{"id":5881,"date":"2020-05-12T15:53:01","date_gmt":"2020-05-12T14:53:01","guid":{"rendered":"https:\/\/euromedic.rs\/pregledi\/urologija-urolitijaza-copy\/"},"modified":"2020-10-07T10:49:26","modified_gmt":"2020-10-07T09:49:26","slug":"urologija-terapija-benigne-hiperplazije-prostate-bph","status":"publish","type":"post","link":"https:\/\/euromedic.rs\/pregledi\/specijalisticki-pregledi\/urologija\/urologija-terapija-benigne-hiperplazije-prostate-bph\/","title":{"rendered":"Urologija – Terapija benigne hiperplazije prostate (BPH)"},"content":{"rendered":"

LE\u010cENJE<\/strong> benigne hiperplazije prostate (periuretralnog adenoma) je kompleksno, ali je pristup svakom pacijentu pre svega individualan.<\/span><\/p>\n

Odluku o vrsti tretmana postavljamo na osnovu dobro uzete anamneze (razgovora sa pacijentom), rektalnog pregleda, laboratorijskih analiza (Urin, UK, Azotnih materija, mokra\u0107ne kiseline, KKSL, PSA), Ultrazvu\u010dnog pregleda sa merenjem zaostalog urina,a ponekad i na osnovu endoskopije (uretrocistoskopija) i Urodinamskog ispitivanja (Uroflow i cistometrija).<\/span><\/p>\n

Klini\u010dki BPH se klasi\u010dno deli na tri stadijuma:<\/span><\/p>\n

I stadijum-nestabilni detrusor.<\/span><\/p>\n

II Stadijum-kompenzovani detrusor.<\/span><\/p>\n

III Stadijum-dekompenzovani stadijum.<\/span><\/p>\n

Na osnovu svega navedenog LE\u010cENJE<\/strong>\u00a0mo\u017ee biti: KONZERVATIVNO I HIRUR\u0160KO .<\/span><\/p>\n

U svakom slu\u010daju za odluku koja je vrsta le\u010denja najbolja, pored procene stadijuma bolesti, bitna je i procena bolesnika, njegovog op\u0161teg stanja, motivacije itd.<\/span><\/p>\n

Konzervativno le\u010denje podrazumeva higijensko-dijetetski re\u017eim i uvo\u0111enje nekih lekova, pre svega Alfa blokera (Tamsulosin) i\/ili hormonskih lekova (Finasterid ili Dutasterid).<\/span><\/p>\n

Ukoliko pacijenti ne reaguju, ili vrlo slabo reaguju na prepisanu medikamentoznu terapiju, ili je zapremina prostate preko 70-80 grama (enormno uve\u0107ane prostate), a pacijent spada u grupu pacijenata II ili III stadijuma bolesti, u takvim slu\u010dajevima se predla\u017ee HIRUR\u0160KO RE\u0160AVANJE uve\u0107ane prostate.<\/span><\/p>\n

Nekad je u hirur\u0161kom zbrinjavanju bila dominantna transvezikalna prostatektomija kao na\u010din re\u0161avanja uve\u0107ane prostate klasi\u010dnim hirur\u0161kim putem.<\/span><\/p>\n

Danas se ona retko izvodi, po\u0161to je endoskopski pristup postao \u201czlatni standard\u201d u re\u0161avanju BPH (Benigne hiperplazije prostate).<\/span><\/p>\n

Endoskopske intervencije se izvode kroz prirodne puteve i kanale, pa je samim tim i procenat komplikacija mnogo manji, a postoperativno le\u010denje i le\u017eanje u bolnici svedeno na maksimalno 3-4 dana.<\/span><\/p>\n

U na\u0161oj Euromedik bolnici imamo stru\u010dan i iskusan tim Urologa<\/a> koji RADE SVE VRSTE INTERVENCIJA ZBOG UVE\u0106ANE PROSTATE, na novoj opremi najvi\u0161eg kvaliteta.<\/span><\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

LE\u010cENJE benigne hiperplazije prostate (periuretralnog adenoma) je kompleksno, ali je pristup svakom pacijentu pre svega…<\/p>\n","protected":false},"author":1,"featured_media":5883,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[493],"tags":[270,255],"class_list":["post-5881","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-urologija","tag-hiperplazija-prostate","tag-urologija"],"yoast_head":"\nUrologija - Terapija benigne hiperplazije prostate (BPH)<\/title>\n<meta name=\"description\" content=\"LE\u010cENJE benigne hiperplazije prostate (periuretralnog adenoma) je kompleksno, ali je pristup svakom pacijentu pre svega individualan. 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