Why Understanding Prostate Health Is Important

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.

Distant organs may also be affected due to metastatic. The common areas in which these metastases will be found include the pelvis and the spine. As a result, bone pain in later stages of prostatic cancer is a common complaint. When a significant proportion of vertebral bodies is involved, paraplegia may ensue. X-ray and CT scan images of the spine and pelvis will help confirm these complications.

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.

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 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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