Frequency of common complications during treatment of patients with benign prostate hyperplasia

Abstract

Background/Aim: Benign prostatic hyperplasia (BPH) is a very common disease in older men. BPH involves the presence of signs of hyperplasia of the stromal and epithelial elements in the prostate with consequent enlargement of its volume. The aim of this study is to analyse the frequency of typical complications in the treatment of patients with benign prostatic hyperplasia and the effect of medicamentous treatment. Method: Patients diagnosed BPH were included in the prospective, one-year study. They were divided into 2 groups. The first group (30 patients) consisted of those ones, whose prostate volume was equal to or over 50 cm 3 , while and the second group (30 patients) comprised the subjects with prostate volume less than 50 cm 3 . The complications of BHP analysed are residual urine (RU), symptomatic urinary infection, haematuria, thickening of the detrusor wall, diverticulum in the bladder, ureterohydronephrosis, renal failure, bladder stone and acute urinary retention (AUR). Results: The majority of patients in both groups were aged 60-69. There was a statistically significant difference in the average value of RU between the groups at the first, second and fifth check-ups (p < 0.05), as well as the complication of symptomatic urinary infection, since the same occurred earlier in the first group than in the second group (p < 0.05). There was no statistically significant difference in complications: haematuria, detrusor wall thickening and diverticulum (p > 0.05). Complications: ureterohydronephrosis, renal failure, bladder stone, and AUR were not diagnosed in patients in either group. Conclusion: Relevant medical therapy leads to a reduction of RU and reduces the risk of complications caused by its presence. Other complications of BPH were rare or absent in both groups, suggesting that appropriate and timely applied medical therapy affects the course of BPH and reduces the risk of complications and the need for surgical treatment. Benefit from medicamentous therapy is equally represented in both analysed groups of patients.

Evaluation and Correlation Analysis of Mental and Psychological Factors and Premature Ejaculation in Patients with Benign Prostatic Hyperplasia in Mobile Medical System

“…Among them, l represents the curvature of the curve at this point, and the curvature at B ( q ) is defined as the rate of change of the horizontal angle n of the tangent at this point with the orientation length v . That is, NN is the derivative of the radius of the inscribed circle at that point [ 30 ]. Figure 3 is a schematic diagram of the tangent vector and the normal vector of the curve.…”

Evaluation the level of human kallikrein-2-hk2, prostate specific antigen and some biochemical parameters in sera of patients with prostate disease

“…The second type of prostate disease is benign prostatic hyperplasia-BPH which causes urinary tract disorders in elderly males, as it affects approximately 40% of elderly males after the age of 60 years and also affects their lifestyle (5)(6)(7) , The disease is one of the symptomatic diseases of the lower urinary tract, which may be accompanied by symptoms of non-prostatic diseases such as bladder dysfunction (8,9) , Aging and some chronic diseases as well as obesity and an unhealthy lifestyle are risk factors for the disease (10) , Gradual enlargement of the epithelial cells of the prostate gland occurs as the beginning of the emergence of the tumor, as well as the smooth cells, and consequently, an enlargement of the tissue of the gland occurs Thus, it causes urine retention and urinary tract infections, in addition to the formation of stones in the bladder and kidney disorders (11)(12)(13) . The third type of prostate disease is prostatitis, especially chronic prostatitis, which represents difficult urinary tract disorders and causes disability in a large number of patients with the disease (14) ,Prostatitis is the third most common urinary tract disease in men after PC and BPH (15,16) ,Almost half of all men suffer from prostatitis during their lifetime (17) , PC and BPH mainly occur in older males, while prostatitis occurs at all ages, especially in young and middleaged adults (18) .…”

Is intravesical prostatic protrusion associated with more complications in benign prostatic hyperplasia patients?

“…With progression of BPH symptoms, complications that can arise include acute urinary retention (AUR) and chronic urinary retention (CUR), hematuria, recurrent urinary tract infection (UTI), urinary tract stone, features of bladder decompensation (diverticula, decreased contractility, hypertrophy), and obstructive nephropathy 1 . The most common complication of BPH is postvoid residual (PVR) 10 . As failure of medical treatment will lead to worsening of symptoms and development of complications, 11 one of the goals of initial evaluation of BPH patients would be to identify patients who are at risk of rapid progression of symptoms and also those that may progress rapidly to develop complications of BPH (as those patients may need surgical therapy early on) 1 …”