Sunday, September 20, 2015

Important Aspects On Prostate Health You Need To Know

By Daphne Bowen


The prostate is an important gland to reproduction. This gland produces secretions that nourish the sperm cells and make the pH of seminal fluid optimal for survival of these cells. Unfortunately, the gland is prone to many diseases that range from, inflammatory conditions to infections to tumors. The risk increases as we grow older. It is important to learn about these conditions that affect prostate health if you are to handle them effectively.

Prostatitis is one of the common conditions that affect the gland. It is a condition in which the gland is inflamed for one reason or another. Bacterial infections are the most frequent cause but in some cases no organism has been isolated in urine specimens. In the severe forms of the condition, intravenous drugs are needed. These include intravenous metronidazole and ceftriaxone. The less severe cases will usually respond to oral medication such as oral metronidazole, ciprofloxacin and doxycycline.

Prostatic cancer and benign prostatic enlargement (or simply, BPE) are some of the major causes of hospital visits among men aged 40 to 70 years. In the early stages, it is quite challenging to differentiate the two on clinical assessment only. Only histological examination of biopsy specimens would do that. Predisposing factors include, among others, prolonged use of alcohol, smoking and a positive family history. Being less invasive, BPE tends to have better prognosis after treatment.

The early cancer symptoms are mainly related to voiding of urine. Patients will typically complain of having urgency, frequency of urination, a weak stream and a feeling of incomplete bladder emptying. These are the same symptoms seen with BPE. As the condition progresses, other organs in close proximity such as the bladder and the rectum are affected. Involvement of the rectum leads to frequent bouts of constipation.

The spine and the pelvic bone are the common distant metastatic sites and these will result in severe bone pain. Severe disease causes paraplegia and patients will more often than not be confined to wheelchairs for their entire lives. Radiological images are needed to determine whether or not there is bone involvement.

While it is not possible to prevent either the cancer or BPE, a lot can be done in the area of early detection. This will in turn help to start early treatment and to prevent adverse outcomes. All men at risk (between the ages of forty and above and those with a positive family history), should strive to have at least one medical checkup annually.

During the follow up, the doctor will ask questions relating to your voiding habits. He will seek to establish whether you are passing urine more frequently, whether or not you have noticed some blood in the urine, presence or absence of pain and so on. It is therefore mandatory to ensure that you keep track of all these voiding habits. You will then be subjected to a physical exam that will include a digital rectal examination to establish the size of the organ.

Investigations that are important include ultrasound examination and determination of the PSA enzyme levels. A modest rise in the level of this enzyme is suggestive of benign prostatic enlargement. Very high levels are in keeping with prostatic cancer. Based on the findings after the physical, the imaging studies and the PSA levels, the doctor will either prescribe some drugs or will advise you on the need for surgery




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