{"id":7246,"date":"2025-03-25T14:13:00","date_gmt":"2025-03-25T17:13:00","guid":{"rendered":"https:\/\/tiaguiar.com\/?p=7246"},"modified":"2025-03-25T14:58:07","modified_gmt":"2025-03-25T17:58:07","slug":"tratamento-da-hbp","status":"publish","type":"post","link":"https:\/\/tiaguiar.com\/index.php\/2025\/03\/25\/tratamento-da-hbp\/","title":{"rendered":"Tratamento da HBP &#8211; o aumento da pr\u00f3stata"},"content":{"rendered":"\n<p>O tratamento da HBP &#8211; Hiperplasia Benigna de Pr\u00f3stata &#8211; \u00e9 o tema agora. Lembro que a HBP \u00e9 frequente no sexo masculino e pode acometer at\u00e9 75% dos homens acima dos 70 anos. Contudo, o crescimento da pr\u00f3stata n\u00e3o necessariamente levar\u00e1 ao aparecimento de sintomas, os chamados LUTS. Quando eles ocorrem devem ser investigados, conforme publica\u00e7\u00e3o: <a href=\"https:\/\/tiaguiar.com\/index.php\/2020\/04\/21\/abordagem-da-hbp\/\">Abordagem da HBP no consult\u00f3rio.<\/a><br>Acrescento ainda que nem sempre os sintomas do trato urin\u00e1rio inferior s\u00e3o secund\u00e1rios \u00e0 HBP. Condi\u00e7\u00f5es como c\u00e1lculos ureterais distais, estenose de uretra, tumores vesicais, bexiga hiperativa, hipocontratilidade detrusora, s\u00edndrome da dor p\u00e9lvica cr\u00f4nica, bexiga neurog\u00eanica, infec\u00e7\u00f5es urin\u00e1rias e corpos estranhos tamb\u00e9m levam aos LUTS. Em resumo, HBP nem sempre leva a sintomas e os LUTS n\u00e3o necessariamente s\u00e3o devidos \u00e0 HBP.<\/p>\n\n\n\n<figure class=\"wp-block-embed-youtube wp-block-embed is-type-video is-provider-youtube wp-embed-aspect-4-3 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"HBP\" width=\"750\" height=\"563\" src=\"https:\/\/www.youtube.com\/embed\/UbtAQ-yma34?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<p><br>Portanto, o paciente com queixa de LUTS deve passar por uma avalia\u00e7\u00e3o com o urologista. Se ele associa os sintomas urin\u00e1rios \u00e0 HBP, ent\u00e3o o tratamento est\u00e1 indicado. A terap\u00eautica da Hiperplasia Benigna da Pr\u00f3stata contempla medidas comportamentais, medica\u00e7\u00f5es e em algumas situa\u00e7\u00f5es cirurgias. Este post ser\u00e1 dedicado \u00e0s medidas comportamentais e \u00e0s medica\u00e7\u00f5es. O tratamento cir\u00fargico ser\u00e1 abordado futuramente.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Tratamento da HBP \u2013 Medidas de Comportamento<\/h2>\n\n\n\n<p>Um dos sintomas que pode incomodar bastante \u00e9 a frequ\u00eancia aumentada para ir ao banheiro mictar. Assim sendo, diminuir a ingesta de l\u00edquidos nos momentos em que esse sintoma \u00e9 mais inconveniente pode ajudar. Por exemplo, quando vai a lugares p\u00fablicos ou no per\u00edodo noturno. Ali\u00e1s, acordar muitas vezes \u00e0 noite para urinar impacta de maneira substancial a qualidade de vida, al\u00e9m de aumentar o risco de acidentes como quedas, sobretudo em idosos. Ressalto ainda que \u00e1lcool e cafe\u00edna podem ter efeitos diur\u00e9ticos e irritativos e assim aumentar o volume e frequ\u00eancia das mic\u00e7\u00f5es.<\/p>\n\n\n\n<p>A t\u00e9cnica de mic\u00e7\u00e3o dupla pode ajudar tamb\u00e9m. O procedimento consiste em tentar urinar novamente, ap\u00f3s 20-30 segundos do t\u00e9rmino do primeiro jato e, dessa maneira, esvaziar de forma mais completa a bexiga. Ademais, balan\u00e7ar o p\u00eanis e ordenh\u00e1-lo ap\u00f3s a mic\u00e7\u00e3o, pode evitar aqueles \u201cpinguinhos\u201d que sujam a cueca.