Prostate
Problem
The prostate is a gland present in the male reproductive system
just below the bladder and located in front of the rectum. The
prostate gland is approximately the size and shape of a walnut
and only weighs about one ounce, however; it has a tremendous
amount of responsibility. The prostate wraps around the urethra,
a tube that carried urine from the bladder and out through the
penis. The main purpose of the prostate is to produce semen, which
is squeezed out through the prostate during orgasm. Due to the
tremendous amount of duties for which the prostate gland is responsible,
there is a great risk for a man to develop a prostate problem.
A prostate problem is any medical condition that affects the prostate
and can either be malignant or benign. In some prostate problem
cases there is no cancer involved at all; however prostate problem
symptoms can be quite painful patients. The most common prostate
problems are prostatitis, benign prostatic hyperplasia and prostate
cancer.
Prostatitis is an inflammation of the prostate gland. The inflammation
can be classified in three different manners. Acute inflammation
of the prostate gland, which is caused by bacteria and may be
accompanied by chills and fever is known as acute bacterial prostatitis.
Other symptoms of this prostate problem include pains in the lower
back and rectum. A recurrent infection of the prostate, which
is often associated with chronic urinary infection, is known as
chronic bacterial prostatitis. Painful urination and genital pain
may also accompany this form of prostate disease. A prostate problem
in which there is no apparent bacterial infection, but there is
inflammation, is known as nonbacterial prostatitis. The most common
symptom of nonbacterial prostatitis is difficult or painful urination.
Antibiotics are the most common form of treatment for all three
of these types of prostate problems.
Benign prostatic hyperplasia, often referred to as simply BPH,
is an enlargement of the prostate gland that usually occurs in
men who are over the age of 50. This enlargement in the prostate
gland can cause a gradual squeezing of the urethra, which makes
urinating difficult and painful. Many men who experience this
prostate problem do not have any symptoms at all and it may not
be detected until an annual rectal exam. Men with this prostate
problem who do experience symptoms are likely to notice difficulty
in starting urination, frequent urination as well as an increased
frequency in awakening at night to urinate.
Because the urethra becomes blocked by BPH, the patient may experience
repeated urinary tract infections with a BPH prostate problem.
A sudden inability to urinate as well as bladder and/or kidney
damage may also result from BPH. Men who are over the age of 50,
have a history of prostate disease or who are of African-American
ancestry may be at risk for BPH. This prostate problem does not
always lead to prostate cancer. Although other forms of prostate
disease may interfere with a patient's sexual function, BPH generally
does not. There are a number of treatment options available for
patients who suffer from BPH. In some cases, the symptoms may
lessen on their own without active intervention. Medications as
well as treatment options that are non-surgical may also help
to alleviate the symptoms of BPH. Sometimes heat processes are
used to destroy excess tissue. Some cases of BPH do require surgery
and in some cases the entire prostate must be removed in order
to allow for better long term results and alleviation of pain.
Other surgical options simply include the removal of excess tissue.
Patients should be aware that there are serious side effects related
to surgical options, including further urinary problems as well
as a loss of sexual function.
Prostate cancer, another prostate problem, is perhaps the most
severe and is one of the leading types of cancers diagnosed in
American men. Each year almost a quarter of a million new cases
are diagnosed. It is estimated that prostate cancer will affect
one out of every ten men. Each year more than 30,000 men die from
prostate cancer. Because of the seriousness of this prostate problem,
prostate cancer is perhaps the most serious of all the different
types of prostate disease. Prostate cancer generally occurs in
men who are over the age of 65, although cases in younger men
have been reported. There is a high incidence of prostate cancer
occurring in men who are shown to have a family history of this
type of prostate disease. African-American men are considered
to be particularly at risk for prostate cancer and suffer from
the highest death rates related to this disease.
Physicians now recommend that all men over the age of 50 have
a prostate disease and cancer screening once a year and that men
who are considered to be in high risk groups, such as African-Americans,
begin to have annual screenings by age 45. Prostate cancer begins
with a tumor growing on the outside of the prostate. Prostate
cancer can develop slowly over a period of years and because it
may not initially show any symptoms, it may go unchecked until
it has spread to other parts of the body. One of the most serious
concerns regarding the spread of this type of prostate problem
is the proximity of nearby lymph nodes which may be compromised
by the growing cancer. Symptoms of prostate cancer can include
changes in urination. Pain the lower back, upper pelvis, legs
and thighs is also considered to be a symptom of prostate cancer.
While at one time prostate cancer was considered to be quite deadly,
today with early detection, the survival rates had increased considerably.
There are a number of treatment options available for this type
of prostate disease, including hormonal therapy, surgery, radiation,
chemotherapy and simple observation.
Early diagnosis is considered to be the key to successfully treating
all forms of prostate problem. Because of the fact that symptoms
may not begin to present until years later, after the prostate
problem has possibly spread and affected other organs and symptoms,
it is critical to have a digital rectal examination each year
if you fall into one of the risk categories. When prostate cancer
is picked up on an annual exam, there is an extremely good chance
that the cancer will be curable and the doctor may even be able
to preserve some sexual function for the patient. |