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La seule contre-indication à l’utilisation des alpha-bloquants est l’hypotension.</p><p style=\"text-align:justify;\"> Alpha-bloquants pour le traitement d’une hypertrophie de la prostate :</p><ul><li> l'alfuzosine (Uroxatral);</li><li> doxazosine (Cardura);</li><li> silodosine (Rapaflo);</li><li> la tamsulosine (Flomax);</li><li> térazosine (Hytrin).</li></ul><h4 style=\"text-align:center;\"> Inhibiteurs de la 5-Alpha Réductase</h4><p style=\"text-align:justify;\"> Les inhibiteurs d'enzymes ou inhibiteurs de la 5-alpha réductase sont des protéines qui ralentissent les processus métaboliques et réduisent le niveau d'hormones qui provoquent une hypertrophie de la prostate. Les inhibiteurs enzymatiques réduisent également le taux de PSA dans le sang.</p><p style=\"text-align:justify;\"> Les spécialistes prescrivent 2 principaux inhibiteurs enzymatiques pour le traitement de l’HBP :</p><ul><li> dutastéride (Avodart);</li><li> finastéride (Proscar).</li></ul><h4 style=\"text-align:center;\"> Thérapie combinée</h4><p style=\"text-align:justify;\"> La thérapie combinée est un mélange d'alpha-bloquant et d'inhibiteur de la 5-alpha réductase. L'association de médicaments est utilisée uniquement en cas de progression de l'HBP. Les spécialistes prescrivent cette méthode de traitement lorsque l'alpha-bloquant ne suffit pas à guérir l'hypertrophie de la prostate.</p><h3> Thérapie mini-invasive</h3><h4 style=\"text-align:center;\"> TUMT pour le traitement de l'hypertrophie de la prostate</h4><p style=\"text-align:justify;\"> La thermothérapie transurétrale par micro-ondes (TUMT) est une procédure mini-invasive basée sur la destruction du tissu prostatique par la chaleur. TUMT ne traite pas l’hypertrophie de la prostate, mais réduit les symptômes urinaires causés par l’HBP.</p><h4 style=\"text-align:center;\"> Traitement AU THON</h4><p style=\"text-align:justify;\"> L'ablation transurétrale à l'aiguille est utilisée pour traiter les symptômes de l'hyperplasie bénigne de la prostate. La procédure TUNA est réalisée à l'aide d'ondes radio transmises par des aiguilles. L’énergie des radiofréquences affecte et détruit le tissu prostatique. La sensation de brûlure est le seul effet secondaire possible après TUNA.</p><h3> Interventions chirurgicales</h3><h4 style=\"text-align:center;\"> Résection transurétrale de la prostate</h4><p style=\"text-align:justify;\"> La résection transurétrale de la prostate (TURP) est le type de chirurgie le plus courant pour l'hyperplasie bénigne de la prostate, selon le <a href=\"//www.niddk.nih.gov/health-information/urologic-diseases/prostate-problems/prostate-enlargement-benign-prostatic-hyperplasia\"><strong>National Institute of Health</strong></a> . La procédure est utilisée pour traiter le blocage de l’urètre. Le risque le plus courant pouvant survenir après une RTUP est le saignement.</p><h4 style=\"text-align:center;\"> Chirurgie au laser</h4><p style=\"text-align:justify;\"> La chirurgie au laser consiste à détruire le tissu prostatique à l'aide d'un laser à haute énergie. Pour effectuer une intervention chirurgicale au laser, un spécialiste utilise un cystoscope, qui fait passer une fibre laser à travers l'urètre jusqu'à la prostate. La chirurgie au laser exclut presque tout risque de saignement. Cependant, ce type de chirurgie n’est pas efficace pour le traitement d’une hypertrophie de la prostate.</p><h4 style=\"text-align:center;\"> Prostatectomie</h4><p style=\"text-align:justify;\"> <a href=\"//bookimed.com/clinics/procedure=prostatectomy/\"><strong>La prostatectomie</strong></a> consiste à pratiquer une incision pour atteindre la prostate. Un urologue peut retirer la totalité ou une partie seulement de la prostate. La prostatectomie est utilisée dans les cas où la prostate est volumineuse, lorsqu'un patient présente des complications ou lorsque la vessie est endommagée.</p></div>"},"guide_mc":{"text":"<p>Arrivée</p><ul><li> Transfert à la clinique ou à l'hôtel depuis l'aéroport.</li><li> Hébergement dans une chambre d'hôtel ou de clinique confortable.</li><li> Première consultation et formalités administratives avec la clinique.</li></ul><p> Diagnostique</p><ul><li> Test sanguin d'antigène spécifique de la prostate (PSA) pour les problèmes de prostate.</li><li> Examen rectal numérique (DRE) pour évaluer la taille de la prostate.</li><li> Analyse d'urine pour vérifier une infection ou d'autres problèmes urinaires.</li><li> Échographie et biopsie si nécessaire pour confirmer le diagnostic.</li></ul><p> Élaboration d'un plan de traitement</p><ul><li> Discussion des symptômes, des antécédents médicaux et des résultats du diagnostic avec l'urologue.</li><li> Création d'un plan de traitement personnalisé basé sur les résultats.</li></ul><p> Traitement</p><ul><li> Thérapie médicamenteuse pour rétrécir la prostate ou détendre les muscles.</li><li> Procédures mini-invasives, comme la RTUP ou la thérapie au laser.</li><li> Chirurgie de la prostate sous anesthésie générale ou rachidienne si nécessaire.</li></ul><p> Suivi</p><ul><li> Consultations post-traitement régulières pour suivre la guérison.</li><li> Tests PSA continus et DRE pour vérifier l’état de la prostate.</li></ul><p> Réhabilitation</p><ul><li> Soins postopératoires, y compris gestion de la douleur et soin des plaies.</li><li> Conseils sur les changements de mode de vie pour améliorer la santé urinaire.</li></ul><p> <i>Veuillez noter que seul un médecin peut déterminer un plan de diagnostic et de traitement en fonction des caractéristiques individuelles. Autres options de traitement possibles : embolisation de l'artère prostatique, lifting urétral prostatique et thérapie à la vapeur d'eau.</i></p>"}}},"articles":[{"id":"fr:how-much-does-adenoma-benign-prostatic-hyperplasia-treatment-cost","name":"Combien coûte le traitement de l’adénome (hyperplasie bénigne de la 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