<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"480\" height=\"360\" src=\"https:\/\/tiaguiar.com\/wp-content\/uploads\/2021\/03\/prostata.jpeg\" alt=\"tratamento da hbp\" class=\"wp-image-7258\" srcset=\"https:\/\/tiaguiar.com\/wp-content\/uploads\/2021\/03\/prostata.jpeg 480w, https:\/\/tiaguiar.com\/wp-content\/uploads\/2021\/03\/prostata-300x225.jpeg 300w\" sizes=\"auto, (max-width: 480px) 100vw, 480px\" \/><\/figure><\/div>\n\n\n\n<p>Outros m\u00e9todos tamb\u00e9m s\u00e3o descritos e podem ajudar:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Treinamento vesical: adiar um pouco a mic\u00e7\u00e3o quando o desejo aparece para assim, aumentar a capacidade vesical<\/li><li>T\u00e9cnicas de distra\u00e7\u00e3o, para levar a mente a esquecer o desejo de urinar.<\/li><li>Exerc\u00edcios de respira\u00e7\u00e3o<\/li><li>Press\u00e3o Perineal<\/li><\/ul>\n\n\n\n<p>Muitos pacientes com LUTS fazem uso de medica\u00e7\u00f5es para outros problemas de sa\u00fade e elas podem ter impacto em seus sintomas. Portanto, a otimiza\u00e7\u00e3o ou substitui\u00e7\u00e3o de algumas medica\u00e7\u00f5es podem auxiliar no controle dos sintomas da HBP. Nesse sentido, diur\u00e9ticos, por exemplo, se puderem ser trocados por outras classes de medica\u00e7\u00e3o pode ser de grande valia.<\/p>\n\n\n\n<p>Por \u00faltimo lembro que alguns pacientes podem carecer de destreza ou mobilidade, ou ainda encontrarem-se em condi\u00e7\u00f5es mentais que requeiram assist\u00eancia de outras pessoas. Prover esse aux\u00edlio pode melhorar a qualidade de vida.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Tratamento da HBP \u2013 Medica\u00e7\u00f5es<\/h2>\n\n\n\n<p>Primeiramente resgatarei o que escrevi no post <a href=\"https:\/\/tiaguiar.com\/index.php\/2019\/09\/24\/hiperplasia-benigna-da-prostata\/\">Hiperplasia Benigna da Pr\u00f3stata \u2013 HBP<\/a>: a pr\u00f3stata possui fun\u00e7\u00f5es de auxiliar na contin\u00eancia urin\u00e1ria, contrair para auxiliar a ejacula\u00e7\u00e3o e produzir parte do s\u00eamen. Dessa forma, ela \u00e9 constitu\u00edda de musculatura e gl\u00e2ndulas. A partir dessas informa\u00e7\u00f5es, vamos entender alguns tratamentos.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Os \u03b1-bloqueadores<\/h3>\n\n\n\n<p>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 A partir do conhecimento de que parte da pr\u00f3stata \u00e9 constitu\u00edda por musculatura, faz sentido a utiliza\u00e7\u00e3o de uma droga que relaxe esse m\u00fasculo e assim deixe a urina fluir com maior facilidade. Desse modo os \u03b1-bloqueadores ajudam no al\u00edvio dos LUTS em pacientes com aumento da pr\u00f3stata. A tansulosina e a doxazosina s\u00e3o decerto os medicamentos mais utilizados. Alguns efeitos colaterais que podem ocorrer com essas medica\u00e7\u00f5es s\u00e3o epis\u00f3dios de hipotens\u00e3o e ejacula\u00e7\u00e3o retr\u00f3grada.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Os Inibidores da 5\u03b1-redutase<\/h3>\n\n\n\n<p>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Diferentemente dos \u03b1-bloqueadores, os Inibidores da 5\u03b1-redutase atuam na por\u00e7\u00e3o glandular da pr\u00f3stata. O mecanismo de a\u00e7\u00e3o \u00e9 inibir o crescimento das gl\u00e2ndulas e assim, a longo prazo, diminuir ou evitar o crescimento da pr\u00f3stata. As medica\u00e7\u00f5es mais aplicadas na pr\u00e1tica cl\u00ednica s\u00e3o a dutasterida e a finasterida. Assim como os \u03b1-bloqueadores elas tamb\u00e9m podem levar a efeitos adversos, entre eles disfun\u00e7\u00e3o er\u00e9til e ginecomastia (aumento do tecido mam\u00e1rio).