09/15/2021 at 3:00 PM CEST
Urology experts estimate that in Spain about 3 million men have prostate health problems. But due to taboos or shame, only about 900,000 have consulted their doctor and are receiving treatment.
This Tuesday, September 15, is celebrated World Prostate Health Day. Benign prostatic hyperplasia (BPH) is the most prevalent disease in men. This is what are commonly called “prostate problems.”
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It consists of a non-cancerous enlargement of the prostate gland that affects 50% of men over 50 years old and 90% of those between 70 and 80 years old, according to the data provided by Dr. Mauricio López, from the Urology Service from the Virgen de la Salud University Hospital in Toledo.
“As the gland it grows, can decrease or stop the flow of urine from the bladder and produce lower urinary tract symptoms, “explains Dr. Carlos Lanciego, head of the Interventional Radiology Unit at the same hospital.
Symptoms of prostate problems
The symptoms of benign prostatic hyperplasia are varied. They may be related to bladder filling, emptying, or discomfort after urinating.
The most common are:
Interruptions in the flow of urine Difficulty starting urination Dripping after urinating Urgent need to urinate Weak urine flow Feeling like the bladder is still full after urinating Urinating frequently, especially at night
Consult a specialist in urology It is essential so that these prostate problems are not complicated and lead to other pathologies such as urinary incontinence, bladder stones, urinary tract infections or even kidney failure.
Dr. Mauricio López indicates that some risk factors for BPH are age or aging, family history of prostate health problems, obesity and chronic diseases, such as diabetes and heart disease.
Innovative treatment that maintains sexual function
The usual treatment when symptoms are moderate is oral medication. But in some cases the drugs are not enough and the inflammation of the gland persists.
In these cases, experts can consider the surgical approach through transurethral resection (TUR). It is done through the urethra, cuts the prostate into pieces and they are removed.
This type of technique is effective in up to 70% of patients. patients. However, it presents complications in up to 20% of cases, such as bleeding, incontinence and impairment of sexual function.
Today, Interventional Radiology specialists can provide an innovative minimally invasive treatment to those who need an alternative: prostate artery embolization (PAD).
Lower risk technique
«It consists of accessing the patient’s vasculature through a catheter inserted in the femoral and radial arteries, etc., until reaching the arteries that supply the gland affected by inflammation and selecting those to be covered (embolized) by means of devices called microspheres & rdquor ;, indicates Dr. Ignacio Domínguez, member of the Interventional Vascular Radiology Unit of the Virgen de la Salud University Hospital.
In this way, the interventional radiologist treats the inflamed area by blocking the flow of blood to the prostate, which reduces its size, restores the flow of urine and makes clinical symptoms disappear in the days after treatment.
For his part, Dr. Lanciego affirms that, «in our experience of more than 60 cases treated for 10 years we have obtained very good results and with a high degree of satisfaction, which makes us feel very proud of this frank collaboration with the Urology Service, directed by the head of the service, Dr. Antonio Gómez & rdquor ;.
Finally, it ensures that the advantages of this technique over traditional surgery they are the lowest risk, faster recovery time, less pain, maintains sexual function and absence of urinary incontinence.
Prostatic artery embolization is an option for safe and effective treatment for appropriately selected patients, so the experts reiterate the importance of always consulting the specialist, who will determine the best therapeutic option in each case.
How to relieve prostate symptoms
The discomfort derived from the inflammation of this male gland can have an impact on the quality of life of the patient.
For this reason, in addition to going to a medical professional to confirm the diagnosis and seek treatment, the Spanish Association of Urology proposes a series of changes in the patient’s lifestyle to reduce prostate discomfort:
So that the need to go to the bathroom does not impede rest, the ideal is to limit the consumption of liquids in the last hours of the day or before going to bed. If the patient is going to go on a trip, they should also drink less in the hours before departure. No alcohol or caffeinated drinks. Follow a proper diet in order to avoid constipation. Consult with the specialist for any medication that is taken. what to take to ensure that it does not affect prostate symptoms in one way or another Practice relaxation techniques and double urination (try to urinate as soon as you finish doing it) Try to control the urge to pee by taking deep breaths, compression of the penis , distraction of the mind Separate each urination as much as possible Avoid cold Do any physical activity in order to avoid overweight and obesity.