Wednesday, May 18, 2022

How Does A Urologist Check Your Prostate

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Is Going To The Bathroom Frequently A Sign Of Prostate Cancer

A Urologist answers: Does prostate massage have any health benefits?

Thats one of the challenging things having urinary symptoms is very rarelyalmost nevera sign of prostate cancer. Having urinary symptoms means you should probably be evaluated for an enlarged prostate, also known as benign prostatic hyperplasia . We can treat your urinary symptoms and help you pee better.

If urinary symptoms bring men to the doctor, we can discuss screening for prostate cancer. Thats important because not all men will go to a doctor until theres something wrong with them. And prostate cancer screening really is the only way to detect prostate cancer, because its almost always asymptomatic.

If Youre The Receiving Partner

Youll want to be as relaxed and aroused as possible, because itll make the experience easier and more enjoyable.

The whole poop-comes-out-of-the-butt thing gives some people a case of the heebie-jeebies even when its their own butt.

Remedy this by taking a shower and paying a little extra attention back there to get it squeaky clean. Some people like to use an enema before engaging in butt play, but it isnt necessary.

Use the bathroom before getting started. Prostate stimulation can make you feel like you need to pee, and anal penetration can cause the sensation of needing to poop.

Even though you wont actually do either, worrying that you might can interfere with your ability to let go and enjoy yourself. Knowing your bladder and bowels are empty can help.

Getting used to the sensation of having your prostate touched can help, too. Practice with an anal sex toy, like a butt plug, or your fingers.

Be sure to set the mood so that youre turned on and primed for action. Light candles, watch porn, or engage in some good old-fashioned masturbation or foreplay to get there.

Finally, be sure to lube up real good. Applying a water-based lubricant will allow for easier penetration and make for some easy gliding if stimulating your prostate externally.

Reach Out To Us Today

Prostate screenings are crucial to have so that men can catch any signs of prostate cancer early on. Once a man reaches the ages of 40 and above, it is best that he begins to consult with a doctor about this test.

If you have questions about getting a prostate screening and the importance of them, then reach out to our office so that we can help you further. Give us a call or stop by our office today and wed be happy to assist you in any way that we can.

Request an appointment here: or call Center for Adult Medicine and Preventive Care at for an appointment in our Passaic office.

Check out what others are saying about our services on Yelp: Read our Yelp reviews.

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Who Should Get A Prostate Exam

Starting at age 50, all men should discuss prostate cancer screening with their doctor. The American Cancer Society advises men at higher risk to have this conversation at age 45.

Youre considered to have an increased risk if youre African-American or if a first-degree relative had prostate cancer before age 65. If more than one first-degree relative had prostate cancer before age 65, you might want to consider beginning prostate cancer screening even earlier.

The ACS estimates there will be about 180,890 new cases of prostate cancer in the United States in 2016. About 26,120 men will die from it.

Prostate cancer is easier to treat before it spreads. However, some prostate cancers are so slow-growing that they dont always require treatment. A lot depends on your age and other factors.

Discuss your risk factors with your doctor, and ask if you should have a prostate exam as part of your yearly checkup.

What To Expect During Cystoscopy

The Prostate  Perineologic

The procedure generally takes about 15 to 20 minutes.

  • Youâll need to pee first. The test is done with an empty bladder.
  • Youâll lie down. The position depends on the type of scope your doctor uses:
  • Standard rigid cystoscope. Youâll lie on your back with your knees up and apart. Your feet will probably be in stirrups.
  • Flexible cystoscope. No special position is needed. The doctor will help you find a comfortable position.
  • Youâll get medicine. You might get a drug to make you sleepy. The doctor will call this a sedative. Or you could get a general anesthetic to help you sleep through the entire procedure.
  • Your doctor inserts the scope. Theyâll clean your urethra and numb the area. The scope goes through the urethra and into your bladder. Theyâll use the smallest scope possible. They might need to use a bigger one to take samples or bring surgical tools into your bladder.
  • The doctor examines your urethra and bladder. The cystoscope has a lens on the end that works like a telescope. It makes it easier for the doctor to see inside your body. They might put a video camera over the lens to project images onto a screen.
  • The doctor fills your bladder. They put water or saline in through the cystoscope. When your bladder is full of water, it stretches. This lets the doctor see your entire bladder wall. Theyâll ask you how it feels when itâs full.
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    Who Should Get A Digital Rectal Exam

    Not all medical institutions agree on when men should begin screening for prostate cancer or even if a DRE should be part of the screening.

    To help detect prostate cancer in its early stages, the American Cancer Society recommends that men talk to their doctors about the benefits, risks, and limitations of prostate cancer screening before deciding whether to be tested.

    For most men at average risk, discussions about screening begin at age 50. However, some doctors recommend that men at higher risk of prostate cancer — African-American men or men with a family history of prostate cancer — start screening earlier.

    Medical History And Physical Exam

    If your doctor suspects you might have prostate cancer, he or she will ask you about any symptoms you are having, such as any urinary or sexual problems, and how long you have had them. You might also be asked about possible risk factors, including your family history.

