Do You Need A Prostate

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When should You Have a Prostate Biopsy?

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Average Psa Test Doubling Time

Another red flag. This calculation denotes the time it takes your PSA values to double.

Therefore it may signify the aggressiveness of any prostate abnormalities, whether itâs an enlarged prostate, prostatitis, or prostate cancer.

If your average PSA readings double in less than three years your doctor will most likely order a biopsy, to look in to the problem further and discuss possible prostate cancer treatment options.

What Does The Prostate Do

The prostate is a male gland that releases prostate fluid, one of the components of semen.

The muscles of the prostate gland help propel this fluid into the urethra during ejaculation.

It is a muscular gland that is often described as walnut or small apricot-sized.

An enlarged prostate can be a sign of prostate cancer, the third biggest cancer killer.

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What Are The Advantages And Disadvantages Of Having A Biopsy

Your doctor should talk to you about the advantages and disadvantages of having a biopsy. If you have any concerns, discuss them with your doctor or specialist nurse before you decide whether to have a biopsy.

Advantages

Its the only way to find out for certain if you have cancer inside your prostate.
It can help find out how aggressive any cancer might be in other words, how likely it is to spread.
It can pick up a faster growing cancer at an early stage, when treatment may prevent the cancer from spreading to other parts of the body.
If you have prostate cancer, it can help your doctor or nurse decide which treatment options may be suitable for you.
If you have prostate cancer, youll usually need to have had a biopsy if you want to join a clinical trial in the future. This is because the researchers may need to know what your cancer was like when it was first diagnosed.

Disadvantages

Bigger But Not Better

Prostatic enlargement is pretty much inevitable. The urinary symptoms associated with it are treated with pills called alpha-blockers, which essentially enlarge the urethral channel by relaxing the muscle fibers within it. You can start with herbals like that of the woody shrub saw palmetto, pumpkin seeds , stinging nettle extract, pygeum, rye grass or beta-sitosterol extract and cruciferous vegetables but in randomized trials herbals take a distant second place to alpha blockers. Other drugs called 5-alpha-reductase inhibitors actually shrink the gland by 1/3 of its size and can also help urination. If these pills don’t keep you peeing straight and strong, there are also various indescribable procedures that can remove the excess prostatic tissue. And yes, some of them involve lasers, which you just gotta love.The prostate can also become inflamed, termed prostatitis, which occurs in about 10% of men at least once during their lives. This diagnosis is not subtle as most men with prostatitis pee firewater several times an hour. Ways to avoid this include good hydration, regular, timed voiding and treating BPH when it occurs.

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What Would You Say To Men Who Dont Want To Get A Prostate Check

A rectal exam is recommended but optional. We recommend both, but if theyll just let you do a blood test, thats better than not doing anything at all.

If concern about the rectal exam is the only reason youre not getting screened, talk to your doctor about it. We can discuss the risks and benefits. None of the evaluation tests are mandatory, but the reason we do that is that it improves our ability to detect cancer. So, if thats why youre not being evaluated, we can talk and decide if we can do other tests.

When Should I See A Urologist

All men at the age of 50 should have their first appointment with the urologist. This allows the urologist to get baseline blood work, a prostate specific antigen test , and complete a physical examination to make sure you are in good health. Some physicians recommend the first visit should start at 40.

Most prostate issues start about the age of 50. But, going sooner rather than later is important if you start to have symptoms. 50% of men over the age of 60 have an enlarged prostate. 8 out of 10 men develop an enlarged prostate, often called by the medical term, benign prostate hypertrophy . 90% of men over the age of 85 will have BPH. And 30% of those men find the symptoms bothersome.

There are many reasons to see a urologist, and not all of them are about the prostate. If you have a testicular mass or pain, blood in your urine, erectile dysfunction, or kidney stones, you should see a urologist.

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What Are The Symptoms Of Prostate Cancer

Early-stage prostate cancer rarely causes symptoms. These problems may occur as the disease progresses:

Frequent, sometimes urgent, need to urinate, especially at night.
Weak urine flow or flow that starts and stops.
Painful urination .
Painful ejaculation and erectile dysfunction .
Blood in semen or urine.
Lower back pain, hip pain and chest pain.
Leg or feet numbness.

When Is A Psa Test Needed

Prostate MRI: Do You Need a Random Biopsy? | Off The Cuff with Mark Moyad, MD

If you are age 50 to 74, you should discuss the PSA test with your doctor. Ask about the possible risks and benefits.