<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Terapia Combinada<\/h3>\n\n\n\n<p>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Por que n\u00e3o ter os dois mecanismos de a\u00e7\u00e3o em uma \u00fanica apresenta\u00e7\u00e3o de medica\u00e7\u00e3o? A terapia combinada, geralmente Doxazosina e Finasterida ou Tansulosina e Dutasterida est\u00e3o dispon\u00edveis para uso cl\u00ednico e apresentam algumas vantagens. A longo prazo, as combina\u00e7\u00f5es mostraram-se mais eficazes em prevenir desfechos indesej\u00e1veis com o tratamento, como reten\u00e7\u00e3o urin\u00e1ria aguda ou necessidade de tratamento cir\u00fargico. Entretanto, ressalto que existem crit\u00e9rios para a utiliza\u00e7\u00e3o da terapia combinada e o urologista determinar\u00e1 se ela est\u00e1 indicada em cada caso.<\/p>\n\n\n\n<figure class=\"wp-block-embed-youtube wp-block-embed is-type-video is-provider-youtube wp-embed-aspect-4-3 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Combinado\" width=\"750\" height=\"563\" src=\"https:\/\/www.youtube.com\/embed\/Aj5Z5aBg6pc?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">Inibidores da 5-fosfodiesterase<\/h3>\n\n\n\n<p>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Essas medica\u00e7\u00f5es t\u00eam grande uso para o urologista no tratamento da disfun\u00e7\u00e3o er\u00e9til. Como comentei no texto \u2013 <a href=\"https:\/\/tiaguiar.com\/index.php\/2019\/07\/30\/impotencia-medicacoes-e-cirurgias\/\">Impot\u00eancia: medica\u00e7\u00f5es e cirurgias<\/a>, os inibidores da fosfodiesterase tipo 5 dilatam as art\u00e9rias que levam sangue para o p\u00eanis e assim facilitam as ere\u00e7\u00f5es. A maneira como ela atua leva exatamente ao relaxamento da musculatura lisa das art\u00e9rias, m\u00fasculos tamb\u00e9m presentes na pr\u00f3stata. Por conseguinte, ela promove o relaxamento na pr\u00f3stata semelhantemente aos \u03b1-bloqueadores. Nos pacientes que apresentam impot\u00eancia e sintomas urin\u00e1rios pela HBP, ela pode ajudar em ambos os problemas.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Antimuscar\u00ednicos e Beta-3 agonistas<\/h3>\n\n\n\n<p>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Os sintomas que classificamos como de armazenamento: urg\u00eancia miccional, polaci\u00faria e noct\u00faria, principalmente quando s\u00e3o dominantes, podem ser tratados com outro tipo de medica\u00e7\u00e3o, muitas vezes em associa\u00e7\u00e3o. Essas medica\u00e7\u00f5es atuam n\u00e3o na pr\u00f3stata e sim na bexiga.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"680\" height=\"453\" src=\"https:\/\/tiaguiar.com\/wp-content\/uploads\/2021\/03\/prc3b3stata-gorda.jpeg\" alt=\"tratamento da hbp\" class=\"wp-image-7255\" srcset=\"https:\/\/tiaguiar.com\/wp-content\/uploads\/2021\/03\/prc3b3stata-gorda.jpeg 680w, https:\/\/tiaguiar.com\/wp-content\/uploads\/2021\/03\/prc3b3stata-gorda-300x200.jpeg 300w, https:\/\/tiaguiar.com\/wp-content\/uploads\/2021\/03\/prc3b3stata-gorda-360x240.jpeg 360w, https:\/\/tiaguiar.com\/wp-content\/uploads\/2021\/03\/prc3b3stata-gorda-600x400.jpeg 600w\" sizes=\"auto, (max-width: 680px) 100vw, 680px\" \/><\/figure>\n\n\n\n<p>Como consequ\u00eancia da obstru\u00e7\u00e3o da uretra pela pr\u00f3stata, a bexiga pode tornar-se disfuncional e apresentar o que chamamos de