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 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.

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.

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.

Although it is not possible to prevent all the cases of BPE and cancer, there is a role for early detection and intervention. Men who are the age of forty and above are advised to go for annual medical checkups to determine whether they are at risk or have early disease. For men that have a positive family history, the same may be required at a younger age.

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.

The main investigations that are requested for are an ultrasound of the organ either through the abdominal or rectal route and a determination of PSA levels. PSA levels are proportional to the activity (and by extension, the size) of the prostate. When the levels are moderately elevated, BPE is suspected and when markedly raised, cancer is probable. Treatments will be guided by these findings.




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