- by Dr Murali Subramanian Oncology India
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- Aug 08 2017
Men and Prostrate
A walnut-sized gland positioned between the bladder and the penis is called the prostate. The prostate is just in anterior part of the rectum. The urethra passes through the center of the prostate, from the bladder to the penis, from where urine flows out of the body.
The prostate produces fluid that protects and maintains the sperms. The prostate forces this fluid into the urethra and it’s discharged with sperm as semen during ejaculation.
The sperm are brought from the testes to the seminal vesicles by vasa deferentia (singular: vas deferens). During ejaculation the seminal vesicles contribute fluid to semen.
Prostatitis: Inflammation of the prostate, occasionally caused by infection. In few cases, it is handled with antibiotics.
Enlarged Prostate: Called BPH or benign prostatic hypertrophy, all men over 50 are virtually affected by prostate growth. With age, symptoms of difficult urination tend to rise. BPH can be treated with surgery or medicines.
Prostate cancer: One in 35 men dies from prostate cancer. Besides skin cancer it is the most common form of cancer in men.
Chemotherapy, Surgery, hormone therapy and radiation can be used to treat prostate cancer. Few men opt to postpone treatment, which is known as watchful waiting.
(DRE) or Digital rectal examination: A doctor feels the prostate by inserting a lubricated, gloved finger into the rectum. A DRE can sometimes recognize an nodules or lumps of prostate cancer, tenderness from prostatitis or enlarged prostate.
(PSA) or Prostate-Specific Antigen: A protein called PSA, which can be measured by a blood test, is made by the prostate. An enlarged prostate can also cause a high PSA, also if PSA is high, prostate cancer is more likely.
(Transrectal Ultrasound) or Prostate Ultrasound: An ultrasound probe is pushed into the rectum, bringing it near the prostate. To test for prostate cancer, ultrasound is often done with a biopsy.
Prostate Biopsy: A needle is pushed into the prostate to take out tissue to check for prostate cancer. This is generally done through the rectum.
Treatment for Enlarged prostate:
Alpha-blockers: In men with symptoms from an enlarged prostate, alpha-blockers relax the muscles around the urethra. Urine then flows more directly.
5-Alpha-Reductase Inhibitors: The levels of certain forms of testosterone (DHT) are reduced with these medications. The prostate narrows when less DHT is present, urine flow is improved.
Surgery for an Enlarged Prostate: Some men require surgery to improve symptoms and prevent complications. Though usually, symptoms of an enlarged prostate is resolved with medications.
Prostate Cancer Treatments:
Radioactive seed implants
Acute and Chronic Prostatitis: Treatment includes surgery, antibiotics and medications, depending on the type of prostatitis.
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