{"id":24921,"date":"2023-09-25T07:39:05","date_gmt":"2023-09-25T05:39:05","guid":{"rendered":"https:\/\/new.astrea-apotheke.ch\/?p=24921"},"modified":"2024-12-29T19:05:36","modified_gmt":"2024-12-29T17:05:36","slug":"quand-la-prostate-pose-probleme","status":"publish","type":"post","link":"https:\/\/astrea-apotheke.ch\/fr\/quand-la-prostate-pose-probleme\/","title":{"rendered":"Quand la prostate pose probl\u00e8me"},"content":{"rendered":"

Quand la prostate pose probl\u00e8me<\/h1>\r\n\r\n\r\n

Avec l\u2019\u00e2ge, la prostate se d\u00e9veloppe. Comme elle entoure et appuie sur l\u2019ur\u00e8tre, des probl\u00e8mes de miction peuvent survenir. Les personnes concern\u00e9es doivent consulter et faire examiner leurs sympt\u00f4mes \u00e0 temps.<\/em><\/p>\r\n\r\n\r\n

Text:<\/strong><\/p>

J\u00fcrg Lendenmann<\/a><\/p>

<\/p><\/div><\/div>\r\n\r\n\r\n

\"Patient<\/figure><\/div><\/div>\r\n\r\n\r\n\r\n

La prostate, chez l\u2019homme, est une glande \u00e0 partir de laquelle une s\u00e9cr\u00e9tion se d\u00e9verse dans l\u2019ur\u00e8tre lors de l\u2019\u00e9jaculation. Ce qui, entre autres, rend les spermatozo\u00efdes mobiles. Au cours de la vie, cet organe de la taille d\u2019une ch\u00e2taigne se d\u00e9veloppe. Chez environ la moiti\u00e9 des hommes de 50 ans, une hypertrophie de la prostate peut \u00eatre d\u00e9tect\u00e9e, \u00e0 90 ans, presque tous les hommes sont touch\u00e9s. Une hypertrophie b\u00e9nigne de la prostate est \u00e9galement appel\u00e9e hyperplasie b\u00e9nigne de la prostate (HBP). Outre l\u2019\u00e2ge, les facteurs de risque comprennent un d\u00e9s\u00e9quilibre des hormones testost\u00e9rone et dihydrotestost\u00e9rone (DHT). Des facteurs g\u00e9n\u00e9tiques peuvent \u00e9galement jouer un r\u00f4le.<\/p>\r\n\r\n\r\n\r\n

Divers sympt\u00f4mes<\/h2>\r\n\r\n\r\n\r\n

Comme la prostate entoure l\u2019ur\u00e8tre en dessous de la sortie de la vessie, une glande hypertrophi\u00e9e peut g\u00eaner l\u2019\u00e9coulement de l\u2019urine. Cela peut se manifester par diff\u00e9rents sympt\u00f4mes, tels que des envies d\u2019uriner plus fr\u00e9quentes, des probl\u00e8mes de miction, un jet urinaire faible, des gouttes retardataires, des pertes urinaires nocturnes, et la sensation de ne pas avoir compl\u00e8tement vid\u00e9 sa vessie (urine r\u00e9siduelle). Les personnes concern\u00e9es doivent souvent aller aux toilettes la nuit pour soulager leur besoin d\u2019uriner. En cas de maladie avanc\u00e9e, comme une inflammation de la prostate (prostatite), une r\u00e9tention urinaire peut survenir, emp\u00eachant la vessie de se vider. Les personnes touch\u00e9es doivent imm\u00e9diatement se rendre aux urgences pour qu\u2019une sonde urinaire soit ins\u00e9r\u00e9e dans l\u2019ur\u00e8tre permettant ainsi le drainage de l\u2019urine stagnante. Si ce n\u2019est pas fait, cela peut entra\u00eener une r\u00e9tention urinaire et endommager les reins.<\/p>\r\n\r\n\r\n\r\n

Faire \u00e9tablir un diagnostic<\/h2>\r\n\r\n\r\n\r\n

Il est donc conseill\u00e9 de proc\u00e9der \u00e0 des examens m\u00e9dicaux \u00e0 un stade pr\u00e9coce. Il existe plusieurs m\u00e9thodes pour \u00e9tablir un diagnostic. Celles-ci comprennent le toucher rectal de la prostate, l\u2019\u00e9chographie, l\u2019imagerie par r\u00e9sonance magn\u00e9tique (IRM) et la mesure de l\u2019antig\u00e8ne prostatique sp\u00e9cifique (PSA). Cette substance produite par la prostate est \u00e9galement un marqueur important d\u2019un \u00e9ventuel cancer de la prostate. Selon les r\u00e9sultats, une m\u00e9thode de traitement appropri\u00e9e est choisie et des contr\u00f4les r\u00e9guliers seront effectu\u00e9s \u00e0 la suite.<\/p>\r\n\r\n\r\n\r\n

\r\n
\r\n

On constate une hypertrophie de la prostate
chez la moiti\u00e9 des hommes de 50 ans et \u00e0 90 ans,
presque tous les hommes sont touch\u00e9s..<\/em><\/p>\r\n<\/blockquote>\r\n<\/div><\/div>\r\n\r\n\r\n\r\n