    Your doctor will also examine you. This might include a digital rectal exam , during which the doctor inserts a gloved, lubricated finger into your rectum to feel for any bumps or hard areas on the prostate that might be cancer. If you do have cancer, the DRE can sometimes help tell if its only on one side of the prostate, if its on both sides, or if its likely to have spread beyond the prostate to nearby tissues. Your doctor may also examine other areas of your body.

    After the exam, your doctor might then order some tests.

    Read Also: Do Females Have Prostate

    Yes Urologists See Women Too

    We dont discriminate against either sex both men and women can develop bladder problems, kidney stones, and UTIs, says Dr. Gill.

    Generally, about two-thirds of the patients urologists see are men, and about one-third are women. But this is very practice-specific, and can vary based upon a doctors specialty training.

    We focus on taking care of the whole patient, and on providing high-quality treatment and working toward a good quality of life for everyone we see, he says.

    Some men prefer to see a male urologist, while some women prefer to see a female urologist. Dr. Gill says this can also go the other way.

    The quality of care will be the same, he notes. Furthermore, if a guy feels bashful around female staff, he should always remember that what hes coming in with is nothing they havent seen before.

    What Kind Of Training Does A Urologist Have

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    Besides 4 years of medical school, urologists have at least 5 more years of special training focused on the urinary tract and male reproductive system.

    Some urologists narrow their specialty to one area of care, such as things like cancer, women’s urology, children’s urology, male infertility, sexual health, kidney stones, or reconstructive urology.

    Urologists must pass an exam and earn board certification from the American Board of Urology.

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    How Is Prostate Cancer Treated

    For many men with prostate cancer, treatment is not immediately necessary.

    If the cancer is at an early stage and not causing symptoms, your doctor may suggest either watchful waiting or active surveillance.

    The best option depends on your age and overall health. Both options involve carefully monitoring your condition.

    Some cases of prostate cancer can be cured if treated in the early stages.

    Treatments include:

    • either on its own or alongside hormone therapy

    Some cases are only diagnosed at a later stage, when the cancer has spread.

    If the cancer spreads to other parts of the body and cannot be cured, treatment is focused on prolonging life and relieving symptoms.

    All treatment options carry the risk of significant side effects, including erectile dysfunction and urinary symptoms, such as needing to use the toilet more urgently or more often.

    For this reason, some men choose to delay treatment until theres a risk the cancer might spread.

    Newer treatments, such as high-intensity focused ultrasound and cryotherapy, aim to reduce these side effects.

    Some hospitals may offer them as an alternative to surgery, radiotherapy or hormone therapy.

    But the long-term effectiveness of these treatments is not known yet.

    Recommended Reading: Do Females Have Prostate Cancer

    What Will Happen During The Exam

    The doctor will perform a male genitourinary exam during your first appointment. That is a complete examination of the urinary tract region. The physician will perform a genital exam and a digital rectal exam to explore the prostate. The urologist may evaluate other areas as well. These tests are designed specifically for males. Urology exams are generally quick and painless.

    Your doctor may want to do additional tests to check testosterone levels, kidney functions or blood counts. In addition, they may require imaging studies to check the kidney and/or prostate. This will all be discussed with you after the initial exam.

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    Is It Easy To Orgasm This Way

    Lets say it may take some practice and patience.

    Actual clinical research on prostate-induced orgasms is seriously lacking, so we dont know how common it is or if its possible for everyone with a prostate to have this type of orgasm.

    Every body is different, so some experimenting to see what feels good is in order. If you do manage to have one, reproducing it will be easy.

    Self Prostate Exam: Hot Water With Hip Bath For 5 Days

    Prostate Cancer Symptoms? PSA Test Is Only Part of the ...

    How to avoid the detour on the diagnosis of the disease? Experts recommend a simple self prostate exam which is:

    If you find yourself may have at least one of the above three types of symptoms, patients can use hip bath with hot water daily for 1-2 times, each time 20 minutes. The water temperature should always remain at 50 Celsius degrees, and receive the treatment continuously for 5 days. If the symptoms reduce or disappear, the patient is likely to be suffering from chronic prostatitis. This self prostate exam is simple with no toxic side effects and helpful for the diagnosis and treatment.

    Read Also: Does Enlarged Prostate Affect Ejaculation

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    What To Expect In A Male Urology Exam

    Any man 40 or older should add one more item to his to-do list: make a visit to the urologist. For men, this is an important step in their overall health journey, as a urologist can identify and treat several key issues that affect long-term health.

    In the U.S., approximately 1 in 9 men will be diagnosed with prostate cancer. In addition, testicular cancer is the most common cancer for men under 35. Both issues fall under the care of a urologist.

    Find out more about urology issues in males and what you can expect after you make an appointment.

    When Do You Need A Prostate Exam

    PSA is continuously present in the bloodstream for most men, and an increase in its number may be attributed to causes other than cancer. However, men who have an increased risk of prostate cancer should undergo a regular prostate exam.

    Age, family history, and race are all possible factors that can increase your risk. Likewise, your doctor may also recommend that you undergo testing if you are experiencing discomfort or pain while urinating.

