Wednesday, November 17, 2010

Adenoma

Adenoma (benign enlargement of prostate gland, or more exactly, of external glands of prostate) is a hormonal disease in which occurs enlargement of prostate gland tissues which leads to urination disorder. More often with adenoma are diagnosed men over 50 years and that is why some specialists consider this disease as one of manifestations of male climax. Besides age-related changes do exist other factors contribuiting to the disease development:
1) hormonal disorders
2) some chronic diseases such as atherosclerosis
3) sedentary life-style
4) significant increase in body weight
5) environmental factor

In adenoma, testosterone (male sex hormone) provokes overgrowth of adenoid tissue cells that cover urethra wall passing through prostate gland. After some time overgrown tissue starts to push against urethra what leads to its narrowing. More longer the disease is untreated, the much stronger is push against urethra. Then start next problems with urination:
1)  frequent urination
2) interrupted  and difficult urination
3) low head of urinary flow
4) involuntary urination or acute urinary retention
5) hematuria (blood in urine)

Most severe cases are acute urinary retention and hematuria. Long course of the disease makes prostate increase and as a result urinary bladder emptying becomes impossible. In this case patients need urgent hospitalizing. Blood in urine shows damage of bladder veins resulting from pressure in it.

There are three adenoma stages. Primary stages are characterized with mild symptoms and patient may not even notice them.
1. First stage. Symptoms: frequent urination, especially at night time, increases time for urination, furine flow is weak.
2. Second stage. Symptoms: difficulty in urine drain from bladder, interrupted urination, sensation of incomplete emptying.
3. Third stage. Symptoms: urine retention or involuntary urination, intrinsic sphincter and detrusor  lose their tonus, renal failure.

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