What Are The Treatment Options For Bph
First line treatment for BPH is dietary and lifestyle modification. If these fail to improve symptoms then medical therapy can be started. Medications can either help shrink the prostate gland or help relax the prostate and bladder. If medical therapy is ineffective, there are surgical options from which the patient may benefit. The most common procedure is a TURP . During this procedure a doctor passes a small camera through the urethra and removes excess prostate tissue with a surgical instrument. A laser can also be used to resect prostate tissue. There are also other minimally invasive therapies that can be used in BPH to help improve urinary symptoms and quality of life. Sometimes when the prostate gland is extremely large, surgical removal of the gland is performed through an incision.
Who Can Do Prostate Milking
Anyone with a prostate may be able to milk it. Some people find the massage painful or unpleasant to perform on themselves. In this case, depending on the goal of the stimulation, a person may ask a partner or a healthcare provider to perform the massage.
The prostate is a walnut-sized organ inside the rectum and just under the bladder. It wraps around the urethra, which is the tube that drains urine from the bladder.
The prostate tends to get larger with age, making it easier to locate.
To find the prostate , a person can insert a lubricated finger into the rectum, then push slightly on the front wall of the rectum. They may feel a slight bulge.
It is also possible to stimulate the prostate less directly by pushing upward on the skin between the testicles and the rectum, an area called the perineum.
Because the prostate is so close to the bladder and urethra, intense prostate stimulation can cause the urge to urinate. Prostatitis and other prostate problems may also lead to more frequent urination.
First, a person should apply plenty of lubricant to a finger. Wearing gloves can make the insertion smoother, and it may also be a good idea because of hygiene concerns.
Gently insert the lubricated finger into the anus, slowly pushing on the front wall of the rectum. For most people, finding the prostate requires inserting the finger at least halfway in. Touching the prostate may produce an unusual or pleasurable sensation.
Talking With Your Doctor
Different kinds of doctors and other health care professionals manage prostate health. They can help you find the best care, answer your questions, and address your concerns. These health care professionals include:
- Family doctors and internists
- Physician assistants and nurse practitioners
- Urologists, who are experts in diseases of the urinary tract system and the male reproductive system
- Urologic oncologists, who are experts in treating cancers of the urinary system and the male reproductive system
- Radiation oncologists, who use radiation therapy to treat cancer
- Medical oncologists, who treat cancer with medications such as hormone treatments and chemotherapy
- Pathologists, who identify diseases by studying cells and tissues under a microscope
View these professionals as your partnersâexpert advisors and helpers in your health care. Talking openly with your doctors can help you learn more about your prostate changes and the tests to expect.
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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.
Survival Rate For Stage 4 Cancer Depends On Factors Like The Cancer Types Treatments Patients Health Condition Etc Work With Your Doctor For Best Results
When one is diagnosed to have Stage IV cancer, the immediate concern is if the person will be able to survive the disease. This concern, also medically known as the prognosis, depends on many factors, including availability of treatment and ones general health condition. Knowing what stage ones cancer is mostly determines his probability of surviving based on research. Cancer staging therefore helps the doctor to advise the patient about his condition and what forms of treatment are suitable, and to predict his survival rate in the next few years.
Cancer survival rate refers to the percentage of patients afflicted with a certain form of cancer who survive the disease for a specified amount of time. Statistics often refer to a five-year period where scientific surveys on these patients are based, although these data do not specify whether the patients are still undergoing treatment or are completely cancer-free after five years. An over-all five-year survival rate of 80% would mean that for every 100 patients with the disease, 80 would probably live for at least another five years, and 20 would probably not survive this period of time.
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What Research Has Been Done To Study Prostate Cancer Screening
Several randomized clinical trials;of prostate cancer screening have been carried out. One of the largest is the Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial, which NCI conducted to determine whether certain screening tests can help reduce the numbers of deaths from several common cancers. In the prostate portion of the trial, the PSA test and DRE were evaluated for their ability to decrease a mans chances of dying from prostate cancer.
The PLCO investigators found that men who underwent annual prostate cancer screening had a higher incidence of prostate cancer than men in the control group but the same rate of deaths from the disease . Overall, the results suggest that many men were treated for prostate cancers that would not have been detected in their lifetime without screening. Consequently, these men were exposed unnecessarily to the potential harms of treatment.
A second large trial, the European Randomized Study of Screening for Prostate Cancer , compared prostate cancer deaths in men randomly assigned to PSA-based screening or no screening. As in the PLCO, men in ERSPC who were screened for prostate cancer had a higher incidence of the disease than control men. In contrast to the PLCO, however, men who were screened had a lower rate of death from prostate cancer .
Psa Level Risk Analysis
- 15%;of men with a PSA level less than;4 ng/ml;go on to develop prostate cancer.