Men under 50 or over 75 rarely need a PSA test, unless they have a high risk for prostate cancer.

You are more likely to get prostate cancer if you have a family history of prostate cancer, especially in a close relative such as a parent or sibling.
Your risks are higher if your relative got prostate cancer before age 60 or died from it before age 75. These early cancers are more likely to grow faster.
If you have these risks, you may want to ask your doctor about getting the PSA test before age 50.

This report is for you to use when talking with your healthcare provider. It is not a substitute for medical advice and treatment. Use of this report is at your own risk.

04/2014

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Another Option: Digital Rectal Exams

Most prostate biopsies are driven by PSA results. Urologists also use the digital rectal exam, or DRE.

“The American Urological Association hasn’t recommended rectal exams because there has yet to be a randomized trial in which some men get the rectal exam and some don’t. Based on who lives and dies, this would show if rectal exams have value,” says Dr. Freedland. “Many people, myself included, think they do have value. It’s part of the evaluation that we use even if it’s not officially in our guidelines.”

The DRE may cause momentary discomfort, but it can also detect prostate cancer for those patients with normal PSA levels. “We use the exam because we think it should work and be helpful, even if it hasn’t been studied,” Dr. Freedland adds. “Most people are screened with PSA and DRE.”

Risk Factors For Prostate Cancer

Because prostate cancer tends to not show symptoms in its early stages, risk factors are another useful tool to identify candidates for screening. The Mayo Clinic notes that risk certainly increases as you grow older, and obese men may be more likely to have prostate cancer that is aggressive or difficult to treat.

For unknown reasons, black men are also at a greater risk of prostate cancer than men of other races. Not only are they more likely to get prostate cancer, but the risk of prostate cancer being aggressive or advanced is also higher.

Finally, your family history or genetics can also help determine your prostate cancer risk. For example, men with close relatives who had prostate cancer are more likely to get it. Also, a family history of breast cancer or the presence of the genes BRCA1 or BRCA2 within the family also raises the likelihood of a man developing prostate cancer.

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What About The Medication Before Prostate Surgery

Medications are an important concern for healthcare providers. He will review with you all the regular medications you are taking, along with the supplements before the day of your prostate surgery. To prepare for prostate surgery, be sure to discuss all the over-the-counter medications you are taking.

Ibuprofen or other herbal supplements can increase your risk of bleeding or affect your blood pressure. Also, to prevent complications,, blood thinners might be stopped a few days before the surgery. It is important to continue with your medications for chronic diseases, such as diabetes.

30 days before surgery, your doctor may ask you to stop taking aspirin, non-steroidal anti-inflammatory drugs, vitamin E, fish oil, Plavix etc. Also, doctors recommend stopping taking Coumadin 7 days before prostate surgery.

To be prepared for prostate surgery, your doctor may recommend you take laxative medications to clear your bowels. If this procedure is required, your doctor will give you all the details you need.

Can You Live Without A Prostate

12 Deadly Symptoms Of Prostate Cancer That Must Not Be ...

You can live without a prostate, though there are some side-effects.

The prostate is removed to prevent the spread of prostate cancer, while it might also be removed because it has enlarged through normal ageing and is putting pressure on the uretha .

A prostatectomy is the removal of all or part of a prostate, with the most common procedure being the transurethral resection of the prostate .

Laser prostatectomies are also performed which is the least invasive type of removal.

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Survival For All Stages Of Prostate Cancer

Generally for men with prostate cancer in England:

more than 95 out of 100 will survive their cancer for 1 year or more
more than 85 out of 100 will survive their cancer for 5 years or more
almost 80 out of 100 will survive their cancer for 10 years or more

Survival for prostate cancer is also reported in Scotland and Northern Ireland. But it is difficult to compare survival between these countries because of differences in the way the information is collected.

Cancer survival by stage at diagnosis for England, 2019Office for National Statistics

These statistics are for net survival. Net survival estimates the number of people who survive their cancer rather than calculating the number of people diagnosed with cancer who are still alive. In other words, it is the survival of cancer patients after taking into account the background mortality that they would have experienced if they had not had cancer.

What Was Your First Prostate

Fred: I didnt expect it, so it was a very new sensation. It was like feeling someone lighting a fire in my feet and feeling it slowly spread all the way up my body. Slowly moving through my torso and making me shiver. I was in shock!