Traitement de l\u2019hypertrophie b\u00e9nigne<\/h2>\r\n\r\n\r\n\r\n

Dans le cas d\u2019une hypertrophie b\u00e9nigne, des produits de phytoth\u00e9rapie tels que les graines de citrouille ou des extraits de palmier nain peuvent \u00eatre utilis\u00e9s pour des sympt\u00f4mes l\u00e9gers. Parmi les m\u00e9dicaments standard rembours\u00e9s par l\u2019assurance maladie figurent ceux contenant des principes actifs qui interf\u00e8rent avec le d\u00e9s\u00e9quilibre hormonal (bloqueurs des r\u00e9cepteurs alpha1 et inhibiteurs de la 5\u03b1-r\u00e9ductase). Si le traitement m\u00e9dicamenteux n\u2019apporte pas le succ\u00e8s escompt\u00e9, diff\u00e9rentes m\u00e9thodes chirurgicales sont disponibles. Une proc\u00e9dure couramment utilis\u00e9e est la r\u00e9section transur\u00e9trale de la prostate (TUR-P), qui consiste \u00e0 retirer des parties de la prostate par l\u2019ur\u00e8tre pour r\u00e9duire la r\u00e9sistance \u00e0 l\u2019\u00e9coulement urinaire.<\/p>\r\n\r\n\r\n\r\n

Croissance maligne<\/h2>\r\n\r\n\r\n\r\n

En Suisse, 7100 hommes d\u00e9veloppent chaque ann\u00e9e un cancer de la prostate, c\u2019est l\u2019un des cancers les plus r\u00e9pandus chez les hommes. Cependant, il n\u2019y a pas de sympt\u00f4mes sp\u00e9cifiques du cancer de la prostate. Des contr\u00f4les r\u00e9guliers \u00e0 partir de l\u2019\u00e2ge de 50 ans sont donc tr\u00e8s importants, car un d\u00e9pistage pr\u00e9coce permet un traitement efficace. Un marqueur non sp\u00e9cifique est la valeur PSA. Si les valeurs sont \u00e9lev\u00e9es, d\u2019autres examens tels qu\u2019une biopsie (pr\u00e9l\u00e8vement d\u2019\u00e9chantillon de tissu) et une IRM sont effectu\u00e9s pour d\u00e9terminer la pr\u00e9sence de cellules canc\u00e9reuses et leur agressivit\u00e9.<\/p>\r\n\r\n\r\n\r\n

Attendre ou op\u00e9rer?<\/h2>\r\n\r\n\r\n\r\n

Le traitement du cancer de la prostate est toujours individuel et d\u00e9pend de divers facteurs tels que le stade et l\u2019agressivit\u00e9 du cancer ainsi que l\u2019\u00e2ge du patient. On peut choisir la surveillance active pour les cancers pris \u00e0 un stade pr\u00e9coce et \u00e0 croissance lente, ou sans croissance. Si l\u2019esp\u00e9rance de vie d\u2019une personne qui n\u2019a pas le cancer est inf\u00e9rieure \u00e0 dix ans, une observation attentive peut \u00eatre justifi\u00e9e.<\/p>\r\n\r\n\r\n\r\n

Cependant, si le cancer est agressif et se d\u00e9veloppe rapidement, une radioth\u00e9rapie ou une ablation chirurgicale de la prostate est envisag\u00e9e. En pr\u00e9sence de m\u00e9tastases, une chimioth\u00e9rapie est utilis\u00e9e. Les chances de gu\u00e9rison sont tr\u00e8s bonnes gr\u00e2ce \u00e0 l\u2019ablation totale de la prostate (prostatectomie). Les \u00e9tudes montrent qu\u2019apr\u00e8s cela 7 hommes sur 10 sont gu\u00e9ris. En particulier si la tumeur peut \u00eatre compl\u00e8tement enlev\u00e9e (r\u00e9section R0), les chances de gu\u00e9rison sont tr\u00e8s \u00e9lev\u00e9es.<\/p>\r\n\r\n\r\n\r\n

De nos jours, une prostatectomie est souvent r\u00e9alis\u00e9e \u00e0 l\u2019aide d\u2019un robot DaVinci, un instrument m\u00e9dical sophistiqu\u00e9. Gr\u00e2ce \u00e0 cette proc\u00e9dure laparoscopique mini-invasive, \u00e9galement connue sous le nom de \u00abchirurgie en trou de serrure\u00bb, d\u2019une part, le temps de gu\u00e9rison est r\u00e9duit, d\u2019autre part, les tissus et les nerfs sains peuvent \u00eatre pr\u00e9serv\u00e9s avec plus de pr\u00e9cision et de douceur.<\/p>\r\n\r\n\r\n\r\n

Malgr\u00e9 l\u2019am\u00e9lioration des proc\u00e9dures chirurgicales, des effets secondaires tels que l\u2019impuissance, l\u2019incontinence urinaire ou des probl\u00e8mes de miction peuvent survenir. Vous trouverez plus d\u2019informations disponibles sur le site web de la Ligue suisse contre le cancer (liguecancer.ch).<\/p>\r\n\r\n\r\n","protected":false},"excerpt":{"rendered":"

Avec l\u2019\u00e2ge, la prostate se d\u00e9veloppe. Comme elle entoure et […]<\/p>\n","protected":false},"author":20,"featured_media":24697,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[782,775],"tags":[],"class_list":["post-24921","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-hommes","category-sante-des-organes"],"acf":[],"yoast_head":"\nQuand la prostate pose probl\u00e8me - Astrea Aptheke<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/astrea-apotheke.ch\/fr\/quand-la-prostate-pose-probleme\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Quand la prostate pose probl\u00e8me - Astrea Aptheke\" \/>\n<meta property=\"og:description\" content=\"Avec l\u2019\u00e2ge, la prostate se d\u00e9veloppe. 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