Prostate Problems / Cancer Specialist San Jose And Los Gatos
Dr. Gholami has performed thousands of laparoscopic and/or robotic procedures since 2000. He has been performing laparoscopic prostatectomies longer than > 98 % of practicing urologists. Additionally, Dr. Gholami is an expert in laparoscopy so that he can perform highly complex laparoscopic procedures done by very few surgeons worldwide.
It seems that most of the men I know are having problems with their prostate. A few even have cancer and the rest are worried about whats in store for them.
Its true that prostate problems are very common after age 50. And the older men get, the more likely they are to have such problems. Most prostate problems are not cancer. Still, prostate cancer does affect a lot of men.
The prostate is a gland. It makes fluid that becomes part of semen, the white fluid that contains sperm. The prostate lies low in the body in front of the rectum and below the bladder . It surrounds the tube that carries urine away from the bladder .
When youre a young man, your prostate is about the size of a walnut. It slowly grows larger as you get older. If the prostate gets too large, it can cause urinary problems. Infection or cancer in the prostate can also cause urinary and other problems. Often, men notice symptoms themselves, and sometimes their doctor finds something during a routine check-up.
Can An Enlarged Prostate Cause Testicle Pain
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Prostatitis is pain and swelling, inflammation, or both of the prostate gland. The cause is sometimes a bacterial infection. Pain can occur in the area between the scrotum and anus or in the lower back, penis, or testes.
Additionally, where do you feel prostate pain? It can cause pain in the lower back, in the groin area, or at the tip of the penis. Men with this problem often have painful ejaculation. They may feel the need to urinate frequently, but pass only a small amount of urine.
Besides, can an enlarged prostate cause pain in the groin?
Prostatitis is swelling and inflammation of the prostate gland, a walnut-sized gland situated directly below the bladder in men. Prostatitis often causes painful or difficult urination. Other symptoms include pain in the groin, pelvic area or genitals and sometimes flu-like symptoms.
Can enlarged prostate cause burning sensation?
Some symptoms of BPH are not as common, and they could signal that your condition is more complicated or advanced. Those signs include: Burning or pain when you pee. Blood in your urine.
Talk With Your Partner
Anal sex shouldnt be a surprise request mid-tryst, and no Oops! It slipped! excuses here thatd be a major violation of trust and consent. If youre interested in trying anal sex, have a conversation with your partner. Just out with it one day, and let them know youre curious.
If the feeling is mutual, adventure awaits. If one of you decides anal sex just isnt your thing, thats OK. There are lots of options for spicing things up in the bedroom without adding anal sex.
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Possible Cancer Protection From Prostate Drugs
Early research suggested that 5-alpha-reductase inhibitors , a class of drugs used to treat prostate enlargement, might increase the risk of developing more aggressive prostate cancer. However, newer studies have found that not only do the drugs appear to pose no extra risk, they may even protect against prostate cancer.
For instance, research from the Prostate Cancer Prevention Trial study in 2013 showed that taking the 5-ARI finasteride for seven years could lower the chance of getting low-grade prostate cancer by 25% among men ages 55 and older. A follow-up study of almost 9,500 men, published in the Nov. 1, 2018, issue of the Journal of the National Cancer Institute, also showed that finasteride lowered the risk by a similar amount , and found the protective effect lasted for at least 16 years.
Prostatitis And Other Pelvic Problems
The prostate, a small male gland located between the testes and the rectum, can cause a lot of problems, from prostatitis to cancer. Cancer is easy to diagnose but hard to treat prostatitis is elusive because it has such a wide range of symptoms and no known cause. Prostatitis can cause pelvic pain, urologic concerns such as frequent urges to urinate, a weak or interrupted stream, and even blood in the urine. Sexual symptoms may include erectile dysfunction and pain during intercourse. Prostate problems may also cause irritable bowel syndrome , because the irritated prostate may in turn aggravate the nerves that affect the lower digestive tract.
If you are experiencing serious medical symptoms, seek emergency treatment immediately.
- The prostate, a small male gland located between the testes and the rectum, can cause a lot of problems, from prostatitis to cancer.
- Prostatitis can cause pelvic pain, urologic concerns such as frequent urges to urinate, a weak or interrupted stream, and even blood in the urine.
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Key Points About Prostatitis
- Prostatitis is inflammation of the prostate gland caused by infection. It can be one of several types.
- Prostatitis is not contagious and is not an STD.
- Any man can get prostatitis at any age. Symptoms of prostatitis may include urinating more often, burning or stinging during urination, pain during urination, and fever and chills. Your healthcare provider usually diagnoses prostatitis by your symptoms and by checking your urine and semen for signs of infection.
- Antibiotics are used to treat prostatitis. In rare cases, you may need surgery.
Signs And Symptoms Of Prostate Cancer
Most prostate cancers are found early, through screening. Early prostate cancer usually causes no symptoms. More advanced prostate cancers can sometimes cause symptoms, such as:
- Problems urinating, including a slow or weak urinary stream or the need to urinate more often, especially at night
- Blood in the urine or semen
- Trouble getting an erection
- Pain in the hips, back , chest , or other areas from cancer that has spread to bones
- Weakness or numbness in the legs or feet, or even loss of bladder or bowel control from cancer pressing on the spinal cord
Most of these problems are more likely to be caused by something other than prostate cancer. For example, trouble urinating is much more often caused by benign prostatic hyperplasia , a non-cancerous growth of the prostate. Still, its important to tell your health care provider if you have any of these symptoms so that the cause can be found and treated, if needed. Some men might need more tests to check for prostate cancer.
