{"id":76756,"date":"2017-03-28T13:02:24","date_gmt":"2017-03-28T13:02:24","guid":{"rendered":"http:\/\/humanitasnet-new.local\/cure\/hiperplazia-benigna-de-prostata-hbp\/"},"modified":"2017-03-28T13:02:24","modified_gmt":"2017-03-28T13:02:24","slug":"hiperplazia-benigna-de-prostata-hbp","status":"publish","type":"cure","link":"https:\/\/humanitas-net.humweb.webiz.team\/ro\/treatments\/hiperplazia-benigna-de-prostata-hbp\/","title":{"rendered":"Hiperplazia benign\u0103 de prostat\u0103 (HBP)"},"content":{"rendered":"<h2 id=\"hiperplazia-benigna-de-prostata-hbp\">Hiperplazia benign\u0103\u00a0de\u00a0prostat\u0103\u00a0(HBP)<\/h2>\n<p>&nbsp;<\/p>\n<p>Termenul de hiperplazie benign\u0103 de prostat\u0103 indic\u0103 un eveniment fiziopatologic al prostatei crescute \u00een dimensiune, ce poate fi conectat la debutul anumitor simptome care afecteaz\u0103 oamenii, \u00een cursul procesului de \u00eemb\u0103tr\u00e2nire.<\/p>\n<p>\u00cen ciuda studiilor intense efectuate \u00een ultimele 5 decenii, cu scopul de a descoperi cauzele cre\u0219terii prostatei, nu exist\u0103 \u00eenc\u0103 nici un raport cuprinz\u0103tor de cauz\u0103 \u0219i efect. Conven\u021bional, este vorba de hiperplazie benign\u0103 de prostat\u0103 (HBP) care indic\u0103 acest proces; \u00eens\u0103 no\u021biunea de benign necesit\u0103 \u00eentotdeauna o confirmare histologic\u0103 (biopsie \u0219i\/sau \u021besut prelevat \u00een timpul interven\u021biei chirurgicale), altfel, termenul ar fi necorespunz\u0103tor \u0219i ar fi mai bine s\u0103 vorbim numai de hiperplazie de prostat\u0103.<\/p>\n<p>Glanda de prostat\u0103 este adjunct la produc\u021bia de cea mai mare parte a fluidului seminal, acoperind astfel un rol deosebit de important \u00een fertilitatea masculin\u0103. Acesta este situat sub vezica urinar\u0103, care este organul ce func\u021bioneaz\u0103 ca un rezervor pentru urin\u0103 \u0219i \u00eenf\u0103\u0219oar\u0103 complet tractul uretral, sau conducta care transport\u0103 urin\u0103 de la vezic\u0103 la exteriorul corpului prin urinare.<\/p>\n<p>La majoritatea popula\u021biei masculine din Vest, de obicei, pornind de la 30-40 de ani, prostata \u00eencepe un proces de cre\u0219tere dimensional\u0103, ca urmare a unei serii de modific\u0103ri hormonale individuale. Cre\u015fterea \u00een dimensiune a glandei prostatei este moderat lent\u0103 \u0219i progreseaz\u0103 odat\u0103 cu avansarea \u00een v\u00e2rst\u0103 a persoanei, uneori ating\u00e2nd volume considerabile: m\u0103rimea unei castane dimensiune tipic\u0103 unui om la o v\u00e2rst\u0103 fraged\u0103, \u00eens\u0103 prostat\u0103 poate cre\u0219te \u00een a\u0219a m\u0103sur\u0103 \u00eenc\u00e2t s\u0103 ajung\u0103 de m\u0103rimea unei mandarine mari.<\/p>\n<h2 id=\"\"><\/h2>\n<h2 id=\"simptome-cum-poti-sa-iti-dai-seama-ca-suferi-de-hipertrofie-de-prostata\">Simptome: Cum po\u021bi s\u0103 \u00ee\u021bi dai seama c\u0103 suferi de hipertrofie de prostat\u0103?<\/h2>\n<p>L\u0103rgirea glandei prostatei este o cauz\u0103 comun\u0103 pentru problemele legate cu golirea vezicii urinare \u0219i \u00een consecin\u021b\u0103, creeaz\u0103 o serie de probleme enervante legate de urinare.