflation in the advanced stages where an increase in the level of urea and creatinine in the blood is diagnosed in this case where the complete blockage in the prostatic urethra and caused by an enlarged prostate is the cause of these dangerous complications on the kidneys, especially And the body in general.
The degree of blockage in the urethra is determined according to the clinical diagnosis, signs and results of various investigations such as catheter or cystoscope and ultrasound of the bladder through the rectum, which helps the doctor to determine the degree of blockage in the urethra and if the examination of the bladder, ureter, and kidneys by ultrasound shows that the bladder is not empty of urine With a urine remaining more than 100 mm and an ureteral dilatation, this means blockage of the ureteral junction in the bladder due to an enlarged prostate in an advanced stage, and according to this clinical examination, the patient may have severe renal impairment Ta Urinary retention due to obstruction and lack of urine and discharged completely to the outside, where the overwhelming majority of the remaining urine in the bladder.
Urinary obstruction and urinary retention are among the critical conditions that require medical intervention for treatment directly, because they lead to severe kidney failure (azotemia) and the numerous complications that result.
To reduce these complications, the doctor works to reduce the degree of obstruction and reduce the amount of urine remaining in the bladder through catheters and other available means, while monitoring the patient’s condition in general and providing him with physiological fluids intravenously to maintain the balance related to electrolytes and fluids in the body.
As for after catheterization and primary treatments, this initial condition may take many pathological pathways, as urine blockage often indicates a final stage due to (Bladder Decompensation) due to the obstruction of the increased bladder outlet, so natural urination with a complete discharge of the bladder after this Case
Retention is often unexpected in these patients, and in some exceptional cases only a catheter can help the patient get rid of this problem as is the case in urinary retention resulting from taking some drugs that temporarily weaken the bladder’s discharging capacity such as anticholinergic or recipient medications Adrenergic agonist or urinary retention due to acute prostatic infections, as well as in the case of urinary retention after some surgical treatments or surgeries performed with general anesthesia or local spinal anesthesia (Spinal anesthesia).
The clinical or surgical clinical indications for the treatment of prostatic enlargement, which causes urinary tract blocking, are the following:
1) Inventory urine count.
2) Recurrent bacterial infections of the urinary tract due to an enlarged prostate.
3) Recurrent bleeding of the prostate gland in case of urination.
4) Having bladder stones while having an enlarged prostate at the same time.
5) Lower Urinary Tract Obstruction