? I feel the complaints due to prostate disorders in the year 2002. Complaints such as frequent urination and was not completed when urinating, it is the desire to urinate again but the urine did not come out,? Zainudin said. The man who is now 65-year-old added that the complaint lasted for 2 years.
Zainudin also finally checked out and diagnosed by a doctor infected benign prostatic hyperplasia (BPH) or commonly known as benign prostate enlargement (RPM). Older men (more than 55 years) had to be alert to the risk of RPM.
RPM patients will experience clinical symptoms are very annoying urinary tract obstruction or the bottom of the Lower Urinary Tract Symptoms (LUTS), which are divided into symptoms of a blockage (obstruction) and irritation.
Obstruction, among others, weakening to pee stream can not urinate at all, urination should straining, urinary discontinuous, whereas irritation symptoms include frequent urination, urinate at night more than 2 times difficult to hold urine.
According to the data in the United States, more than 50% of men over the age of 45 years and 90% of men aged over 55 years of experience related to prostate problems. Based on autopsy results, RPM 20% occurred in patients 41-50 years, 50% at age 51-60 years and more than 90% at the age of 80 years.
More Information About RPM
Prostate is an organ of the male sex gland located below the bladder. The size about the size of walnut and weighs in normal men approximately 20 grams. The function of the prostate gland itself is a producer of fluid (semen) which keeps the sperm to stay alive.
Causes and risk factors for enlargement of RPM until now still not be known with certainty. However, in general, there are two main factors that caused this, ie age, genetics, race, environment and smoking is a risk factor RPM.
"No need to worry because now there are 3 kinds of treatment that can be done for patients with RPM," said dr. Johan R Wibowo, SpU in educating the media May 31, 2007 at Hotel Le Meridien ago.
First, with drugs while waiting (waiting watchfull) with observations conducted regularly every 3 months. This treatment option is usually performed on patients with minor complaints.
The second, called the treatment of invasive (surgery) for RPM is intended to eliminate or reduce the prostate tissue. The way the operation is known and is often done in Indonesia is by open surgery (open Prostatectomy) or by endoscopy is often referred to TransUrethal Resection of the Prostate (TUR-P).
Finally, a minimal invasive treatment (without surgery), the TUNA therapy, which was introduced in the world since 1994. Through the urinary tract in male genitals, prostate tissue will be injected with a needle and this TUNA equipment will emit low-frequency radio waves that produce heat energy directly into the prostate.
Energy and radio waves to destroy the enlarged prostate to the urethra is open again, so that the urine stream will return normal.medicine which only lasted for about 30 minutes this can be done in a special clinic or hospital.
TUNA Therapy is only a local anesthetic using a jelly that is inserted into the urethra and painkillers, if patients can not be done due to illness anesthesia? Suffered severe illness.
Effective therapy for RPM
Efforts to overcome the RPM being developed in medicine mainly aimed to improve the quality of life of patients. Compared with previously available therapy, minimal invasive technology is developed today is more effective in tackling RPM.
dr. Johan Wibowo, SpU
One of this type of therapy, the TUNA (TransUrethal Needle Ablation), proved effective in reducing symptoms, prostate volume, and improve the quality of life,? said dr. Johan R Wibowo, who completed education SpU surgeon urology UI in 2004.
TUNA minimal invasive technology that has been introduced in Indonesia since 2000 can be given to patients who are dependent on drugs and patients with high risk for surgery, such as history of heart disease, history of operating by-pass heart, a history of stroke and others.
When compared to the three types of treatment in benign prostatic enlargement on the top, TUNA therapy is the most effective treatment because it does not require surgery, is safe for people with heart, lung and stroke, effective, have side-effects is very small, there is no retrogade growth (water semen is not gushing out, but radiating into the urinary bladder), impotence and bedwetting.
Minimal invasive action is intended to be used in the clinic or hospital with treatment and recovery time short (usually only 24 hours after treatment).
Zainudin was then treated with TUNA therapy. After treatment with TUNA, Zainudin had experienced little interference or stinging during urination because of residue or blood clots. However, after the catheterization by the physician problem disappeared.
To avoid the things that are not desirable, dr. Johan R Wibowo, Sp U who practice in hospitals Omni Medical Center advised that a post-TUNA therapy, patients should not lift heavy loads, do not climb stairs and do not push the BAB (bowel movement).
Early Detection RPM
RPM is a natural process that normally occurs in men with age due to the influence of testosterone. RPM can be annoying because it was close to the urinary tract so that pressing the ureter. Unfortunately, RPM can not be prevented. However, dr. Johan Wibowo, who SpU awarded Neurogical Medtronic Asia Pacific Japan, suggested that men over the age of 40 years to do medical check ups for the RPM of Prostate specific antigen (PSA) and Uroflowmetry.