When Should I Start The Exercises
If youre going to have surgery for prostate cancer or an enlarged prostate, its a good idea to start doing the exercises before the surgery. This will help you to do them properly after your treatment. It might also help you to stop leaking urine sooner.
After surgery, youll have a tube called a catheter to drain urine from your bladder. If youre having surgery for prostate cancer, the catheter is usually removed after one to three weeks.
After surgery for an enlarged prostate, the catheter is usually removed after two to three days, once your urine is clear of blood and you can urinate properly.
You can start doing pelvic floor muscle exercises as soon as your catheter has been removed. Theyre safe to do, and wont hurt or cause any damage. But like all muscles, pelvic floor muscles can become tired so try not to overdo it.
If you had your surgery a while ago but still have urinary problems, starting the exercises could still help. You should also speak to your doctor or nurse, as there may be other treatments that could help.
Why Should I Do Kegel Exercises
The prostate is a gland, about the size of a walnut, located under the bladder surrounding the upper part of the urethra. The urethra is a tube that carries urine through the penis to the outside of the body. There are many muscles that surround the prostate gland. These muscles may be weakened during your prostate cancer treatment. This may cause you to have urine leakage also known as incontinence. Building up the strength in your pelvic floor muscles can help you gain better control of your bladder and urine flow. Remember, that just as it takes time to build your biceps and strengthen any other muscle in your body, it takes time to strengthen muscles in your pelvic floor.
Natural Ways To Shrink The Prostate
If you are one of the 14 million men who suffer from an enlarged prostate due to benign prostatic hyperplasia , it is understandable that you would like to find a way to shrink your prostate or at least reduce its symptoms. You may wonder how to take the prostate back to a younger, more normal size that doesnt keep you running to the bathroom all night long.
When enlarged, the prostate gland can put pressure on the urethra and cause symptoms such as frequent urination and nighttime urination. The growing prostate can also keep the bladder from completely emptying and can affect the flow of urine, making for a weaker flow, starting and stopping of the flow, and urinary tract infections. More severe cases of BPH can make it difficult to urinate.
Even though BPH is not cancerous, it does affect a man and his familys quality of life. If you are waking up several times a night to urinate, chances are you are waking up your family members at least some of the time. Having to stop activities due to urinary urgency can have an effect and cause stress and annoyance for everyone involved.
Growth of the prostate with age is normal. One-third of men experience symptoms of an enlarged prostate by age 50. By age 70, 70 percent of men are affected, according to Johns Hopkins. So what can you do about it? Actually, there is a lot you can do.
Best Exercises For Improved Prostate Health
Exercise is not just good for BPH, it has been found to help prevent prostate cancer and to help prevent and manage prostatitis as well. The top exercises for better prostate health include aerobic and resistance exercises.
Aerobic exercises include the following:
- Jumping rope
Resistance exercises are effective in improving strength, muscle tone, and reducing inflammation. Types of resistance exercise include:
- Doing push-ups
- Lifting weights
Exercise can help you to reach and maintain a healthy weight, which is ideal for prostate health. Obesity increases risk for BPH and other prostate problems. A study found that men who got five or more hours of exercise in per week were 30-50 percent less likely to develop BPH compared to men who got fewer than two hours of exercise in each week.
No 5: Try Supplements
There are many prostate supplements that can benefit an aging prostate and support normal urinary health. When shopping for supplements, look for formulations that include ingredients that can help with overall prostate health. As already mentioned, there are several supplements that help support hormone regulation. One of them, pygeum, has also been found in studies to be useful in reducing BPH symptoms. While studies have not found that pygeum actually shrinks the prostate, it does help offer relief of urinary symptoms. Curcumin is another supplement that can help regulate the inflammatory processes that support health of the prostate. Saw palmetto is a well-researched supplement that studies have found as effective as popular drugs for BPH without causing the scary side effects of prostate drugs.
Myostatin Activin Inhibin And Activin Receptors
Figure 3Full size image
Follistatin is expressed in nearly all human tissues and the highest concentrations can be found in the ovary and skin. Endothelial cells, macrophages and monocytes have also been suggested as alternative sources of follistatin. Follistatin acts as a ligand inhibitor that binds and inhibits myostatin and activin, therefore interfering with functions ascribed to both proteins. Follistatin is also part of the inhibinactivinfollistatin axis, which has an important role in the human reproductive system. There are three isoforms of follistatinFLS315 , FLS288 and FS303 ., The FLS315 variant is predominant, while the FLS288 isoform accounts for <5% of the encoded mRNA. These isoforms are widely present and differentially expressed in human tissues, .
