A prostatic gland is a male glandular organ located in the lower part of the small pelvis under the bladder, on the urogenital diaphragm. This small organ looks like a chestnut. The big part of the prostate is placed behind the urinary tract.
The prostatic gland does two essential functions:
- Synthesis of the prostate secretion (one of the important ingredients of sperm);
- Valve function (it blocks the out from the bladder during the erection).
A nutrition of the prostatic gland happens by means of many small arteries that adhere to the system of the iliac arteries. As the nutrition happens from the big blood vessels of the small pelvis, the worsening of the blood circulation in this area influences on the functioning of the prostatic gland, may cause its inflammation, an increase in size, and other negative symptoms.
A benign prostatic hyperplasia is a pathological increase of the glandular tissue of the prostate when lumen of the urinary tract is narrowed and the problems with the urination and natural outflow of the urine are observed.
It is believed that the benign prostatic hyperplasia is an age-related disease of men. In some way, it is true. In more than half of the cases, the disease is diagnosed in men at the age of over 45. But the disease may appear in younger men.
One of the causes of the development of the benign prostatic hyperplasia is a disorder of the blood circulation in the organs of the small pelvis and congestions in the prostatic gland. Causes of the benign prostatic hyperplasia are also:
- Decrease of the testosterone level;
- Infectious diseases;
Most of doctors state that a main cause of the benign prostatic hyperplasia is a hormonal alteration in men. If the correlation of testosterone and estrogen is changed in favor of the female sexual hormones, the control of the prostate cell growth is affected. This way, the glandular tissue may grow and block the urinary tract. Therefore the disease often aggravates in men at the age of over 45 when the concentration of the testosterone drops.
Benign prostatic hyperplasia treatment
Unfortunately, the medicine does not know how to prevent the disease because the causes of this pathology are unknown yet. But the treatment is successful. The essential goals of the benign prostatic hyperplasia treatment are a reduction of the symptoms in the lower urinary tracts and a prevention of the complications.
In case of the weak semiology, a pharmaceutical treatment is applied. Medications from two groups are mainly used:
- Beta-blockers cause a relaxation of the muscle fibers of the urinary tracts and their dilation, so that the outflow of the urine is restored.
- 5-alpha-reductase inhibitors: hormonal drugs stop the growth of the glandular tissue and control its size.
Doctors lately add another group of medications – PDE5 inhibitors. The matter is that BPH is often complicated by the blood circulation disorder in the organs of the small pelvis. Due to this, a man with this diagnosis has a bad erection and a sexual drive is absent. Due to the low sexual activity, the inflammation of the prostatic gland grows.
Doctors have proved that the use of Cialis (Tadalafil) as an additional ingredient in the BPH treatment helps to restore the blood circulation in the small pelvis, remove the inflammation of the prostate gland and return a hard erection. Cialis shows a high efficiency in the treatment of the prostatitis and approves itself as an additional ingredient during BPH increasing the efficiency of the therapy by 27%.
If the pharmaceutical therapy is ineffective, and the disease symptoms grow, a man is prescribed an operation. A surgery allows to restore the outflow of the urine, remove the symptoms of the disease and delete the excessive glandular tissue. This option is used only if there is a risk of the acute urine retention as a result of the complete block of the urinary tract.
In the rest of the cases, the pharmaceutical therapy is less traumatic and a cheap way to treat the BPH, and it is more comfortable in terms of psychology. But to avoid the complications, a man has to visit a urologist and check the prostatic gland on a regular basis. A growth of the glandular tissue does not happen all of a sudden, many symptoms precede this process.
|By Padraic D. McCahill, M.D.||On: January 20, 2019 at 12:00:18|