Friday, September 11, 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 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.

Benign prostatic enlargement (BPE) and cancer of the prostate are common conditions among the ages of 40 to 70. The two conditions are very similar in symptoms especially in the early stages. It may not be possible to differentiate the two on clinical assessment alone initially. The predisposing factors include, a positive family history, prolonged alcohol consumption and smoking among others. BPE usually has better outcomes because it is more of an abnormal enlargement rather than a cancer.

In the early stages of prostatic cancer, affected persons will typically complain of difficulties in passing urine, a weak stream of urine, occasional pain on voiding and tend to feel that they have not completely emptied their urinary bladders. In advanced cases, the tumor tends to metastasize both to local and distant structures. Organs that are in close proximity include the urinary bladder and the rectum. When the rectum is affected, patients will have difficulties in passing stool and will constantly get constipated.

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.

The good news about both prostatic cancer and benign prostatic hypertrophy is that they can be diagnosed fairly early. This can only be achieved if men at risk go for constant medical checkups. This includes all men above the age of forty years and a little younger for those that have a positive family history. At least one checkup annually is sufficient.

In the follow up, the doctor will have an opportunity to evaluate your risk. This is done by taking a medical history that is focused on the voiding habits. The presence of symptoms suggestive of either cancer or BPE is queried. A physical examination then follows and this is centered on the digital rectal examination to evaluate the shape, size and consistency of the gland.

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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