contra\u00e7\u00f5es n\u00e3o inibidas. Dessa forma a bexiga contrai-se sem que o paciente tenha vontade, o que leva aos sintomas. Os antimuscar\u00ednicos, a saber, oxibutinina, solifenacina e darifenacina, assim como os Beta-3 agonistas como a mirabegrona \u201crelaxam\u201d a bexiga e dessa forma inibem essas contra\u00e7\u00f5es. A utiliza\u00e7\u00e3o dessas medica\u00e7\u00f5es tem indica\u00e7\u00f5es mais restritas para o tratamento da Hiperplasia Benigna da Pr\u00f3stata, por\u00e9m est\u00e1 no arsenal do urologista.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Tratamento da HBP &#8211; Quantas op\u00e7\u00f5es!<\/h2>\n\n\n\n<p>Ap\u00f3s a apresenta\u00e7\u00e3o de todas essas possibilidades, espero que voc\u00ea, como paciente ou familiar de algu\u00e9m com aumento prost\u00e1tico, possa discutir com seu urologista sobre as melhores op\u00e7\u00f5es para tratar a pr\u00f3stata. Ainda conversaremos sobre o tratamento cir\u00fargico em uma ocasi\u00e3o futura. Ressalto a import\u00e2ncia do homem procurar o urologista n\u00e3o somente devido ao temor do C\u00e2ncer de Pr\u00f3stata, como tamb\u00e9m para avaliar sua mic\u00e7\u00e3o e se h\u00e1 alternativas para melhorar sua qualidade de vida. O IUP conta com corpo cl\u00ednico competente e humanizado para entender o desconforto do paciente e ajudar da melhor forma poss\u00edvel. Se voc\u00ea possui LUTS, procure o IUP.<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large is-resized\"><a href=\"https:\/\/iup.com.br\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/tiaguiar.com\/wp-content\/uploads\/2019\/06\/iup1.png\" alt=\"consulta\" class=\"wp-image-181\" width=\"118\" height=\"118\" srcset=\"https:\/\/tiaguiar.com\/wp-content\/uploads\/2019\/06\/iup1.png 200w, https:\/\/tiaguiar.com\/wp-content\/uploads\/2019\/06\/iup1-160x160.png 160w, https:\/\/tiaguiar.com\/wp-content\/uploads\/2019\/06\/iup1-150x150.png 150w, https:\/\/tiaguiar.com\/wp-content\/uploads\/2019\/06\/iup1-100x100.png 100w\" sizes=\"auto, (max-width: 118px) 100vw, 118px\" \/><\/a><\/figure><\/div>\n\n\n\n<p><\/p>\n\n\n\n<p><br><br><br><\/p>\n","protected":false},"excerpt":{"rendered":"<p>O tratamento da HBP &#8211; Hiperplasia Benigna de Pr\u00f3stata &#8211; \u00e9 o tema agora. Lembro que a HBP \u00e9 frequente no sexo masculino e pode acometer at\u00e9 75% dos homens acima dos 70 anos. Contudo, o crescimento da pr\u00f3stata n\u00e3o necessariamente levar\u00e1 ao aparecimento de sintomas, os chamados LUTS. Quando [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":7264,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"content-type":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_themeisle_gutenberg_block_has_review":false,"footnotes":""},"categories":[42],"tags":[46,156,157,200,36,199,198,27,7,8],"class_list":["post-7246","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-prostata","tag-bexiga-hiperativa","tag-hiperplasia-benigna-da-prostata","tag-hiperplasia-prostatica-benigna","tag-medicacoes-prostata","tag-prostata","tag-tratamento-da-hiperplasia-benigna-da-prostata","tag-tratamento-da-prostata","tag-urologia","tag-urologista","tag-urologista-piracicaba"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Tratamento da HBP - o aumento da pr\u00f3stata - Urologista - Dr. Tiago Aguiar<\/title>\n<meta name=\"description\" content=\"Como \u00e9 o tratamento da HBP - o aumento benigno da pr\u00f3stata? 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