Alan: My first prostate-induced orgasm felt like an out of body explosion. My head was dizzy for like a minute afterward, and I had this absolutely incredible rush of nothing but pleasure. Needless to say, I was hooked and wanted to keep going.

Evan: My first prostate induced orgasm was because of a prostate toy I bought a few years ago. I never had one before using it. It was pretty hot because the toy got me really close to ejaculating without touching my dick. Then all it took was a little stroke, and I shot everywhere.

Drew: I remember the first time pretty vividly. I was having sex with a fuckbuddy and they repositioned me on my back with my legs up on their shoulders. They started pounding away at my hole and must’ve found just the right angle or something because a whole new wave of pleasure and sensation came over me. I’ve never looked back since.

It was heaven. I almost didn’t understand what was happening. That there could be so much sensation, throughout every inch of my body, was brand new to me.

Ryan: The first time I realized I liked it up the butt and really hit my prostate myself was when I was 16. I got my first vibrator and really went to town on my own ass.

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Preparing For Prostate Surgery 5 Things You Need To Do

If you are about to have prostate surgery, there are certain things you can do now to prepare. Preoperative preparation is essential to have a fast recovery.

First of all, you need to understand the procedure you are going to go through. Radical prostatectomy is the most common type of prostate surgery performed worldwide. Robotic radical prostatectomy is the most advanced type of surgery, done by means of the DaVinci robot. It is minimally invasive, has a high success rate, and ensures treatment trifecta.

Radical prostatectomy is recommended for the treatment of localized prostate cancer. It involves the total removal of the prostate gland. Simple prostatectomy is the removal of just a part of the prostate, the one affected by the cancerous cells. Prostatectomy is done under general anesthesia in an operating room in a hospital or outpatient surgery center.

Al least one overnight stay in the hospital is required after undergoing a prostatectomy. But, in the case of robotic prostatectomy, the hospital stay can be highly reduced. You will decide together with your urologist the best approach for you.

What Are The Side Effects Of A Prostate Biopsy

Do you need a prostate biopsy? Listen to this consult first.

Here are the most common complications of prostate biopsy: 1 Pain in the area between the anus and scrotum for a few days to a week. 2 Blood in your urine for a few days to several weeks. 3 Blood in the stool for a day or so. If it lasts longer, notify your physician. 4 Blood in the semen for three to six weeks, and possibly longer.

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How Common Is Prostate Cancer

About one in nine men will receive a prostate cancer diagnosis during his lifetime. Prostate cancer is second only to skin cancer as the most common cancer affecting males. Close to 200,000 American men receive a diagnosis of prostate cancer every year. There are many successful treatments and some men dont need treatment at all. Still, approximately 33,000 men die from the disease every year.

What Is A Prostate Biopsy

There are two main types of prostate biopsies transrectal ultrasound guided biopsies and transperineal biopsies. As the former tends to be more common, well focus on this method.

biopsies use ultrasound guidance with a biopsy tool to snip core samples from the prostate gland. An ultrasound probe and biopsy tool are introduced into the rectum where a biopsy needle penetrates the rectal wall and enters the prostate. The procedure is repeated up to 12 times.

Transrectal prostate biopsies are outpatient or in-office procedures that require only numbing medicine. Passing a needle through the rectum and into the prostate places you at risk of infection. To minimize the risk of infection, urologists commonly prescribe antibiotics beforehand.

Other complications from prostate biopsies include:

Blood in urine, semen, and stool
Pain

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How Is Prostate Cancer Diagnosed

Screenings are the most effective way to catch prostate cancer early. If you are at average cancer risk, youll probably have your first prostate screening at age 55. Your healthcare provider may start testing earlier if you have a family history of the disease or are Black. Screening is generally stopped after age 70, but may be continued in certain circumstances.

Screening tests for prostate cancer include:

Digital rectal exam: Your provider inserts a gloved, lubricated finger into the rectum and feels the prostate gland, which sits in front of the rectum. Bumps or hard areas could indicate cancer.
Prostate-specific antigen blood test: The prostate gland makes a protein called protein-specific antigen . Elevated PSA levels may indicate cancer. Levels also rise if you have BPH or prostatitis.
Biopsy: A needle biopsy to sample tissue for cancer cells is the only sure way to diagnose prostate cancer. During an MRI-guided prostate biopsy, magnetic resonance imaging technology provides detailed images of the prostate.