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.
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 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.
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.
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.
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 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.
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.
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.
