What is the prostate? Most people have heard about it, but really has no idea what it was for. A lot of people do not even know where it is. In fact, even doctors and scientists do not fully understand its functions. Now there are many methods of investigation of the prostate and its diseases.
The prostate gland is located below the bladder buy dutasteride australia. In general, cancer of the genitourinary system produce a variety of body fluids, and in fact part of the prostate gland produces secretions which are called the seminal fluid and released at the climax of sexual intercourse. To view the prostate gland requires a hormone produced in the testes. If the level of male hormones is low, the prostate gland is reduced in size.
The secret glands produced in the epithelium (layer of special cells, called epithelial). In all glands surrounded epithelium tissue, so-called stroma. The prostate gland comprises stroma this muscle fibers, which can cause symptoms provoked by the disorder of the prostate. And the epithelium and the stroma to swell if the prostate increases in size. Furthermore, although the prostate is unpaired body it actually has two different parts, and each of them characterized by their disorders.
Why does the prostate gland can cause trouble? With age, the prostate gland in men is usually increased. In most cases this increase is observed after 50 years, so that this problem affects mainly older people. The fact that iron increases in itself is not important. Trouble that cause prostate, do not depend on its size. However, the prostate surrounds the urethra that runs from the bladder and the urethra is called. When the prostate increases, the compression of the urethra and bladder constriction exit. It's called obstruction, the consequence of which is to slow urination.
Obstructive symptoms. Since obstruction occurs gradually, many men often do not notice it. They may notice that the urine stream is not as strong as in his youth. As soon as the condition worsens, there may be a delay in the onset of urination. At the end of urination urine flow subsides, sometimes there is an unpleasant leakage. There may be a feeling that the urine remains in the bladder. This is called incomplete emptying of the bladder. The extreme degree of difficulty of urination is acute urinary retention, when a man does not urinate. In this case, can not do without a medical emergency.
Annoying (irritative) symptoms. Obstructive symptoms described above can be relatively painless. However, the bladder is difficult to overcome the obstruction, and after a while it may interfere with the smooth operation of the urinary system. Some men develop irritative symptoms. They have to urinate more often (especially at night - nocturia) with a sense of satisfaction shorter (urgency), there are mandatory (uncontrollable) urge to urinate.
The condition can deteriorate to such an extent that there is a constant leakage of urine (paradoxical ischuria, chronic delay mcheispuskaniya).
In fact, friends and relatives often become aware of the problem before the patient, who willy-nilly have to adapt to the symptoms and take them as part of life. Often the patient is directed to the treatment of his wife, whose sleep is disrupted by frequent visits to the toilet spouse.
Sometimes men with an enlarged prostate suddenly arises inability to release urine. Bubble overflows and becomes very painful. This is called a acute urinary retention. Sometimes urinary retention caused quite specific reasons. It is a common complication after surgery, or even a consequence of bed rest, such as during a lung infection. Urinary retention can also be caused by constipation.
Large servings of beverages, especially alcohol, can fill in a bubble very quickly. So-called diuretics are assigned for removing excess liquid from the body, or pulmonary heart disease. They sometimes also cause acute urinary retention. However, urinary retention often occurs without any apparent cause in men who are used to the prostate gland is not disturbed. Perhaps due to the fact that they were weakly expressed mainly irritating obstructive symptoms. Why there is a delay, it is not clear. It is possible that the final cessation of urine discharge is due to a small infection or other causes, leading to enlargement of the prostate.
Painless retention (chronic retention) of urine develops over several months or even years, as the bladder is filled slowly until it reaches a size of four or five times more than normal. Men usually do not feel that this is happening, but sometimes crowded bladder passes urine, causing wetting the laundry. In some cases, the pressure in the bladder may increase so that possible damage to the kidneys. This is quite rare, and the majority of men with prostate disorders of kidney failure are not observed. Proper treatment of the disorder is completely cured in the early stages of this condition, so it is important to make timely analysis
If the bladder can not be emptied completely, the remaining urine in it can become infected, or it can form crystals, which will eventually turn into bladder stones. If the urine becomes infected, then the allocation it may be a cause of inflammation and, consequently, induce pain when urinating.
In repeated infections may be required in the surgical treatment of the prostate. These infections are sometimes symptoms of prostatitis.
Enlarged prostate gland may bleed, but bleeding occurs for any other reason, you want to explore. A rare but unpleasant re-bleeding is a prerequisite for the purpose of surgical treatment of the prostate.
Benign prostatic hyperplasia. Most men with prostate age increases. This condition is detected by microscopic examination as a simple (non-cancerous) and is called benign prostatic hyperplasia. It plays a role male hormones. It does not occur in male castrated at an early age. Most men over the age of 80 years suffer from this condition, and approximately half of them there is the whole complex of symptoms.
As increased prostate epithelium and stroma grow. Sometimes iron is not very big. Then the symptoms caused by the muscle fibers in the composition of the stroma, which compress the opening of the bladder and urethra.
Benign prostatic hyperplasia begins in the inner part, and with an increase in the outer layer of the prostate to stretch pretty thin shell, called a capsule. Benign prostatic hyperplasia never spread beyond the prostate. Enlarged prostate is covered by a capsule, like "chestnut in the rind."
Iron with benign hyperplasia has a smooth surface with smooth contours, elastic to the touch. While hyperplasia does not cause symptoms that are described in this chapter, the patient will not notice anything unusual. His prostate gland, although increased, is functioning normally.