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.
One of the commonest conditions that affect the gland is known as prostatitis. The commonest cause of this problem is an infective process. Many different species have been isolated in urine samples of persons that have this problem. In a few cases, however, microbial organisms are not usually found. In severe cases, intravenous antibiotics such as ceftriaxone and metronidazole are used. Less severe cases usually respond to oral metronidazole, doxycycline and ciprofloxacin.
Benign prostatic enlargement, BPE and Prostatic cancer are a common cause for hospital visits in men. The symptoms for both conditions are similar and it may be difficult to differentiate the two except in advanced cases. Both conditions affect men between the ages of 40 and 70 but cases affecting younger men have been documented. . Predisposing factors include smoking, prolonged alcohol consumption and genetic factors. Prostatic cancer is invasive and tends to have worse outcomes.
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.
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 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.
One of the commonest conditions that affect the gland is known as prostatitis. The commonest cause of this problem is an infective process. Many different species have been isolated in urine samples of persons that have this problem. In a few cases, however, microbial organisms are not usually found. In severe cases, intravenous antibiotics such as ceftriaxone and metronidazole are used. Less severe cases usually respond to oral metronidazole, doxycycline and ciprofloxacin.
Benign prostatic enlargement, BPE and Prostatic cancer are a common cause for hospital visits in men. The symptoms for both conditions are similar and it may be difficult to differentiate the two except in advanced cases. Both conditions affect men between the ages of 40 and 70 but cases affecting younger men have been documented. . Predisposing factors include smoking, prolonged alcohol consumption and genetic factors. Prostatic cancer is invasive and tends to have worse outcomes.
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.
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 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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