"Vita Prostate Center" offers the opportunity for diagnosis and treatment of prostate gland. The information presented is available for a wide range of users and provides answers to the most frequently asked questions from patients.
The prostate gland is located in front of the bladder in men. During urination urine passes through the prostate gland. The gland secretes mucus necessary for sperm transfer. Prostate does not secrete hormones. In men over the age of 35 usually begins hyperplasia (reproduction) of the prostate gland, which gradually increases the volume of the prostate. This process is individual and acts differently in each patient. Part of the patients with prostatic enlargement have no complaints or problems with urination. It should be known that the increasing of the prostate does not hide risk of prostate cancer. These two are independent of each other process.
Diagnosis of prostate gland has two main objectives. One goal is to determine the impact of the prostate on urination - difficult or impossible urination. The second goal of diagnosis is to determine whether there is a suspicion of carcinoma (cancer) of the prostate.
When should a patient be diagnosed?
Patients visit urologist most frequently when they have complaints connected with micturition. It is important to know that prostate cancer originates mostly from the peripheral zone of the gland, relatively out of the way of the urine, which does not lead to abnormal urination. Therefore, patients with prostate cancer often have no symptoms and it is usually diagnosed accidentally.
Men need to start visiting urologist when they are around 50 years old. If the father of the patient had proven prostate cancer, the examinations should begin when he is 40 years old.
How to diagnose BPH - popular as prostate adenoma?
The patient makes an appointment with a urologist. The urologist asks questions and listens to the story of the patient ragarding his complaints of micturition and other diseases.
The following examinations are performed:
- Urine sediment to detect infection in urine
- Making venous blood tumor marker prostato specific antigen - PSA. It is advisable to explore the two factions of the PSA - total and free PSA.
- Abdominal ultrasound is performed for general examination of the urinary system - the kidneys, bladder, prostate volume. It is necessary the bladder to be completely filled with urine in order to differentiate its borders and determine the surface of its wall. The patient urinates and the ultrasound of the bladder is performed again for residual urine.
How is prostate cancer diagnosed?
Diagnosis of prostate cancer has two stages - to detect suspected cancer and the second stage - to prove or disprove these doubts. These two stages run like this:
Patient examinates total PSA and preferably free PSA. Urologist performs digital rectal examination of the prostate.
By this method the urologist palpates the prostate and looks for hard, susceptible to cancer prostate sections. This method examines the periphery of the gland, which most often originates cancer. The method is binding and irrevocable. It is independent of PSA values. After performing the two methods - digital rectal examination and PSA, urologist may also apply transrectal ultrasound, if the diagnosis is unclear. .
In suspected prostate cancer patient is to undergo prostate biopsy. Prostate biopsy is the only method to prove prostate gland carcinoma.
The examination of genetic marker PSAZ neither proves nor rejects the diagnosis, and can not replace biopsy.
Prostate biopsy
A biopsy of the prostate is an established and proven method in the world practice. Most often it is performed in the rectum and biopsy needle is inserted through Transrectal transducer - Transrectal true-cut area prostate biopsy. Material from at least six to eight sections of the gland is taken in order to show where the cancer is located – local staging is performed. It is important to note that prostate biopsy is diagnostic and planning should not be done urgently and rushed. Its outcome is the basis for the next stage of diagnosis and choice of treatment for the patient.
In "Vita Prostate Center" is performed prostate biopsy under transrectal ultrasound control following the requirements of modern standards.
Methods of treating prostate in "Vita Prostate Center"
"Vita Prostate Center" has all the classic modern endoscopic techniques for the treatment of prostate diseases.
Surgical treatment of benign prostatic hyperplasia (prostate adenoma)
- Transurethral monopolar resection of the prostate - TUR of the prostate
- Transurethral bipolar resection of the prostate - TURbipo of the prostate
- Transurethral laser incision of the prostate – THULI of the prostate
- Transurethral laser vaporization of the prostate – THULAV of the prostate
- Transurethral laser resection of the prostate – THULAR of the prostate
Surgical treatment of prostate cancer
- Laparoscopic radical prostatectomy - Endoscopic Extraperitoneal Radical Prostatectomy - EERPE
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