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Some Basics On Prostate Health You Need To Know

By Daphne Bowen


The prostate plays a vital role in reproduction. It produces secretions that alter the PH of seminal fluid as well as providing nourishment for sperm cells. There are a number of important aspects on prostate health that you should know. The organ is affected by a wide range of diseases that include infections, inflammatory conditions and tumors. The prevalence of all these conditions is higher among the older generation.

Prostatitis is a condition that is characterized by low abdominal pains, frequency in urination and painful urination. This condition is commonly caused by bacteria but there are cases in which no organism is isolated. Urine analysis is required to identify the exact organism that is responsible. Commonly used antibiotics include ciprofloxacin, oral metronidazole and doxycycline for simple infections. Intravenous drugs such as ceftriaxone is used in the case of severe infections.

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.

Most of the early symptoms of prostatic cancer are related to voiding of urine. Patients will notice changes in the frequency of urination, there will also be urgency, dribbling, a weak stream of urine and a feeling of incomplete bladder emptying. These symptoms are also seen among patients suffering from BPE. As the cancer continues to advance, other organs near the gland including the bladder and the rectum are also affected.

Involvement of distant organs may also be noted as a result of metastatic spread. Bones of the spine and the pelvic girdle are commonly affected and these would manifest as pain in the affected area. Spine involvement is a feared complications as it is a common cause of paraplegia. These complications will be easily detected using an X-ray or a CT scan image.

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.

A number of things will be done during the checkup. A medical history will be taken as relates to your micturition habits and this will be followed by a comprehensive physical examination. The main focus here will be the digital rectal examination that is aimed at determining the size, shape and consistency of your prostate.

Investigations that aid in making a definitive diagnosis include PSA level determination and ultrasound evaluation. Modest increases in PSA suggest BPE and marked increases are a feature of cancer. The levels have to be correlated with clinical findings. The doctor will formulate a management plan that may involve pharmacotherapy or surgery or both as determined by the results.




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