- 31%;of men with PSA levels between;4 10 ng/ml;have shown to develop prostate cancer.
- 50% 65%;of men with psa scores;over 10 ng/ml;develop prostate cancer.
An important part of the your results is finding both the;
1.;Total;amount of PSA in your blood.
2.;Ratio of free vs bound;PSA.
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Treatment Options After Recurrence
After surgery to remove your prostate
PSA levels are usually extremely low about a month after surgery. You may hear your doctor saying that your PSA level is undetectable . If your PSA level starts to rise,;this might mean the cancer has come back.
Your doctor might recommend:
- hormone treatment
After external beam radiotherapy
PSA levels usually get lower slowly over months or years. Defining the limit for cure is complicated and you should ask your cancer specialist. Usually a level of 2 ng/ml above the lowest point after treatment is taken as a sign of recurrence, or;3 increases in a row .
Your treatment options may be:
- surgery to remove your prostate
- hormone treatment
- high;frequency ultrasound
After internal beam radiotherapy
PSA can rise temporarily after brachytherapy. This is called PSA bounce. The level then lowers slowly. Usually a level of 2 ng/ml above the lowest point after treatment is taken as a sign of recurrence.
After hormone treatment
If you are given hormone treatment alone, the PSA can rise after you finish hormone treatment. It may then become stable or static.;If it rises this may suggest the cancer is becoming resistant to the hormone treatment.
If hormone treatment is no longer controlling your cancer, your doctor may suggest:
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What Does The Prostate Gland Do
09 August 2010
The prostate gland is a male reproductive organ whose main function is to secrete prostate fluid, one of the components of semen. The muscles of the prostate gland also help propel this seminal fluid into the urethra during ejaculation .
The prostate is a muscular gland that weighs about three-fourths of an ounce about the size of a small apricot. It surrounds the urethra just beneath the bladder .
During ejaculation, millions of sperm move from the testes through tubes called the vas deferens into the area of the prostate. At this point, the prostate contracts, closing off the opening between the bladder and the urethra, releasing fluid into the urethra and pushing semen on through.
The fluid excreted by the prostate makes up about one-third of the total volume of semen and contains various enzymes, zinc and citric acid. Though prostate fluid is slightly acidic, another fluid in semen made by the seminal vesicles leaves semen slightly alkaline, or basic. This alkalinity helps protect sperm and prolong their life after they are deposited in the acidic environment of the vagina, according to the biology textbook, “Life: The Science of Biology, Eighth Addition” .
One component of prostate fluid an enzyme called Prostate Specific Antigen also aids in the success of sperm by liquefying semen that has thickened after ejaculation. This thinning action allows sperm to swim more freely, according to the medical reference book “Prostate Specific Antigen” .
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Who Is At Risk For Prostate Cancer
Certain men are at higher risk than others for prostate cancer, which may affect when they should start being screened. The risk increases with age, particularly after age 50. Some risk factors include:
- African American men are twice as likely as white men to develop the disease.
- Having a family history a father or a brother diagnosed with prostate cancer, particularly if it is at a relatively early age increases the risk.
- Having a family history of breast and ovarian cancer may also be associated with an inherited risk of developing prostate cancer;
- High-fat diet and/or obesity
Your Cancer Care Team
People with cancer should be cared for by a multidisciplinary team . This is a team of specialists who work together to provide the best care and treatment.
The team often consists of specialist cancer surgeons, oncologists , radiologists, pathologists, radiographers and specialist nurses.
Other members may include physiotherapists, dietitians and occupational therapists. You may also have access to clinical psychology support.
When deciding what treatment is best for you, your doctors will consider:
- the type and size of the cancer
- what grade it is
- whether the cancer has spread to other parts of your body
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Stage 1 Prostate Cancer
Stage 1 is the least advanced form of prostate cancer. Cancer in this stage is small and hasnt spread past the prostate gland. Its characterized by a PSA of less than 10 ng/mL, a grade group score of 1, and a Gleason score of 6.
Stage 1 prostate cancer has a 5-year survival rate of nearly 100 percent.
Stage 3 Prostate Cancer
In stage 3, cancer has now spread beyond the prostate and may have potentially spread into the nearby seminal vesicles.
- Stage IIIA The tumor may involve both lobes of the prostate or less than that . There is no regional lymph node metastasis and no distant metastasis. . The PSA level is below or equal to 20 ng/ml. The Grade Group is 1-4.
- Stage IIIB The tumor extended through the prostatic capsule to the seminal vesicles or the adjacent structures, such as the bladder, muscles or the pelvic floor . There is no regional lymph node metastasis and no distant metastasis. . There can be any PSA level. The Grade Group is 1-4.
