Here Are 4 Tips That Should Help You Perfect Your Pronunciation Of ‘prostate’:
- Break ‘prostate’ down into sounds:+-say it out loud and exaggerate the sounds until you can consistently produce them.
- Record yourself saying ‘prostate’ in full sentences, then watch yourself and listen. You’ll be able to mark your mistakes quite easily.
- Look up tutorials on Youtube on how to pronounce ‘prostate’.
- Focus on one accent: mixing multiple accents can get really confusing especially for beginners, so pick one accent and stick to it.
From The Reading List
Boston Globe: “I knew getting prostate cancer at 48 would change me. I had no idea how much.” “Its a Sunday afternoon in June 2012. I need a hot shower and a handful of Advil. Id been drinking bourbon and dancing at a friends wedding until the wee hours, and Im feeling ragged as I seesaw up to my front door.”
Today Show: “Prostate cancer warning signs: What doctors say you need to know” “What are the symptoms for prostate cancer? Heres the thing you probably wont notice any.”
This program aired on September 25, 2020.
What Causes Ed After Prostate Surgery
Is it essential to know what causes ED after prostate surgery.
When you learn about it, you will know what to expect and what type of surgery you prefer.
Some are minimally invasive, while others involve complete prostate removal.
In general, the largest the extension of the prostate that is taken out, the higher the possibility to experience sexual dysfunction.
- Minimally invasive procedures such as transurethral incision of the prostate alleviate urinary symptoms. They have little to no adverse effects on sexuality.
- More invasive procedures such as transurethral resection of the prostate take out a portion of the prostate gland. Depending on the size, the patient may experience erectile dysfunction.
- Theres also a procedure known as radical prostatectomy. It involves the complete removal of the prostate. Thus, it has a higher chance of erectile problems.
So, the first step is asking your doctor what proportion of the prostate gland will be taken out.
It usually correlates with the chance of sexual dysfunction. But why is that?
The answer is simple: When the prostate gland is removed, the doctor needs to pull and create traction.
These movements drag along the nerves that run beside the gland.
The nerves could be either sliced altogether or simply scratched in the process.
These nerves go directly to the penile tissue and have a significant role in erectile function.
Don’t Miss: Masturbation And Prostatitis
To Further Improve Your English Pronunciation We Suggest You Do The Following:
- Work on word/sentence reduction: in some countries, reducing words and sentences can be seen as informalbut in the United States, it’s completely normal and part of everyday conversation . Check out gonna and wanna for more examples.
- Work on your intonation: stress, rhythm and intonation patterns are not easy to master in English but they are crucial to make others understandwhat you say. It’s what expresses the mood, attitude and emotion.Check out Youtube, it has countless videos related to this subject.
- Subscribe to 1 or more English teaching channels on Youtube:it’s free and it covers the core topics of the English language. Check outRachel’s English andEnglish With Jenniferto name just a few.
Personal Stories About Using Medicine For Benign Prostatic Hyperplasia
These stories are based on information gathered from health professionals and consumers. They may be helpful as you make important health decisions.
I’ve been having a lot of trouble getting a good night’s sleep now that I have this enlarged prostate. I’m up 4 or 5 times a night to go to the bathroom, and then both my wife and I are tired all day. My doctor said these medicines often help with that problem, so I’m going to try them. Even if I still had to get up a couple of times a night, I would get more rest and have more energy during the day.
Jake, age 61
When I started having problems urinating, my first thought was that it had to be cancer. My brother-in-law had similar symptoms, but he ignored them for a long time and eventually was diagnosed with prostate cancer. I decided not to ignore them, so I went right to my doctor. He did a rectal exam and a PSA test and said that he was confident that my prostate was just enlarged and that it did not appear that I had cancer. He said if I wanted something to treat the symptoms, he could prescribe medicine. But I was just happy that the problem wasn’t from cancer, so I decided to manage the symptoms on my own for now.
Jim, age 65
Michael, age 54
Carl, age 58
You May Like: Does An Enlarged Prostate Affect A Man Sexually
Health & Wellnessprostate Cancer Warning Signs: What Doctors Say You Need To Know
“Another important message to know is that there are no symptoms with early prostate cancer,” Brown said. “So screening saves lives, and African American men need to get screened and should get screened usually starting at age 40.”
The detection of Al’s prostate cancer began with a routine physical when his doctor discovered he had an elevated prostate-specific antigen in his bloodwork. That led to him getting an MRI, followed by a biopsy, to confirm his diagnosis.
Al opened up about the moment on Sept. 29 when he was told by his doctor that he had prostate cancer.
“When he started, he closed his door and said, ‘I always like to have these discussions face to face,'” Al said. “And I was like, ‘Uh-oh. Well, that doesn’t sound good.'”
“You hear the word ‘cancer’ and your mind goes, it’s the next level, you know?”
What Kind Of Treatment Will I Need
There are many ways to treat prostate cancer. The main kinds of treatment are observation, active surveillance, surgery, radiation, hormone therapy, and chemo. Sometimes more than one kind of treatment is used.