<\/p>\n<p>Pute\u021bi avea tulbur\u0103ri iritative, caracterizate prin nevoia de urinare de mai multe ori \u00een timpul nop\u021bii (nicturie), necesitatea de a urin\u0103 mai frecvent, chiar \u0219i \u00een timpul zilei (frecven\u021ba urinar\u0103) sau necesitatea de grab\u0103 de a urina imediat ce sim\u021bi\u021bi primul stimul (mic\u0163iune de urgen\u021b\u0103), cu scurgeri de urin\u0103 ocazionale (incontinen\u021ba).<\/p>\n<p>Pot exista de asemenea interferen\u021be din cauza obstruc\u021biei mecanice reale la urinare (obstructive), cum ar fi ezitare, atunci c\u00e2nd \u00eencepe\u021bi a urina (mai ales diminea\u021ba c\u00e2nd v\u0103 trezi\u021bi), un flux urinar slab sau intermitent (uneori, pacien\u0163ii raporteaz\u0103 c\u0103 ei se tem de umectare a pantofilor \u00een timp urinei!), senza\u021bia de golire incomplet\u0103 a vezicii urinare (\u0219i tensiune abdominal\u0103 consecutiv\u0103), precum \u0219i scurgere enervant\u0103 la sf\u00e2r\u0219itul procesului de urinare.<\/p>\n<h2 id=\"\"><\/h2>\n<h2 id=\"epidemiologia-cat-de-comuna-este-hiperplazia-benigna-de-prostata\">Epidemiologia: C\u00e2t de comun\u0103 este hiperplazia benign\u0103 de prostat\u0103?<\/h2>\n<p>Cu toate c\u0103 procesul de extindere a glandei prostatei afecteaz\u0103 majoritatea oamenilor de peste 40 de ani, manifest\u0103rile sale simptomatice (iritative \u0219i obstructive) sunt stabilite treptat \u00een timp, se manifest\u0103 ini\u021bial inconvenien\u021be ocazionale p\u00e2n\u0103 c\u00e2nd devin probleme plictisitoare, enervante, \u0219i jenante care pot agrava \u00een mod semnificativ calitatea vie\u021bii.<\/p>\n<p>Un important studiu important realizat \u00een SUA a ar\u0103tat c\u0103 prevalen\u021ba hiperplaziei de prostat\u0103 este moderat\u0103 la 17% la b\u0103rba\u021bi \u00eentre v\u00e2rsta cuprins\u0103 \u00eentre 50-59 de ani sunt incluse \u00een aceast\u0103 grup\u0103, 27% \u00eentr-un grup de 60-69 de ani \u0219i 37%, \u00een grupa 70-79 ani.<\/p>\n<p>Studiile europene au ar\u0103tat c\u0103 prevalen\u021ba global\u0103 a hiperplaziei prostatice este de 11,8%, variind de la un minim de 0,8% \u00een anii treizeci la un maxim de 32% \u00een anii \u015faptezeci.<\/p>\n<p>Pe scurt, prevalen\u0163a simptomelor urinare de la moderat la sever, lu\u00e2nd \u00een considerare mai mult de 65.000 de subiec\u021bi analizati \u00een 17 studii interna\u021bionale diferite, realizate \u00een anii nou\u0103zeci &#8211; dou\u0103 mii de b\u0103rba\u021bi, cu o v\u00e2rst\u0103 medie de 65 de ani, par s\u0103 varieze de la 14% la 43% cu o valoare medie ponderat\u0103 a 37% (mai mult de 1 din 3 oameni!!!!).<\/p>\n<h2 id=\"\"><\/h2>\n<h2 id=\"diagnostic-cum-se-diagnosticheaza-hiperplazia-benigna-de-prostata\">Diagnostic: Cum se diagnosticheaz\u0103 hiperplazia benign\u0103 de prostat\u0103?<\/h2>\n<p>\u00cen cele mai multe cazuri, o simpl\u0103 conversa\u021bie cu pacientul (anamnez\u0103) sau concentrat asupra unor \u00eentreb\u0103ri specifice \u0219i a vizitei (examinare rectal\u0103 digital\u0103) sunt suficiente pentru specialist pentru identificarea hiperplaziei de prostat\u0103.