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La única contraindicación para el uso de bloqueadores alfa es la presión arterial baja.</p><p style=\"text-align:justify;\"> Bloqueadores alfa para el tratamiento de una próstata agrandada:</p><ul><li> alfuzosina (Uroxatral);</li><li> doxazosina (Cardura);</li><li> silodosina (Rapaflo);</li><li> tamsulosina (Flomax);</li><li> terazosina (Hytrin).</li></ul><h4 style=\"text-align:center;\"> Inhibidores de la 5-alfa reductasa</h4><p style=\"text-align:justify;\"> Los inhibidores de enzimas o inhibidores de la 5-alfa reductasa son las proteínas para ralentizar los procesos metabólicos y reducir el nivel de hormonas, lo que provoca el agrandamiento de la próstata. Los inhibidores de enzimas también reducen el nivel de PSA en la sangre.</p><p style=\"text-align:justify;\"> Los especialistas recetan 2 inhibidores enzimáticos principales para el tratamiento de la HPB:</p><ul><li> dutasterida (Avodart);</li><li> finasterida (Proscar).</li></ul><h4 style=\"text-align:center;\"> Terapia de combinación</h4><p style=\"text-align:justify;\"> La terapia combinada es una mezcla de bloqueador alfa con inhibidor de la 5-alfa reductasa. La combinación de medicamentos se usa solo en casos de progresión de la HPB. Los especialistas prescriben este método de terapia cuando el bloqueador alfa no es suficiente para curar el agrandamiento de la próstata.</p><h3> Terapia mínimamente invasiva</h3><h4 style=\"text-align:center;\"> TUMT para el tratamiento de próstata agrandada</h4><p style=\"text-align:justify;\"> La termoterapia transuretral con microondas (TUMT) es un procedimiento mínimamente invasivo basado en la destrucción del tejido prostático con calor. La TUMT no trata el agrandamiento de la próstata, pero reduce los síntomas urinarios causados por la BPH.</p><h4 style=\"text-align:center;\"> Tratamiento de ATÚN</h4><p style=\"text-align:justify;\"> La ablación transuretral con aguja se usa para tratar los síntomas de la hiperplasia prostática benigna. El procedimiento TUNA se realiza con la ayuda de ondas de radio suministradas a través de agujas. La energía de radiofrecuencia afecta y destruye el tejido prostático. La sensación de ardor es el único efecto secundario posible después de TUNA.</p><h3> Procedimientos quirúrgicos</h3><h4 style=\"text-align:center;\"> Resección transuretral de la próstata</h4><p style=\"text-align:justify;\"> La resección transuretral de la próstata (RTUP) es el tipo de cirugía más común para la hiperplasia prostática benigna según el <a href=\"//www.niddk.nih.gov/health-information/urologic-diseases/prostate-problems/prostate-enlargement-benign-prostatic-hyperplasia\"><strong>Instituto Nacional de Salud</strong></a> . El procedimiento se utiliza para tratar la obstrucción de la uretra. El riesgo más común que puede ocurrir después de la RTUP es el sangrado.</p><h4 style=\"text-align:center;\"> Cirugía laser</h4><p style=\"text-align:justify;\"> La cirugía láser consiste en destruir el tejido de la próstata con la ayuda de un láser de alta energía. Para realizar la cirugía con láser, un especialista usa un cistoscopio, que pasa una fibra láser a través de la uretra hasta la próstata. La cirugía con láser casi excluye el riesgo de sangrado. Sin embargo, este tipo de cirugía no es eficaz para el tratamiento de próstatas muy agrandadas.</p><h4 style=\"text-align:center;\"> prostatectomía</h4><p style=\"text-align:justify;\"> La prostatectomía se basa en hacer una incisión para llegar a la <a href=\"//bookimed.com/clinics/procedure=prostatectomy/\"><strong>próstata</strong></a> . Un urólogo puede extirpar toda o solo una parte de la próstata. La prostatectomía se utiliza en los casos en que la próstata es grande, cuando un paciente tiene algunas complicaciones o cuando la vejiga está dañada.</p></div>"},"guide_mc":{"text":"<p>Llegada</p><ul><li> Traslado a la clínica u hotel desde el aeropuerto.</li><li> Alojamiento en cómoda habitación de hotel o clínica.</li><li> Consulta inicial y trámites con la clínica.</li></ul><p> Diagnósticos</p><ul><li> Análisis de sangre del antígeno prostático específico (PSA) para problemas de próstata.</li><li> Examen rectal digital (DRE) para evaluar el tamaño de la próstata.</li><li> Análisis de orina para detectar infecciones u otros problemas urinarios.</li><li> Ecografía y biopsia si es necesario para confirmar el diagnóstico.</li></ul><p> Desarrollo del plan de tratamiento</p><ul><li> Discusión de síntomas, historial médico y resultados de diagnóstico con el urólogo.</li><li> Creación de un plan de tratamiento personalizado en base a los hallazgos.</li></ul><p> Tratamiento</p><ul><li> Terapia con medicamentos para encoger la próstata o relajar los músculos.</li><li> Procedimientos mínimamente invasivos, como TURP o terapia con láser.</li><li> Cirugía de próstata bajo anestesia general o espinal si es necesario.</li></ul><p> Hacer un seguimiento</p><ul><li> Consultas regulares posteriores al tratamiento para monitorear la recuperación.</li><li> Pruebas continuas de PSA y DRE para comprobar el estado de la próstata.</li></ul><p> Rehabilitación</p><ul><li> Cuidado postoperatorio, incluido el manejo del dolor y el cuidado de heridas.</li><li> Orientación sobre cambios en el estilo de vida para mejorar la salud urinaria.</li></ul><p> <i>Tenga en cuenta que solo un médico puede determinar un plan de diagnóstico y tratamiento en función de las características individuales. Otras posibles opciones de tratamiento: embolización de la arteria prostática, elevación de la uretra prostática y terapia con vapor de agua.</i></p>"}}},"articles":[{"id":"es:how-much-does-adenoma-benign-prostatic-hyperplasia-treatment-cost","name":"¿Cuánto cuesta el tratamiento del adenoma (hiperplasia prostática benigna)?","image":{"main":"https://bookimed.s3.eu-central-1.amazonaws.com/_images_without_dir/5bf44480b75ac.jpeg"},"author":{"first_name":"Veronika","last_name":"Kazina","avatar":"https://bookimed.s3.eu-central-1.amazonaws.com/admin/5d2469d42a3f1_b.jpeg"}}],"relations":{"countries":[{"name":"Alemania","alias":"germany","iso_code":"DE"},{"name":"Austria","alias":"austria","iso_code":"AT"},{"name":"Azerbaiyán","alias":"azerbaijan","iso_code":"AZ"},{"name":"China","alias":"china","iso_code":"CN"},{"name":"Chipre","alias":"cyprus","iso_code":"CY"},{"name":"Corea del 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