The treatment thats best for you will depend on:
- Your age
- Any other health problems you might have
- The stage and grade of the cancer
- Your feelings about the need to treat the cancer
- The chance that treatment will cure the cancer or help in some way
- Your feelings about the side effects that might come with treatment
Also Check: What Happens To The Prostate Later In Life
How To Manage Incontinence
There are multiple ways to manage incontinence:
- Pelvic floor muscle strengthening: Pelvic floor muscle exercises can help muscle strength and bladder control get better by doing exercises that tighten and relax muscles that control the flow of urine.
- Bladder training: This can help manage how often you need to urinate throughout the day by assigning certain time intervals to empty your bladder.
- Medicines: Some medications can help the muscles of the bladder and the muscles that control urine flow. Most of these drugs affect either the muscles or the nerves that control them. They work best for urge incontinence.
- Surgery: This may be used to correct long-term incontinence. It can remove blockage. Material such as collagen might be recommended and injected to tighten the muscle that controls urine flow. A small device called a urethral sling can also be implanted to press the urethra against the pubic bone. An artificial muscle controlled by a scrotal pump may be an option for men, and it’s implanted to squeeze the urethra.
- Incontinence products: They can help keep you active and comfortable. Adult briefs and undergarments are bulkier than pads worn under your clothing, but provide more protection. Bed pads or absorbent mattress covers can also be used to protect the bed linens and mattress.
How Serious Is My Cancer
If you have prostate cancer, the doctor will want to find out how far it has spread. This is called the stage of the cancer. You may have heard other people say that their cancer was stage 1 or stage 2. Your doctor will want to find out the stage of your cancer to help decide what types of treatment might be best for you.
The stage is based on the growth or spread of the cancer through the prostate, and if it has spread to other parts of your body. It also includes your blood PSA level and the grade of the cancer. The prostate cancer cells are given a grade, based on how they look under a microscope. Those that look very different from normal cells are given a higher grade and are likely to grow faster. The grade of your cancer might be given as a Gleason score or a Grade Group . Ask your doctor to explain the grade of your cancer. The grade also can helpdecide which treatments might be best for you.
Your cancer can be stage 1, 2, 3, or 4. The lower the number, the less the cancer has spread. A higher number, like stage 4, means a more serious cancer that has spread outside the prostate.
If your cancer hasn’t spread to other parts of the body, it might also be given a risk group. The risk group is based on the extent of the cancer in the prostate, your PSA level, and the results of the prostate biopsy. The risk group can help tell if other tests should be done, and what the best treatment options might be.
Don’t Miss: What Happens To The Prostate Later In Life
What Can You Do If You Don’t Want To Take Medicine
If you don’t want to take medicine, you can try watchful waiting while managing your symptoms at home.
Watchful waiting means you have regular checkups to be sure that your symptoms aren’t getting worse. And you try making these small changes to your lifestyle to control your symptoms:
- Don’t try to rush your urination. Try to relax while using the bathroom.
- Practice “double voiding.” Urinate as much as you can. Then relax for a few moments and try to go again.
- Don’t limit your fluid intake to avoid having to urinate. Drink fluids throughout the day. Limit fluids in the evening if you often wake up at night to urinate.
- Avoid caffeine and alcohol. They make your body try to get rid of water and can make you urinate more often.
- If you can, avoid medicines that make your symptoms worse, such as nonprescription antihistamines, decongestants , and allergy pills. Talk to your doctor first.
Some men try dietary supplements for BPH, such as saw palmetto or beta-sitosterol. But scientific studies don’t show that saw palmetto helps with urinary problems or that beta-sitosterol is safe or helps over the long term.
About 4 out of 10 men find that their symptoms improve without treatment. This means that 6 out of 10 men need medicine or surgery to help their symptoms.footnote 1
Your doctor may recommend taking medicine for BPH if:
What Medicines Are Used To Treat An Enlarged Prostate
Medicines are sometimes used to help relieve bothersome, moderate to severe urination problems caused by an enlarged prostate. If you stop using medicine, the symptoms will probably return.
Medicine choices include:
- Alpha-blockers, such as tamsulosin or terazosin , which relax muscle tissue.
- 5-alpha reductase inhibitors, such as dutasteride and finasteride , which shrink the prostate.
- A combination of the two, which, when used long-term, may help your symptoms more than either medicine alone.3
- Phosphodiesterase-5 inhibitors, such as tadalafil , may help reduce BPH symptoms whether or not you have erection problems. PDE-5 inhibitors are well known medicines for erection problems.4
- Anticholinergic and antispasmodic medicines such as oxybutynin and tolterodine calm the nerves that control bladder muscles and increase bladder capacity. Taking an alpha-blocker medicine with an anticholinergic may help with symptoms better than either medicine alone.5, 6
Also Check: What Is The Cpt Code For Mri Prostate
Within 30 Days Of Your Surgery
Before your surgery, youll have an appointment for presurgical testing . The date, time, and location will be printed on the appointment reminder from your surgeons office. Its helpful to bring the following things to your PST appointment:
- A list of all the medications youre taking, including prescription and over-the-counter medications, patches, and creams.
