Prostate Center Paris

Prostate adenoma: urinary and sexual disorders

Benign prostatic hyperplasia is a non-cancerous condition characterized by an enlarged gland. It's the most common benign tumor in men over fifty, affecting one in two at that age.

Adenoma of the prostate

Prostate adenoma or benign prostatic hyperplasia (HPB) is a common pathology in men over the age of 50.

The prostate is a gland located under the bladder, which only men have. The urethra (the channel through which urine flows from the bladder to the urinary meatus) passes through the prostate. With age, the prostate will increase in volume; this hypertrophy is often the cause of urinary disorders affecting quality of life.

When the prostate develops, the urethra is compressed. The main symptoms of a prostate adenoma are urinary and are due to the compression of the urethra by the adenoma. The reduction in urethral diameter impedes bladder emptying.

Benign prostatic hyperplasia leads to obstruction of the bladder base and urethra, which is the cause of all clinical signs, especially urinary disorders.

There are two types of urinary disorders:

  • obstructive signs associated with urethral engorgement;
  • irritative signs linked to bladder pain caused by engorgement.

On the one hand, urinary disorders manifest themselves in two distinct forms ; On the one hand, obstructive signs trace their origins to urethral engorgement, creating an impeded dynamic in the evacuation process. This manifestation takes the form of a physical impediment to the normal flow of urine, highlighting the complexity of disturbed urinary mechanisms.

On the other hand, irritative signs emerge from bladder distress, a direct consequence of previous engorgement. This aspect of urinary disorders highlights the distress inflicted on the bladder, underlining the duality of symptoms. The whole clinical picture is like a subtle score where obstructive and irritative notes intermingle, creating a pathological symphony.

This complex semantic pattern reveals the delicate interplay between the anatomical and functional components of the disturbed urinary system. A thorough analysis is important to understand the symptoms and help treat these disorders.

Prostate adenoma

Causes and complications of this condition

Prostate adenoma, also known as benign prostatic hyperplasia (BPH), remains a significant medical problem, especially in older men.

The exact reasons for this condition remain partly mysterious. However, medical experts agree that hormonal changes associated with male aging are probably the cause. This increase in prostate size, which affects more than 30 % of men over 50, is not cancerous. It causes various symptoms and has consequences for urological health.

Complications associated with prostate adenoma extend beyond its structural impact. The presence of blood in the urine, called hematuria, can be one of the worrying signs.

In addition, men with this condition are at risk of frequent urinary tract infections, which makes managing their health more complicated.

Bladder damage, a potential consequence of hypertrophy, adds a further dimension to the medical challenges posed by this pathology.

Kidney problems and bladder stones are more common with prostate adenoma. It's important to take care of your health.

In addition, urinary retention may be observed, disrupting the evacuation of urine. This makes the symptoms and complications of this common but sometimes overlooked condition more complex.

Prostate adenoma is not always linked to cancer, but it can affect men's quality of life and health. So it's important to understand and manage this medical condition proactively.

Benign prostatic hyperplasia and prostatitis: Not to be confused

Benign prostatic hyperplasia (BPH) and prostatitis are two distinct disorders of the prostate. Here's a brief distinction between the two:

Benign prostatic hyperplasia (BPH): BPH is a common condition in older men. It is characterized by a non-cancerous increase in the size of the prostate gland, which can lead to symptoms such as urinary problems. Typical symptoms of BPH include increased urinary frequency, difficulty starting and stopping urination, weak urine flow, and a feeling of incomplete bladder emptying.

Prostatitis : Prostatitis, on the other hand, is an inflammation of the prostate that can occur at any age. It can be caused by bacterial or non-bacterial infection. Symptoms of prostatitis include pain or burning during urination, pain in the pelvic area, ejaculation problems and sometimes fever.

It's important to note that while these two conditions may present similar symptoms, they have different causes and require distinct treatment approaches. If you're experiencing prostate-related symptoms, it's crucial to consult a healthcare professional for an accurate diagnosis and appropriate treatment plan.

What is prostate embolization?

L'prostate artery embolizationan emerging medical procedure, represents a significant advance in the field of urology. This innovative procedure is designed to treat benign prostatic hypertrophy, a common condition among aging men. Considered a non-surgical alternative to conventional methods, prostate embolization stands out for its minimally invasive approach.

During this procedure, small particles are injected into the arteries of the prostate. This reduces blood flow and shrinks the gland.

The aim is to reduce the troublesome symptoms of this condition, such as problems urinating and frequent urinary tract infections.

Prostate embolization is becoming increasingly popular as it enables a faster recovery and reduces the risks of surgery. This innovative treatment combines medical technology and personalized medicine to offer patients a treatment option tailored to their needs.

Clinical studies show that this technique is effective in improving the quality of life of men with benign prostatic hyperplasia.


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Prostate adenoma - symptoms

"Urinary symptoms associated with prostate enlargement are very common in men over the age of 60. They affect almost one man in two, and treatment is not without risk."

How can you guarantee the success of a minimally invasive procedure to remove prostate adenoma?

Arterial anatomy is a key element in the design of a prostatic artery embolization. Knowledge of arterial anatomy enables us to anticipate obstacles and prevent potential complications associated with off-target embolization. Off-target embolization may involve the bladder, rectum or corpora cavernosa. In practice, there are very few complications.

In fact, we perform a preoperative CT scan to map the vascular arterial network of the prostate. This enables us to determine in advance the route to be followed during the embolization procedure.