Is Exercise Good For An Enlarged Prostate
Over the years there have been several studies that have shown the positive impact exercise can have on prostate health. One such study involving 582 men found that those who had less sedentary behaviours had a significantly lower risk of BPH than those with more sedentary behaviours.1
Another study carried out by the Department of Epidemiology, Harvard School of Public Health, found that men who walked 2-3 hours per week had a 25% lower risk of developing BPH.2
What Does It Mean To Have An Elevated Psa
According to Cancer.org, a low PSA level is a sign of good prostate and overall health, while a high PSA level is a sign of risk of prostate cancer. As such, a low PSA level is ideal.
Among men who do not have prostate cancer, typical PSA levels under 4 ng/mL of blood, according to the American Cancer Society . As PSA levels rise, so does the risk for prostate cancer. For those with a PSA level over 10, the chance of having prostate cancer is more than 50 percent.
That being said, heightened levels do not always indicate that cancer is present. There is also no guarantee that PSA levels below 4 ng/mL means there is no prostate cancer.
How Often Should I Do My Kegel Exercises
When you first start doing your Kegel exercises, you may not be able to repeat the exercise 10 to 20 times. This is ok. It is much better for you to do fewer Kegel exercises that make your pelvic floor muscles stronger, than to do more exercises that do not work the muscle in the right way. As you get better at doing your Kegel exercises, slowly increase the number of times you repeat the exercise until you reach 20. Your goal should be to do 20 Kegel exercise three to four times each day.
The great thing about Kegel exercises is that you can do them anytime you want to do them. No one can tell that you are doing these exercises. You do not need any special equipment to do Kegel exercises. You can do your Kegel exercises before you get up in the morning, at lunchtime, at suppertime, and at bedtime. You can do them while you are watching TV or reading. Some men put notes on their refrigerator or on their bathroom mirror to remind them to do their Kegel exercises. Kegel exercises can help both men and women. Some menâs partners do the exercises with them. The more you do them, the stronger your pelvic floor muscles will become.
What Have I Learned By Reading This
You learned about:
- What a Kegel exercise is
- Why you should do Kegel exercise
- How to find your pelvic floor muscles
- How often you should do your Kegel exercises.
If you have any questions, please talk to your doctor or health care team. It is important for you to think about and plan how you will take care of yourself before and after your prostate cancer treatment. This knowledge will help you take better care of yourself and feel more in control so that you can get the most from your treatment.
Physical Activity And Prostate Cancer: A Systematic Review
Abdalla Ali Deb,1
1Locum Consultant Urologist NHS- UK 2Physical activity and health promotion, Department of Biomedicine and prevention, Faculty of Medicine and Surgery, University of Rome Tor vergata. Rome, Italy 3Clinical Fellow in Urology, Western General Hospital UK 4Consultant Urologist, National Institute of Urology and Nephrology Cairo; Egypt
Correspondence: Abdalla Ali Deb, Locum Consultant Urologist NHS- UK
Citation: Deb AA, Emmanuel O, Emara S, et al. Physical activity and prostate cancer: a systematic review. Urol Nephrol Open Access J. 2019;7:117-129. DOI: 10.15406/unoaj.2019.07.00258
New Enlarged Prostate Therapy: Fewer Side Effects
‘Embolization’ limits prostate’s blood supply, but experts say more research is needed
MONDAY, March 24, 2014 — A new noninvasive procedure may bring long-term relief from symptoms caused by an enlarged prostate, a new study suggests.
As men age, the prostate gland grows larger and may begin to press on the urethra. Enlarged prostate affects more than half of men by age 60 and causes symptoms such as frequent urination, weak urine stream and a persistent feeling of having to urinate.
Surgery is the standard treatment for the condition, but can cause complications such as sexual dysfunction and impotence, experts note.
The new treatment is called prostate artery embolization. “Prostate artery embolization is a promising therapy that has been performed outside the United States to improve men’s symptoms,” explained Dr. Man Hon, chief of interventional radiology at Winthrop University Hospital in Mineola, N.Y.
“This procedure works by closing the blood supply to the prostate,” said Hon, who was not involved in the new study. “As a result, the prostate shrinks in size, causes less blockage, and the symptoms improve.”
The study was conducted in Portugal and included nearly 500 men, aged 45 to 89, with enlarged prostate — formally called benign prostatic hyperplasia — who underwent prostate artery embolization.
“I believe PAE could eventually become standard treatment for enlarged prostate,” he added.
How Often Should I Do The Exercises
Theres no fixed advice on how often you should do pelvic floor muscle exercises. Speak to your doctor or nurse to see what they suggest.
You may want to try doing a set of slow and fast exercises three times a day. And try to make them part of your daily routine.
Dont overdo it. Pelvic floor muscles are like any other muscles they can get tired if you do too many exercises. You might notice that you leak more urine towards the end of the day, as your muscles get tired. This should get better with time as the muscles get stronger.
