Prostate Treatments
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Prostate Treatments
The prostate is a gland that surrounds the outlet of the bladder, just below the urinary bladder, in front of the intestines. The prostate, which is a part of the male reproductive system and whose main task is to produce the fluid that protects the sperm and to keep the sperm in this fluid in a healthy way, prevents urinary incontinence by squeezing the mouth of the bladder.
PROSTATE DISEASES
There are three most common forms of prostate disease. Inflammation of the prostate (prostatitis), a non-cancerous enlargement of the prostate (benign prostatic hyperplasia or BPH), and prostate cancer. A man may experience one or more of these conditions.
WHY DOES THE PROSTATE GROW
In men, the prostate enlarges (double) in early puberty. After the age of 25, the prostate enlarges in all men in different ways. The causes of prostate enlargement are still not fully known today, and it is thought that male hormones (testosterone) and estrogen have a serious role in this growth.
The prostate gland begins to grow in men in their 30s and lasts until the end of life. While prostate enlargement is seen in half of the men over the age of 50, this rate increases to 65% after the age of 60. With the age of 80, the growth rate exceeds 90%. A significant portion of these patients is followed up with medication or surgery.
SYMPTOMS OF PROSTATE PROBLEMS
The prostate gradually enlarges over the years and begins to compress the urinary tract that passes through it. The organ that enables urination is the urinary bladder which has a structure made up of muscles.
Although the prostate compresses the urinary channels, in response to this situation, the muscles of the bladder expand and the bladder begins to contract more strongly. At these stages, the patient may not have any complaints or complaints such as frequent urination due to excessive activity of the urinary bladder, getting up at night to urinate, suddenly feeling the need to go to the toilet and running to the toilet, and sometimes urinary incontinence may occur.
As time passes, the prostate continues to grow and fatigue occurs in the bladder muscles. In this case, the urine flow of the patients slows down, forked urination, dripping during urination, and intermittent urination, after urinating, there is a feeling of the presence of urine still inside. In patients who do not receive treatment, the bladder muscles melt, and the high pressure in the bladder begins to disrupt the kidneys. Even if treatment is taken after this stage, urinary bladder and kidney functions often do not return to their original state.
WHAT IS PROSTATE BIOPSY AND HOW IS IT DONE?
In the “standard prostate biopsy”, the capsule of the prostate (peripheral zone) is divided into 12 regions and a random piece is taken from each region. The ultrasound device cannot distinguish between normal prostate tissue and cancerous tissue, so suspicious areas cannot be targeted for biopsy.
It is hoped that random samples will be taken from different areas of the prostate and tumor tissue will be encountered. These random biopsies sometimes fail to detect cancers that have the potential to progress rapidly. In “new type MR fusion biopsies”, a special prostate MR is taken first. Then, suspicious areas for prostate cancer are determined in MRI and marked digitally.
These images are uploaded to special ultrasound devices and prostate biopsies are taken from the areas pointed out by the MR. Since MR shows very well aggressive cancers, especially those over 0.5 ccs, in the prostate, life-threatening prostate cancers cannot be missed with this method.
