How to recognize BPH?

Signs of BPH occur when benign prostatic hyperplasia (BPH in men) the prostate gland squeezes the urethra. The disease often develops due to age-related changes of hormonal balance in men.

Stages and peculiarities of their manifestation

Specialists distinguish the following stages and signs, which correspond to prostate cancer:

• The first – pre-clinical (initial erased the symptoms).
• The second – stage dysuria and dystonia.
• The third – incomplete chronic urinary retention.

Irritation of reflexogenic areas within the cystic triangle bladder due to gistiotitarnaya infiltration leads to minor violations of urination, there are unpleasant sensations in the perineum, lower abdomen. Early signs of prostate disease in men over 50 years also appear premature ejaculation and hemospermia.

Characteristic signs of prostate disease in men:

• The first symptoms of benign prostatic hyperplasia appear in men older than 50 years who have previously experienced infection of urogenital and blood stagnation in the pelvic organs due to impaired circulation. Inflammation, blood stasis in the prostate occur in approximately one-third of men after 35 years.
• At the stage of dysuria signs developed adenomas in the prostate gland become more distinct. It is noted frequent night urination, and then more frequent and daily emptying, a typical pronounced the imperative urge to it, leading to withhold urine. It is in men after 50 years common symptom of benign prostatic hyperplasia. Dysuria may briefly weaken, but with the growth of benign prostate of violations of the outflow increase.

Enhanced dysuria in case of infection. Men tend difficulty urinating amid the overflow after sleep or venous congestion in the pelvic organs. Stagnation of blood often cause constipation, hypothermia, prolonged sitting, alcohol abuse.

Changed the process of urination and urinary stream:

• Loses voltage.
• Weakens, becomes thin.
• Flows steeply down.
• Sprayed.

Night at the BPH urination becomes more frequent and increases the number of produced fluids. This is an important characteristic of the disease.

Features staging

The peculiarity of the second stage ‒ no residual urine. Objectively in the end of the second phase is marked hypertrophy of the bladder wall, the violation of the tone of his neck.

The order of manifestation:

• On the first two stagesthe disease may not threaten the overall health of the patient, apart from the concern about recent signs of disturbance. In connection with the need for frequent visits to the toilet and a bad dream is sometimes concerned about the fatigue and irritability.
• In the third stage changes the condition of the bladder: its thinner wall, stretch muscle fibers, forming a small false diverticula. As a result of these changes is the accumulation of urine. This process is slow, because patients felt, but greatly affects the health of men.

The presence of residual urine leads to expansion of the ureter and then to the impairment of renal function, gradual loss of renal parenchyma. Uremia develops slowly over several years.

In the process of development of benign prostatic hyperplasia, the signs indicating a change in the bladder in men progressing, the amount of residual urine increases (up to 2 years). Reduced sensitivity of the bladder wall in the background of the decrease of its contractile ability. But because it occurs slowly, the patient adapts to his condition.

Over time, the sphincter can't keep accumulating a large amount of urine, she involuntarily begins to flow drop by drop from the bladder. These signs are called "paradoxical urinary retention – delay with incontinence.

• Paradoxical ischuria – a sign stage 4, which is further isolated from the 3 stages of the disease. During this period there are signs of kidney failure, liver, intestines, skin changes.

Dysfunction of different organs and systems in men, developing on the background of growing BPH, causes intoxication and dehydration.

Complications of BPH

The complications of benign prostatic hyperplasia and acute urinary retention occurs in 2-3 stages. The urethra can not miss the urine due to compression of the enlarged prostate, causing severe abdominal pain. Urgent bladder catheterization.

Hematuria occurs due to rupture of veins in the result of stretching of the bladder wall. As a result of stagnation of urine appears in the bladder stones. They also fall into it from the kidneys with kidney stones, then pebbles can't come out through the urethra.

Difference BPH from malignancy

What are the differences benign prostatic hyperplasia from prostate cancer? Adenoma – a benign disease that develops in the upper (anterior, cranial) parts of the prostate. Prostate cancer is another malignant disease, developing in the back (bottom, caudal) part of the gland.

Prostate adenoma does not give metastases, this is its fundamental difference from cancer. Both diseasescan meet the patient at the same time.

Clinical manifestations of both diseases are similar. When referring to the urologist determination of prostate specific antigen (PSA) allows you to confirm or refute the diagnosis of prostate cancer.