<\/p>\n<p>Mai exist\u0103 \u0219i alte teste utile pentru diagnosticul de HBP, cum ar fi PSA de s\u00e2nge (antigen specific prostatei), uroflowmetrie cu evaluarea rezidual\u0103 (pentru a se obiectiviza fluxul urinar \u0219i pentru a verifica orice e\u0219ec de a goli vezica dup\u0103 urinare) \u015fi trans rectal ultrasonografia de prostat\u0103 (pentru a evalua cu precizie volumul prostatei \u00een anticiparea unei posibile interven\u021bii neobstructive).<\/p>\n<h2 id=\"\"><\/h2>\n<h2 id=\"tratamentul-cum-tratezi-hiperplazie-benigna-de-prostata\">Tratamentul: Cum tratezi hiperplazie benign\u0103 de prostat\u0103?<\/h2>\n<p>Tulbur\u0103ri ale c\u0103ilor urinare legate de hiperplazia de prostat\u0103 pot fi adesea tratate cu succes rezonabil, cu diferite tipuri de medicamente. Cu toate c\u0103 \u00een general sunt bine tolerate, ele nu sunt complet lipsite de efecte secundare, cum ar fi sc\u0103derea excesiv\u0103 a tensiunii arteriale (hipotensiune arterial\u0103 ortostatic\u0103), pierderea temporar\u0103 a ejacul\u0103rii la exterior \u0219i urc\u0103rii spermei \u00een vezic\u0103 (ejaculare retrograd\u0103), sc\u0103derea dorin\u021bei sexuale \u0219i alte reac\u021bii adverse mai pu\u021bin frecvente.<\/p>\n<p>Cu toate c\u0103 terapia medical\u0103 are un rol important \u00een tratamentul hiperplaziei de prostat\u0103, atunci c\u00e2nd este vorba de stabilirea unei tulbur\u0103ri reale \u0219i obstruc\u021bie urinar\u0103 ca urmare a extinderii prostatei, medicamentele de obicei sunt insuficiente, iar pacientul poate avea nevoie de o interven\u021bie chirurgical\u0103 neobstructiv\u0103.<\/p>\n<p>Din punct de vedere istoric, tipul de abordare chirurgical\u0103 a fost de a deschide cu o incizie supra pubian\u0103 (adenomectomie). Acesta a fost ulterior \u00eenlocuit\u0103 treptat prin dezvoltarea tehnicilor endoscopice, \u00een care accesul la prostat\u0103 este trans uretral (TURP &#8211; rezec\u021bie trans-uretral\u0103 a prostatei).<\/p>\n<p>\u00cen ultimii ani, tratamentul a evoluat plan interna\u021bional, fiind folosit\u0103 o nou\u0103 tehnic\u0103 endoscopic\u0103 de reducere cu laser a prostatei, inclusiv golmiu numit HoLEP (golmiu laser Excizia prostatei).<\/p>\n","protected":false},"featured_media":0,"template":"","class_list":["post-76756","cure","type-cure","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Hiperplazia benign\u0103 de prostat\u0103 (HBP) - Humanitas.net<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Hiperplazia benign\u0103 de prostat\u0103 (HBP) - Humanitas.net\" \/>\n<meta property=\"og:description\" content=\"Hiperplazia benign\u0103\u00a0de\u00a0prostat\u0103\u00a0(HBP) &nbsp; 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Termenul de hiperplazie benign\u0103 de prostat\u0103 indic\u0103 un eveniment fiziopatologic al prostatei crescute \u00een dimensiune, ce poate fi conectat la debutul anumitor simptome care afecteaz\u0103 oamenii, \u00een cursul procesului de \u00eemb\u0103tr\u00e2nire. \u00cen ciuda studiilor intense efectuate \u00een ultimele 5 decenii, cu scopul de a descoperi cauzele cre\u0219terii prostatei, nu exist\u0103 \u00eenc\u0103 nici [&hellip;]","og_url":"https:\/\/humanitas-net.humweb.webiz.team\/treatments\/benign-prostatic-hyperplasia-bph\/","og_site_name":"Humanitas.net","article_publisher":"https:\/\/www.facebook.com\/HumanitasInternational\/","twitter_card":"summary_large_image","twitter_site":"@humanitasmilano","twitter_misc":{"Est. reading time":"5 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/humanitas-net.humweb.webiz.team\/treatments\/benign-prostatic-hyperplasia-bph\/","url":"https:\/\/humanitas-net.humweb.webiz.team\/treatments\/benign-prostatic-hyperplasia-bph\/","name":"Hiperplazia benign\u0103 de prostat\u0103 (HBP) - Humanitas.net","isPartOf":{"@id":"https:\/\/humanitas-net.humweb.webiz.team\/#website"},"datePublished":"2017-03-28T13:02:24+00:00","dateModified":"2017-03-28T13:02:24+00:00","breadcrumb":{"@id":"https:\/\/humanitas-net.humweb.webiz.team\/treatments\/benign-prostatic-hyperplasia-bph\/#breadcrumb"},"inLanguage":"ro-RO","potentialAction":[{"@type":"ReadAction","target":["https:\/\/humanitas-net.humweb.webiz.team\/treatments\/benign-prostatic-hyperplasia-bph\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/humanitas-net.humweb.webiz.team\/treatments\/benign-prostatic-hyperplasia-bph\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/humanitas-net.humweb.webiz.team\/ro\/"},{"@type":"ListItem","position":2,"name":"Trattamenti","item":"https:\/\/humanitas-net.humweb.webiz.team\/cure\/"},{"@type":"ListItem","position":3,"name":"Hiperplazia benign\u0103 de prostat\u0103 (HBP)"}]},{"@type":"WebSite","@id":"https:\/\/humanitas-net.humweb.webiz.team\/#website","url":"https:\/\/humanitas-net.humweb.webiz.team\/","name":"Humanitas.net","description":"Humanitas Hospital","publisher":{"@id":"https:\/\/humanitas-net.humweb.webiz.team\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/humanitas-net.humweb.webiz.team\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"ro-RO"},{"@type":"Organization","@id":"https:\/\/humanitas-net.humweb.webiz.team\/#organization","name":"Humanitas","url":"https:\/\/humanitas-net.humweb.webiz.team\/","logo":{"@type":"ImageObject","inLanguage":"ro-RO","@id":"https:\/\/humanitas-net.humweb.webiz.team\/#\/schema\/logo\/image\/","url":"https:\/\/humanitas-net.humweb.webiz.team\/wp-content\/uploads\/2025\/01\/new-humanitas-logo-1.svg","contentUrl":"https:\/\/humanitas-net.humweb.webiz.team\/wp-content\/uploads\/2025\/01\/new-humanitas-logo-1.svg","width":1,"height":1,"caption":"Humanitas"},"image":{"@id":"https:\/\/humanitas-net.humweb.webiz.team\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/HumanitasInternational\/","https:\/\/x.com\/humanitasmilano"]}]}},"acf":[],"_links":{"self":[{"href":"https:\/\/humanitas-net.humweb.webiz.team\/ro\/wp-json\/wp\/v2\/cure\/76756","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/humanitas-net.humweb.webiz.team\/ro\/wp-json\/wp\/v2\/cure"}],"about":[{"href":"https:\/\/humanitas-net.humweb.webiz.team\/ro\/wp-json\/wp\/v2\/types\/cure"}],"wp:attachment":[{"href":"https:\/\/humanitas-net.humweb.webiz.team\/ro\/wp-json\/wp\/v2\/media?parent=76756"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}