It might help to tighten your pelvic floor muscles at certain times.
- When you leak urine. Tighten the muscles strongly before and during activities that cause you to leak urine for example, when getting up from a chair, lifting, bending, coughing or sneezing. Tighten the muscles for as long as you can. Over time, this might help to prevent urine leaking.
- After urinating. Tighten your pelvic floor muscles strongly after you urinate. This should get rid of any urine thats left in the urethra and avoid any dribbling afterwards.
Its important to be patient and keep doing the exercises. It takes time to see an improvement it wont happen overnight. You might see a small improvement each week, but it can take up to three months before you notice a real difference. The exercises might not work for some men, but there are other things that might help if they dont work for you.
Exercise To Manage Enlarged Prostate
Although there is currently more evidence on the association between exercise and health conditions such as heart disease, stroke, and cancer, there has been some research on the impact of physical activity on the prostate. Based on questionnaires filled out by over 30,000 men in a health follow-up study, researchers discovered a link between exercise and BPH. Basically, men who were more active were less likely to get an enlarged prostate. They found that even low to moderate exercises, such as walking on a regular basis, could benefit the prostate.
Exercises for prostate gland include Kegels. This is a pelvic-strengthening movement that can ease the discomfort of the enlarged prostate as it tightens pelvic muscles and helps control urination. The concept may surprise you, since Kegels are normally prescribed for women, especially after childbirth. The easiest way for men to do Kegels is to empty their bladder, lie on the floor with their knees apart, and tighten the pelvic floor muscles for five seconds, then relax for five seconds. They should repeat these 10 to 20 times, three to four times a day.
Kegel exercises can be difficult to master, but once you get the hang of it, they are easy to incorporate into your daily routine.
Part 1 Of 3:making Lifestyle Changes
Symptoms Of Benign Prostate Enlargement
The prostate is a small gland, located in the pelvis, between the penis and bladder.
If the prostate becomes enlarged, it can place pressure on the bladder and the urethra, which is the tube that urine passes through.
This can affect how you pee and may cause:
- difficulty starting to pee
- a frequent need to pee
- difficulty fully emptying your bladder
In some men, the symptoms are mild and do not need treatment. In others, they can be very troublesome.
Prostate Cancer Incidence And Mortality
Prostate cancer is the second most common cancer and the fifth leading cause of cancer death among men worldwide., In 2012, an estimated 1.1 million men were diagnosed with prostate cancer worldwide accounting for 15% of the cancers diagnosed in men. There were an estimated 300000 deaths in the same year accounting for 6.6% of the total men deaths. It is expected that, by the year 2035, the worldwide prostate cancer burden and new deaths will double to 2.1 million and 0.6 million, respectively, because of the growth and aging of the global population.
No 3: Strive For Balance
Experts believe that the hormone dihydrotestosterone promotes the growth of prostate cells. When testosterone and estrogen are imbalanced, DHT activity can increase and encourage the growth of prostate cells. That is why it is important to keep an eye on and manage your hormones, which you might have noticed begin to change after the age of 40.
Both exercising and maintaining a healthy weight help to keep your testosterone and estrogen balanced, but there are natural supplements that are worth looking into as well. Both pygeum and plant sterols like as beta-sitosterol contain active components that can inhibit DHT production. Another supplement, 3,3-diindolylmethane , naturally supports the balance of testosterone and estrogen and promotes normal prostate size.
Exercise And The Prostate Gland
What you may be surprised to know that regular exercise is as equally important towards improving your prostate health as it towards maintaining your ideal weight and physique. According to a relatively small group of studies, it has been shown there exists a correlation between regular exercise and the prevention of prostate related issues. Regular physical activity can protect against several prostate related issues including but not limited to: prostate cancer, prostatitis and benign prostatic hyperplasia . In particular the specific types of exercises shown to greatly improve prostate health are resistance and aerobics training. As men age their prostate will gradually increase in size and if left unchecked can increase your risk of developing prostate related illnesses. So lets take a look at what exercise can do for your prostate health.
When Should I Do The Kegel Exercises
It can take six weeks or longer to strengthen your pelvic floor muscles so it is best to start doing your Kegel exercises before you have prostate cancer treatment. This will help you become better at doing the Kegel exercises and strengthen your pelvic floor muscles before your treatment starts. Remember, your pelvic floor muscles are like any other muscle in your body. It takes regular exercise and time to strengthen them.
Plan For Doing Your Kegel Exercises
- When will you practice your Kegel exercises?
- How will you get in touch with your doctor or health care team if you have questions about Kegel exercises?