- Stage IIIC The tumor may or may not be extended through the prostatic capsule but has not spread to the regional lymph nodes or to other distant areas . There can be any PSA level. The Grade Group is 5.
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What Is The Psa Test
Prostate-specific antigen, or PSA, is a protein produced by normal, as well as malignant, cells of the prostate gland. The PSA test measures the level of PSA in a mans blood. For this test, a blood sample is sent to a laboratory for analysis. The results are usually reported as nanograms of PSA per milliliter of blood.
The blood level of PSA is often elevated in men with prostate cancer, and the PSA test was originally approved by the US Food and Drug Administration ;in 1986 to monitor the progression of prostate cancer in men who had already been diagnosed with the disease. In 1994,;FDA approved the use of the PSA test in conjunction with a digital rectal exam to test asymptomatic men for prostate cancer. Men who report prostate symptoms often undergo PSA testing to help doctors determine the nature of the problem.
In addition to prostate cancer, a number of benign conditions can cause a mans PSA level to rise. The most frequent benign prostate conditions that cause an elevation in PSA level are prostatitis and benign prostatic hyperplasia ;. There is no evidence that prostatitis or BPH leads to prostate cancer, but it is possible for a man to have one or both of these conditions and to develop prostate cancer as well.
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.
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Anatomy Of The Prostate
The prostate is a small;gland;in the male reproductive system. It is situated in front of the;rectum, below the;bladder, and surrounds the;urethra, which is the tube through which;urine;flows out of the body. The main function of the chestnut-sized prostate is to secrete part of the;seminal fluid;that combines with sperm to form;semen.
Healthy Food For Your Prostate
Recently, doctors have realized the importance of food nutrition and diet to maintain a healthy prostate life. Men who gain a significant amount of weight are one of the leading factors in whether a man develops prostate cancer in his life.
- Maximize the amount of vegetables and fruits in your diet.
- Red and leafy vegetables like broccoli, cabbage and spinach are linked to prostate cancer resistance .
- Buy whole foods. Whole foods have very low food processing and preservatives which gives you the closest thing to fresh vegetables. Often, the food in the grocery store is too processed and filled with preservatives to give your body the nutrition it needs.
- Drink teas, liquids and broths. Teas are healthy for the body because they are easy to digest and remove toxins built up in the prostate gland they also contain nutrients not found in water. You can find teas specific for prostate health or drink regular black or green tea.
- Thats right, beansan excellent source of protein and fiber, which is essential for proper prostate function. The protein found in beans should be maximized while limiting the protein found in red meats. It is also found that a diet high in red meat may be a risk factor for heart disease, colon cancer and prostate cancer.
It is important to remember that most prostate changes are not cancer but should be monitored and screened by your doctor. If you do not have a doctor, allow us to help you find one.
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Prostate Massage Therapy And Why It May Be Helpful
Prostate massage therapy , in which the prostate is stimulated through the rectum, was once a popular treatment for prostatitis.
The procedure is similar to a digital rectal exam, except rather than briefly looking for abnormalities on the prostate, the person performing the prostatic message rubs the prostate with light to moderate pressure until it secretes fluid through the urethra .
It was once thought that people could relieve symptoms related to prostatic congestion by expelling inflammatory cells and fluid from the obstructed glands. But this therapy largely fell out of favor in the 1960s, once antibiotics became available.
A study published in the journal Neurology tested whether prostate massage could be used as an adjunct treatment for people with chronic prostatitis, but the researchers found that the treatment did not significantly help patients.
In some cases, doctors have used prostate massage therapy to obtain sperm from men with spinal cord injuries, leading to successful pregnancies. But electroejaculation ;stimulating the prostate using an electric current delivered through a probe inserted into the rectum typically yields more sperm, noted an article published in the journal Nature Reviews Urology.
Using prostate massage to achieve ejaculation is sometimes called prostate milking. Both prostate massage and prostate milking can also be sexual techniques to stimulate pleasure.
Questions You May Want To Consider Asking Your Doctor Include:
- What type of prostate problem do I have?
- Is more testing needed and what will it tell me?
- If I decide on watchful waiting, what changes in my symptoms should I look for and how often should I be tested?
- What type of treatment do you recommend for my prostate problem?
- For men like me, has this treatment worked?
- How soon would I need to start treatment and how long would it last?
- Do I need medicine and how long would I need to take it before seeing improvement in my symptoms?
- What are the side effects of the medicine?
- Are there other medicines that could interfere with this medication?
- If I need surgery, what are the benefits and risks?
- Would I have any side effects from surgery that could affect my quality of life?
- Are these side effects temporary or permanent?
- How long is recovery time after surgery?
- Will I be able to fully return to normal?
- How will this affect my sex life?
- How often should I visit the doctor to monitor my condition?
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