    Symptoms which may indicate that you have a prostate issue include the following:

    • Inconsistent flow of urine

    How Often Is a Prostate Exam Necessary?

    Your frequency of testing may be due to several factors, including your age and present health condition:

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    How Often Do I Need A Prostate Exam

    Prostate cancer is one of the most common types of cancer in men, and its also highly treatable if caught early. There are a number of treatment options that have proven to be successful in combatting prostate cancer, even in its advanced stage.

    Early detection is crucial because it gives you more treatment options and a better chance of eliminating cancer. The prostate-specific antigen test is used to check the PSA levels in your blood, and these levels are different for every man the indicator is whether the number is going up as compared to your prior PSA exam result. If your PSA is high the first time you have the test, your doctor may ask you to have a biopsy.

    Similarly, your doctor will perform a digital rectal exam during your annual checkup to feel for any lumps or enlargement of your prostate. Lets talk about how often you might need to have a prostate exam and what you can expect.

    Why Would You See A Urologist

    PSA test for prostate cancer

    A urologist might treat bladder problems, urinary tract infections , bladder and kidney cancer, kidney blockage, and kidney stones.

    Men might also see them for:

    Women might also see a urologist for

    Children might need to see a urologist if they have an abnormal urinary tract problem like bedwetting.

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    Imaging Tests For Prostate Cancer

    Imaging tests use x-rays, magnetic fields, sound waves, or radioactive substances to create pictures of the inside of your body. One or more imaging tests might be used:

    • To look for cancer in the prostate
    • To help the doctor see the prostate during certain procedures
    • To look for spread of prostate cancer to other parts of the body

    Which tests you might need will depend on the situation. For example, a prostate biopsy is typically done with transrectal ultrasound and/or MRI to help guide the biopsy. If you are found to have prostate cancer, you might need imaging tests of other parts of your body to look for possible cancer spread.

    The imaging tests used most often to look for prostate cancer spread include:

    What Does The Psa Test Involve

    The PSA test involves taking a blood sample and sending it to a laboratory for analysis. The results indicate:

    Normal levels: Most healthy adult males have PSA levels below 4 nanograms per milliliter .

    Borderline levels: PSA levels of 4â10 ng/ml are borderline. There is a 1 in 4 chance that cancer is present.

    High levels: If PSA levels are over 10 ng/ml, there is a 50% chance that the person has prostate cancer. The specialist will likely recommend more testing, including a prostate biopsy.

    It is important to note that PSA levels can naturally vary from person to person. A person with high levels may not have prostate cancer. On the other hand, about 15% of people who test positive for prostate cancer after a biopsy have PSA levels below 4 ng/ml.

    Prostate cancer is not the only cause of high PSA levels. Find out more about the other causes here.

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    A Colonoscopy Is Painless

    Yes, the tube goes exactly where you think it does. But you wont feel a thing.

    Colonoscopies employ monitored anesthesia. Youll be given medicine through an IV that will keep you comfortable, virtually pain-free and unaware of the procedure.

    A nurse anesthetist will administer the medicine and watch you intentlymonitoring your heart, breathing and blood pressurefor the duration of the procedure, so the doctors can focus on the colonoscopy.

    The only soreness you might feel after would be associated with your IV site, but that typically doesnt hurt, Dr. Parekh says.

    You might pass gas with some startling force for a couple of hours after the procedure. This is normal and not painful.

    The Role Of Psa In Choosing The Best Treatment

    Prostate Cancer Check Up

    If you have received a diagnosis of prostate cancer, your PSA levels can be used along with the results of other tests and physical exams and your tumors Gleason score to help determine which tests are needed for further evaluation and to decide on the best treatment plan. After treatment has begun, your PSA and other tests will be used to determine how well the treatment is working: The more successful the therapy, the lower the PSA.

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    What To Expect During Your Prostate Exam

    If you’ve been avoiding a prostate exam, you could be putting your health at risk. Knowing the facts about the procedure will help put any fears, concerns, or squeamishness to rest.

    If you’re a man older than 40 and have not yet had a prostate exam, it’s a good time to talk to your doctor. If you’re also African American or have a family history of prostate cancer, it’s a really good time. One of six men eventually gets a prostate cancer diagnosis. And even though most men have a slow-growing type, prostate cancer is still the leading cause of cancer deaths in men older than 75. So if you’re afraid of a prostate exam, it’s time get over it and protect your prostate health.

    “Start talking about your prostate care plan at age 40, and if you and your doctor think the time is right, get a digital rectal exam and a PSA blood test during your annual physical,” suggests Dan Zenka, senior vice president of the Prostate Cancer Foundation and a prostate cancer survivor who was diagnosed at age 51 in 2010.

    What to Expect During a Primary Care Prostate Health Exam

    Your doctor will probably start by asking you if you have any prostate health symptoms like a weak urine stream, dribbling, straining to urinate, or blood in your sperm or urine. Your doctor may also ask if you have a father or a brother with prostate cancer – and if the doctor doesn’t ask, volunteer the information.

    Here are the two tests that will be done:

    What to Expect if You Need a Prostate Cancer Exam

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