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Prostate adenoma

How to understand your disease of aging: ageless man

Dangerous medical treatment for prostate adenoma

Management of androgen's pool as the treatment for prostate adenoma

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Adénome de la prostate shéma

                                                                           A                          B                                C

Fig.  A Prostate is not a gland.  

It is a muscular structure surrounding the portion of the urethra between the bladder neck and the sphincter (A)

in which glands are more or less developed depending on the person.


Fig.  B Hypertrophy of some glands may lead to the formation of a benign tumor or malignant obstruction, which compresses the posterior urethra and the prostate muscle. The bladder responds to clear this hurdle by myocardial hypertrophy first. The bladder capacity is then reduced, causing frequent urination.


Fig.  C With time, the bladder muscle weakens. The large flaccid bladder is unable to empty.

The evolution from a hypertrophic bladder to a flat bladder is faster or slower, depending on the obstacle. A significant narrowing of the prostate urethra can quickly generate a large atonic bladder, even in the newborn, who presents considerable fibrosis of the prostate. In contrast, fibrosis of the prostate muscle, if it is not too important, may produce a low resistance and an obstacle for urination. If this resistance is low, it will take several years to change a hypertonic bladder to hypotonic one.

The cause of benign prostatic hyperplasia is generally related to hormonal imbalance. The secretion of sex hormones is disrupted. The abnormalities affect testosterone, dihydrotestosterone, estradiol,  pituitary hormones, and local growth factors. The hormonal monitoring and the appropriate hormonal treatment help the more often to stabilize or to reduce the adenoma avoiding surgery.

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