Talk to your doctor about possible risks and outcomes. It can affect men from their late teens well into old age. Treatment usually includes antibiotics. If you have recently had a catheter or other medical instrument put into your urethra, you have a higher chance of getting bacterial prostatitis. Some sexually transmitted diseases , such as chlamydia , may also cause ongoing infection and inflammation.
What Is the Prostate? What's Normal?
Your doctor can use a variety of tests to check on the condition of your prostate. A few of them include:. Your doctor puts on a glove and gently inserts one finger into your rectum to check the size and shape of your prostate. He checks for things such as size, firmness, and any lumps. This blood test checks the amount of a protein called PSA that is produced by prostate cells.
Higher levels may be a sign of cancer. By themselves, they are not proof you have prostate cancer.
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Higher levels could also point to an enlarged prostate or prostatitis. But, levels may be low even with men who have prostate cancer, so discuss the results with your doctor. Men with high PSA results or other symptoms of cancer may have a tissue sample taken of their prostate to determine whether cancer is present.
This Gland Can Grow
Screening for prostate cancer is controversial. You may read different kinds of advice and guidance from various sources. Talk to your doctor about what is best for you. The American Cancer Society: It says men should talk to their doctors about the benefits, risks, and limits of prostate cancer screening before deciding whether to be tested.
This discussion should take place:. The American Urological Association: It recommends that men age 55 to 69 who are considering screening should talk with their doctor about the risks and benefits of testing and make the decision based on their personal situation and needs. A routine interval of 2 years or more may be preferred over yearly tests in those men who have decided on screening after talking with their doctor.
Compared with annual screening, it is expected that 2-year intervals give you most of the benefits and reduce false positive results. Routine PSA screening is not recommended for men older than 70 or for any man who is expected to live only 10 to 15 more years. Preventive Services Task Force: It doesn't recommend routine PSA screening for men in the general population, regardless of age.
They say the tests often may find cancers that are so slow-growing that medical treatments, which can have serious side effects, may offer no benefit. What Does My Prostate Do? This Gland Can Grow As you age, your prostate can become larger.
Prostatitis - A Patient's Guide
Who Might Get an Enlarged Prostate? A few stats on that: Some 8 out of every 10 men eventually develop an enlarged prostate. Continued Symptoms If you have trouble starting to urinate or have to go a lot, especially at night, these could be signals that you have an enlarged prostate.
Other signs and symptoms include: It is situated just underneath the urinary bladder just under bladder neck and surrounds a portion of urethra prostatic urethra. The urethra is a tube that allows the passage of urine from the bladder through the penis when you pee. The prostate gland consists of hundreds of tiny glands acini that secrete a fluid called prostatic fluid.
Numerous tiny channels prostatic ducts merge into larger ducts like creeks into a river and drain prostatic fluid into the urethra. The entire prostate is surrounded by smooth muscles that cannot be controlled by will. Prostatic fluid gets squeezed out during ejaculation with the help of muscular contractions, and mixes with other fluids to make the semen. This prostatic fluid consists of many elements that help to make the sperm fertile. The prostate gland is a hormone-dependent organ.
Prostate development and function are influenced by the male hormone testosterone.
Prostatitis - A Patient's Guide — Mount Sinai Hospital - Toronto
This hormone is mainly produced by the testicles and released into the bloodstream. Once the testosterone enters the prostate it promotes prostate growth. Without testosterone, the prostate gland shrinks to a fraction of its normal size. We often see low levels of testosterone in men aged 40 or older. Low testosterone levels may, in turn, affect the function of the prostate, lead to sexual dysfunction or be responsible for a number of other health problems.
In general terms, this is referred to as Andropause. Most common prostate problems: Prostatitis is divided in two major categories: What is Acute Prostatitis? Acute Prostatitis is not very common in modern western society.
What Does My Prostate Do?
Usually it affects younger men who have never had any prostate problems. Symptoms of acute prostatitis include pain in the lower pelvic area, testicles and perineum area between scrotum and anus , high fever and the frequent urge to pee, accompanied by a burning sensation. Occasionally, a swollen prostate blocks the urinary passage, making it difficult for you to pee even though you have a full bladder.
Acute prostatitis occurs when bacteria are introduced into the prostate. Bacteria may reach the prostate from the urinary tract or travel via the bloodstream from other areas such as the lower portion of large bowel rectum , gallbladder, infected teeth or gums. If you develop any of these symptoms, you should see a doctor as soon as possible. This condition can be cured with prompt treatment using antibiotics. A catheter will be inserted into your bladder through the penis to relieve the obstruction. This may be followed up by several weeks of antibiotics. With proper treatment, you can be completely cured after a few weeks of therapy.
Chronic Prostatitis patients require a longer, more comprehensive treatment. This is a very common condition worldwide. It has been suggested that up to 25 per cent of all men have experienced symptoms of prostatitis at some point in their lives. At any one time, about 10 to 14 per cent of men in the community experience some prostatitis-like symptoms.
What Causes Chronic Prostatitis? Unfortunately, it is not known exactly what causes chronic prostatitis. The oldest and most widely accepted theory suggests that chronic prostatitis is caused by a bacterial infection. Others have suggested that prostatitis may be due to autoimmune conditions or chemical irritation of the prostate. Most likely, there is no single cause of prostatitis but rather multiple conditions that lead to an inflammation of the prostate resulting in chronic prostatitis.
This theory is supported by patients responding well to antibiotics. Nevertheless, there are many men who do not respond well to antibiotics.
In these cases, we need to look for other potential causes to the problem or factors that may predispose men to this painful condition. We have listed just a few important factors that can play a role in prostatitis and prostatitis-like symptoms.
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A thorough assessment by your doctor is necessary to determine what particular factors are relevant in your case. How do we diagnose prostatitis? One of the most important tools for diagnosing prostatitis is a detailed history of your symptoms, medical history, sex life, lifestyle, and dietary habits. These are very important and help the clinician choose the potential therapies. A focused physical examination of external genitalia and pelvic area may provide your physician with many clues.
A physician inserts a lubricated, gloved finger into your rectum and examines the prostate, which lies very close to the surface of the rectal wall. This exam is important because your doctor can often establish a diagnosis by assessing the shape, texture and the size of the prostate.
Urine samples are usually collected before and after the prostate examination. The results of these tests may help to determine whether you have a problem in your urethra, your prostate or your bladder. In order to make the diagnosis even more accurate, the prostate is gently pressed using a special technique. This can yield some prostatic fluid from the opening in the urethra at the tip of the penis.
Please be aware that the latter tests usually are performed in specialized urology clinics as are other, more invasive procedures such as a Cystoscopy, where the doctor looks inside your urethra and bladder in order to rule out possible abnormalities within the lower urinary tract e.