Myostatin Activin Inhibin And Activin Receptors In The Prostate Gland
Myostatin inhibits muscle growth and is predominantly expressed in skeletal muscle cells. It is not known whether this protein is present in the prostate gland. However, given its role of negatively regulating muscle growth and in cancer-induced muscle wasting it may be present. The human prostate gland synthesizes follistatin, activin and inhibin., Follistatin is expressed in the basal epithelial cells and in the fibroblastic stromal, whereas activin and inhibin are predominantly localized to the epithelium., The prostate gland has been shown to express activin receptors, suggesting that these proteins have a local role in the functioning of the prostate gland. The follistatinactivininhibin system controls the physiological growth and functions of the prostate gland in a paracrineautocrine manner. The proteins regulate the growth of normal prostatic epithelial cells in a paracrine manner between stromal and epithelial cells. In malignancy, epithelial tumor cell growth is regulated in an autocrine manner and may involve a different interplay between these proteins.
What Factors Can Impact Psa Level
Several conditions can lead to an elevated PSA level, not just prostate cancer.
As men grow older, many are affected by prostatitis, an inflammation of the prostate, or benign prostatic hyperplasia , a non-cancerous enlargement of the prostate which causes PSA levels to rise. Ejaculation, male hormone medications, and some urologic procedures can also lead to an elevated reading.
Additionally, PSA levels tend to slowly rise with age, even if there is no abnormality within the prostate.
There are several factors that may cause a lowered PSA level as well. Patients who are overweight, frequently take aspirin, or use certain cholesterol-lowering drugs may see misleadingly low changes in their PSA levels.
Similarly, medication for the urinary symptoms of BPH, such as finasteride or dutasteride, may cause misleadingly low PSA levels.
Can Exercise Reduce Prostate Size
Countless studies show that exercise can prevent prostate enlargement and help to manage BPH symptoms.
A meta-analysis involving 43,083 men looked at the relationship between physical activity and benign prostatic hyperplasia .
The results suggest that men undertaking moderate or vigorous physical activity were less likely to develop BPH compared with prolonged sedentary time.
This was further examined in a study published in the International Journal of Obesity. Italian researchers reviewed occupational and recreational activity levels of 1,369 men with BPH and 1,451 men without it.
The results showed that men who had physically active jobs were 30% to 40% less likely to develop BPH.
It was also determined that men who engaged in five or more hours of exercise a week were 30% to 50% less likely to develop BPH than men who exercised less than two hours a week.
What Else Can Help
If pelvic floor muscle exercises dont help to improve your urinary problems, there are treatments available and things you can do to help yourself. Read about more about urinary problems and ways to manage them.
The following things can help reduce the pressure on your pelvic floor muscles.
- Try to maintain a healthy weight and level of fitness. Being overweight can put pressure on your pelvic floor muscles. This could make you leak more urine.
- Physical activity can help you to stay fit and keep to a healthy weight. Some types particularly pilates and yoga also strengthen the pelvic floor muscles.
- Eat plenty of fibre and drink plenty of fluids to avoid constipation , as this can put pressure on your pelvic floor muscles.
- If you smoke, try to stop as this can cause coughing, which puts pressure on your pelvic floor muscles. NHS Choices has more information about stopping smoking.
- Speak to your doctor for help with hay fever, asthma or bronchitis to reduce sneezing and coughing.
- Avoid heavy lifting. If you have to lift something heavy, tighten your pelvic floor muscles at the same time. This can help to prevent leaking urine.
Urinary problems can be hard to deal with. If you have any worries or questions about urinary problems or pelvic floor exercises, speak to your GP, specialist nurse or continence nurse.
Tips For A Healthy Prostate: Physical Therapy Can Help
We get it, guys. Your prostate health isnt the first thing you think about when you wake up in the morning. There are other more important things to do. Like set your fantasy football lineup, sculpt your beard and even mow the yard.
But how well do you really know your prostate? Many men experience changes in their urinary system and just assume they are normal due to age, especially if they are over 50. There are steps you can take to keep your prostate as healthy as possible and symptoms you dont want to ignore.
The stats dont lie. One in five men will be diagnosed with prostate cancer and one in 10 will be diagnosed with an enlarged prostate. So fellas, its time to start listening to your prostate.
One in five men will be diagnosed with prostate cancer and one in 10 will be diagnosed with an enlarged prostate.
Prostate health basics
The prostate is a gland of the male reproductive system. It is about the size of a walnut and surrounds part of the urethra . Because of its position, urine flow can be either slow or difficult to control if the prostate is inflamed, enlarged or needs to be surgically removed.
The most common prostate diagnosis is Benign Prostate Hyperplasia , usually referred to as enlarged prostate. As men age the prostate continues to grow and the tissue can pinch into the urethra. If you experience any of the common signs, you need to see a physician to make sure other diagnoses are ruled out.
What your prostate is telling you