By  Dra. Lourdes Alcántara

The prostate is part of the reproductive organs of man. In men under the age of 50, the most common prostate problem is prostatitis. In men over 50, the most common prostate problem is an enlarged prostate. This condition is also known as benign prostatic hyperplasia (BPH). Older men have an enlarged prostate, and they are also at risk of developing prostate cancer, but this disease is much less common than BPH.

Prostatitis wants is inflammation or irritation of the prostate. symptoms:

urge to urinate more often fever

fatigue

Inflammation of any part of the body is usually a sign that the body is fighting germs or repairing an injury. When the cause is bacterial, your doctor may give you an antibiotic, a medicine that destroys bacteria.

Other possible causes may be a kidney stone, or cancer.

When the cause is not found, the doctor may determine a nonbacterial prostatitis.

The best treatment is to change the diet or take warm baths. alpha blocker There is no one solution that is effective for all prostatitis.

BPH

A frequent and urgent need to urinate.

Difficulty starting the urine stream.

Weak urine flow.

A small amount of urine each time you go to the bathroom.

The feeling that you still have to urinate more.

Urine drip

Small amounts of blood in your urine.

Some men who have prostate cancer also have BPH, but that doesn’t mean the two conditions are always related. Most men with BPH do not develop prostate cancer. However, since the initial symptoms are the same in both conditions, you should consult your doctor to evaluate these symptoms.

BPH can lead to serious problems such as urinary tract infection. If you have difficulty starting to urinate, you should seek medical attention immediately. Sometimes this happens suddenly when men take an over-the-counter allergy or cold medicine. or initial dysuria.

Various tests help the doctor identify the problem and choose the best treatment

Rectal examination is the first exam performed. This test gives the doctor a general idea of ​​the size and condition of the prostate.

Blood test to detect prostate-specific antigen (PSA). A high PSA level may be a sign of prostate Cancer

However, this test is not foolproof. Many men with high PSA levels do not have prostate cancer. The doctor may want to take an x-ray or ultrasound of the prostate. Intravenous pyelogram (IVP) is an x-ray of the urinary tract.

rectal ultrasound, a probe, or catheter, is inserted into the rectum to send sound waves that bounce off the prostate.

Uro-flowmetry.

Cystoscopy.

Non-surgical procedures

Photoselective Vaporization of the Prostate (PVP):

Transurethral incision of the prostate (TUIP):

Transurethral microwave thermotherapy (TUMT):

Transurethral needle ablation (TUNA):

Treatment with surgery. The procedure to remove the entire prostate is called a prostatectomy.

The most common open surgery is called transurethral resection of the prostate (TURP).

You should continue to have prostate checkups once a year, even after surgery, to be sure there is no development of BPH or prostate cancer.

Most men regain full sexual function a year after surgery. Recovery time depends on the type of surgery and how long symptoms have occurred before surgery.

After surgery, some men do not get semen from the penis during orgasm. Instead of leaving the penis, the semen goes back to the bladder, this is known as retrograde ejaculation, which can sometimes be treated with a medication

Erection problems and lack of bladder control can be treated.

If your prostate is completely removed to stop the cancer, you may have sexual and bladder control problems, such as a leaky urine, but this is treatable.

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