- Results of any tests done outside of MSK, such as a cardiac stress test, echocardiogram, or carotid doppler study.
- The name and telephone number of your healthcare provider.
You can eat and take your usual medications the day of your appointment.
During your PST appointment, youll meet with a nurse practitioner . They work closely with anesthesiology staff . Your NP will review your medical and surgical history with you. You may have tests, such as an electrocardiogram to check your heart rhythm, a chest x-ray, blood tests, and any other tests needed to plan your care. Your NP may also recommend that you see other healthcare providers.
Your NP will talk with you about which medications you should take the morning of your surgery.
Complete a Health Care Proxy form
If you havent already completed a Health Care Proxy form, we recommend you complete one now. If youve already completed one or have any other advance directives, bring them to your next appointment.
Male Sexual and Reproductive Medicine Program
Do breathing and coughing exercises
Follow a healthy diet
Prostate Cancer Questions To Ask Your Doctor
At Sperling Prostate Center, we encourage patients and their loved ones to ask questions. However, many times patients may not be able to put their concerns into words. They arent sure what to ask.
To help get you started, below are suggested questions listed by topic. Click on each blue bar for a drop-down list of questions. Dr. Sperling and our staff are happy to address your questions, because every question deserves an answer.
Early Stage Prostate Cancer
If the cancer is small and localized, a doctor may recommend:
Watchful waiting or monitoring
The doctor may check PSA blood levels regularly but take no immediate action.
Prostate cancer grows slowly, and the risk of side effects may outweigh the need for immediate treatment.
A surgeon may carry out a prostatectomy. They can remove the prostate gland using either laparoscopic or open surgery.
Brachytherapy: A doctor will implant radioactive seeds into the prostate to deliver targeted radiation treatment.
Conformal radiation therapy: This targets a specific area, minimizing the risk to healthy tissue. Another type, called intensity modulated radiation therapy, uses beams with variable intensity.
Treatment will depend on various factors. A doctor will discuss the best option for the individual.
The Basics: How An Erection Occurs
At its most basic level, an erection is a matter of hydraulics. Blood fills the penis, causing it to swell and become firm. But getting to that stage requires extraordinary orchestration of body mechanisms. Blood vessels, nerves, hormones, and, of course, the psyche must work together. Problems with any one of these elements can diminish the quality of an erection or prevent it from happening altogether.
Nerves talk to each other by releasing nitric oxide and other chemical messengers. These messengers boost the production of other important chemicals, including cyclic guanosine monophosphate, prostaglandins, and vasoactive intestinal polypeptide. These chemicals initiate the erection by relaxing the smooth muscle cells lining the tiny arteries that lead to the corpora cavernosa, a pair of flexible cylinders that run the length of the penis .
Figure 1: Anatomy of the penis
The penis is made up of three cylindrical bodies, the corpus spongiosum which contains the urethra and includes the glans of the penisand two corpora cavernosa , that extend from within the body out to the end of the penis to support erection. Blood enters the corpora cavernosa through the central arteries.
Also Check: Does An Enlarged Prostate Affect A Man Sexually
What Matters Most To You
Your personal feelings are just as important as the medical facts. Think about what matters most to you in this decision, and show how you feel about the following statements.
Reasons to take medicine
Reasons not to take medicine
I have symptoms that really bother me.
My symptoms don’t really bother me.
I would rather live with side effects from medicine than have my symptoms.
I worry about the side effects of medicine.
I don’t mind taking medicine every day.
I don’t want to take medicine every day.
I’m not worried about how much the medicine will cost.
I really worry about how much the medicine will cost.
Who Might Get An Enlarged Prostate
BPH is common and cannot be prevented. Age and a family history of BPH are two things that increase the chances you might get it. A few stats on that:
- Some 8 out of every 10 men eventually develop an enlarged prostate.
- About 90% of men over the age of 85 will have BPH.
- About 30% of men will find their symptoms bothersome.
Don’t Miss: Prostate Cancer Perineural Invasion
Pde5 Inhibitors: Viagra Levitra And Cialis
Approved by the FDA in 1998, sildenafil revolutionized the way we think about and treat erectile dysfunction, largely because it is so easy to use and effective. Since then the FDA has approved three closely related drugs, vardenafil , avanafil and tadalafil .
All four drugs work in a similar fashion, by affecting the normal physiology of the penis. In particular, they block PDE5, an enzyme that breaks down the erection-producing chemical cyclic guanosine monophosphate. This enables the penis to fill with blood and to stay erect long enough for intercourse. Of course, its important to realize that none of these drugs is an aphrodisiac. Youve got to feel sexually stimulated in order for them to work.
The main differences between the drugs have to do with timing: how quickly they begin to work, and how long their effects last . Levitra may start working slightly faster than Viagra although the FDA says that like Viagra, it should be taken about an hour before sexual activity. Some studies suggest that Levitra may help some men who dont respond to Viagra. And while some doctors are skeptical about this claim, theres no harm in trying Levitra or Cialis if Viagra doesnt work for you.
Cialis has also been approved to treat men with both erectile dysfunction and BPH. The dose is lower, usually 5 milligrams per day.