How To Monitor Prostate Enlargement

In prostate enlargement (UXTLT), the prostate enlarges and squeezes into the urethra and bladder, causing difficulty in urination.
It causes symptoms of hesitation, frequent urination, an increased risk of urinary tract infections and difficulty urinating. There is little relationship between the symptoms of benign prostatic hyperplasia and prostate cancer.
Prostate (TLT) is a small organ about 2cm in diameter, located under the bladder (where urine is stored) and wraps around the urethra (the tube that drains urine out of the bladder).
Because the gland surrounds the urethra, enlargement of the prostate gland prevents urine flow from the bladder to the urethra; causing symptoms of urination disorders (difficulty urinating, weak urine flow, urination, urination many times

...)
Severe urinary retention can lead to chronic urinary bladder inflammation, urinary tract infections and even kidney failure.


How To Monitor Prostate Enlargement

Patients often visit patients with symptoms of urinary disorders, or acute urinary retention.
This is not a malignant disease but a benign enlargement of the prostate, which occurs in older men, hence the benign prostatic hypertrophy. The disease begins in middle age in men, progresses slowly and usually only causes symptoms after age 50.
According to statistics in Vietnam today, there are 45-70% of men aged 45-75 suffering from the disease, the higher the age, the greater the incidence of the disease. In the United States, more than half of men aged 60-70 and about 90% of those aged 70-90 have symptoms of UXTLT.
How to detect UXTLT?
To detect UXTLT, the most common method is to apply pressure: ultrasound and TLT examination through the anus. There are also other imaging methods such as computer tomography, nuclear magnetic resonance
.


How To Monitor Prostate Enlargement

. But ultrasound is the most common and convenient method; patients need to refrain from urinating in order for the bladder to enlarge to assess TLT to be accurate.
Ultrasound not only assesses the physical appearance, but also helps to evaluate the prostate volume, size, properties (uniform or uneven sound ...) and measure the amount of residual urine in the bladder (after when the person has finished urinating) to assess the impact of the disease.
So how to treat and monitor UXTLT?
Not all patients with UXO have to be treated. People who are not severely affected by UXO symptoms often do not get treatment but must be checked regularly to see if the condition is getting worse, especially PSA testing to see if cancer is present.


How To Monitor Prostate Enlargement

prostate or not that promptly handled.
Medical treatment: For those who have symptoms of urinary disorders affecting daily activities, immediate medical treatment.

The most commonly used drugs currently belong to the group of alpha 1 inhibitors that relax the smooth muscle wall, TLT and bladder neck help reduce urinary obstruction due to TLT hypertrophy. Alpha 1 inhibitors do not "kill" the tumor, but help urinate easily because the bladder neck and urethra are more likely to expand when urinating.
This medication also relaxes some other sphincter muscles in the body and causes side effects like lowering blood pressure. No medicine has been shown to make tumors smaller. There are also some other drugs such as anti-androgens that are often used in combination with the above to relieve symptoms.
Side effects of the drug include decreased libido, erectile problems or ejaculation.


How To Monitor Prostate Enlargement

Professor Do Tat Loi also suggested a herbal medicine from Crinum latifolium L. has medicinal effects.
Surgical treatment is almost to relieve symptoms. Currently, the most common method is to apply TLT removal by endoscopy through the urethra. When TLT is too big and cannot use endoscopic cutting method, UXTLT must be removed. In this method, the doctor makes an incision in the abdomen or between the scrotum and anus to remove TLT tissue..

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