Treatment of BPH performed by several methods. These include: medication, minimally invasive (HIFU-therapy), surgical (laser vaporization, transurethral resection of the prostate, etc.). Basic is the operative method. The success of surgery will depend on the stage of the pathology and complications. Absolute indications for surgical treatment of BPH include: urinary retention caused by hyperplasia of the renal failure, recurrent massive hematuria, large diverticula, bladder stones, repeated urinary tract infections, obstruction intravesically.
Radical surgery performed transurethral or open access after the clinical examination. Often do a transurethral resection of the prostate with the use of epidural anesthesia. It is performed for patients whose prostate volume is 60 cubic cm At a higher volume perform open surgery - adenomectomy. Surgical intervention is the best treatment for patients with serious complications of BPH.
In some cases, you may be assigned to conservative treatment. Treatment of hyperplasia of prostate use preparty-antibiotics ("Gentamicin", the antibiotics of cephalosporin group), probiotics ("Bifidumbacterin", etc.), herbal remedies ("Prostamol UNO"), an inhibitor of 5-alpha reductase ("proscar"), alpha blockers ("Omnic", "Omnic Okas"), Immunostimulants ("Referen", "During", etc.), drugs that promote blood circulation in the prostate gland ("Trental"). The result of the use of drug therapy is to improve the flow of urine, reducing the symptoms of the disease.
In the case of asymptomatic course prostatic hyperplasia, a method of "careful waiting", it is necessary to undergo annual medical examination. Contraindications to the use of drug therapy are: individual intolerance to the dosage of drugs, severe renal and hepatic failure, neurogenic disorders, stones in the bladder, the exacerbation of inflammation in the lower urinary tract, tissue scarring in the pelvic organs, suspected cancer of the prostate.