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Management Of Bowel Dysfunction
Short of treating individual symptoms as needed, there are few, if any, treatment options for bowel dysfunction following radiation therapy. Laser therapy can stop rectal bleeding caused by radiation. Anti-diarrheal agents can help with loose bowel movements. Increasing fiber intake through whole grains, fruits and vegetables, or fiber supplements can also help.Avoiding foods that might irritate the gastrointestinal tract is important, but complete elimination of fibrous, bulky foods can lead to constipation and straining, which in turn can exacerbate rectal bleeding.
Prostate Cancer & Treatment
The prostate is a male reproductive gland that produces a fluid found in semen. Located below the bladder and in front of the rectum, the prostate surrounds the urethra the tube that empties urine from the bladder.
Prostate cancer affects the prostate gland and may spread to surrounding structures. While most men with prostate cancer have no symptoms, physician can find prostate cancer during a regular checkup, using a combination of a blood test called a PSA and a digital rectal exam .
Nearly one in six American men will be diagnosed with prostate cancer during his lifetime. With greater awareness, prostate cancer detection is on the rise and mortality is declining. Moreover, better treatments are allowing more men to return to active and productive lives after treatment.
Prostate cancer is a common type of cancer among American men. It is most common among African American men. Treatment for prostate cancer works best when the disease is found early.
The Relationship Between Constipation And The Prostate Is Kind Of Like The Old Chicken And Egg Conundrum
The egg: Constipation, aka the build-up of feces in the intestine , can put pressure on the bladder and the prostate, which can cause symptoms resembling those associated with an enlarged prostate. The chicken: an enlarged prostate can put pressure on the rectum and cause constipation. But wait, theres more
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The Top 7 Signs Of Advanced Prostate Cancer
In the early stages, you may not notice any symptoms related to prostate cancer. This is why screenings are important. Symptoms can sometimes be noticed for the first time when the cancer advances.
Advanced prostate cancer, also called metastatic cancer, means the cancer has spread to other areas of your body beyond your prostate gland. The most common areas for prostate cancer to spread are your bladder, rectum, and bones. It can also spread to your lymph nodes, liver, lungs, and other body tissues.
Whether youve just been diagnosed or youre in treatment, its also important to know the signs of advanced cancer. Cancer can behave differently depending on your genetics, so not every person will experience the same symptoms in the same way.
Read on to learn more about the seven top symptoms of advanced prostate cancer and how to spot them.
What Are The Diseases That Cause The Prostate To Enlarge
There are at least seven diseases affecting the prostate.
Benign Prostatic Hyperplasia: A Common Part Of Aging
It is common for the prostate gland to become enlarged as a man ages. Doctors call this condition benign prostatic hyperplasia , or benign prostatic hypertrophy.
As a man matures, the prostate goes through two main periods of growth. The first occurs early in puberty, when the prostate doubles in size. At around age 25, the gland begins to grow again. This second growth phase often results, years later, in BPH.
Though the prostate continues to grow during most of a mans life, the enlargement doesnt usually cause problems until late in life. BPH rarely causes symptoms before age 40, but more than half of men in their sixties and as many as 90 percent in their seventies and eighties have some symptoms of BPH.
As the prostate enlarges, the layer of tissue surrounding it stops it from expanding, causing the gland to press against the urethra like a clamp on a garden hose. The bladder wall becomes thicker and irritable. The bladder begins to contract even when it contains small amounts of urine, causing more frequent urination. Eventually, the bladder weakens and loses the ability to empty itself, so some of the urine remains in the bladder. The narrowing of the urethra and partial emptying of the bladder cause many of the problems associated with BPH.
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Bowel Incontinence And Prostate Cancer Treatment
Just as the ways to develop urinary or bowel incontinence are numerous, so are their potential outcomes. In many instances, urinary or bowel incontinence after prostate cancer treatment resolves on its own, as an individual is recovering from the treatment. For example, after radiation therapy, an individual may lose control of their bladder, but this may resolve without any intervention within a few weeks or months. On the other side, there is a possibility that during treatment the nerves or muscles that control these processes can get damaged permanently, and the incontinence may not subside on its own. Before treatment, and even immediately after, its very hard to predict if youll have these issues, and for how long they may last.
Can Anal Sex Lead To Orgasm
Anal sex can lead to orgasm, but that doesnt have to be the intended outcome. Anal sex can just be a fun way to play.
For some people, the anus is an erogenous zone. So even just a little play can be a turn on. The anus is also full of sensitive nerve endings, so its very receptive to sexual stimulation. For the insertive partner, the tightness around the penis can be pleasing as well.
Anal sex also stimulates the prostate gland in men, which can enhance a mans orgasm. For women, clitoral stimulation may be necessary during anal sex to reach climax, but not every woman will reach orgasm this way. Oral or vaginal sex may be necessary to reach climax.
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Treatment For Benign Prostate Hyperplasia
Treatment for benign prostate hyperplasia can involve:
- Lifestyle changes, such as limiting a night-time consumption of liquids, avoiding caffeine and alcohol, avoiding medication such as diuretics, decongestants and antihistamines and getting more exercise, as well as dietary improvements, such as eating more fibre, avoiding artificial sweeteners and sweetened beverages.
- Medication, such as alpha-blockers or 5-alpha-reductase inhibitors.
- Interventions, such as the UroliftÂ® system, a non-surgical proprietary device that uses tiny implants to lift the prostate away from the urethra and thereby relieve BPH symptoms that result from pressure on the urethra.
- Surgical procedures, such as a prostatectomy , transurethral microwave thermotherapy , prostate laser, and Transurethral Resection of the Prostate .
- Herbal prostate treatments, such as saw palmetto extract. Saw palmetto extract is made from the fruit of the saw palmetto, which is native to the southeast and Gulf coasts of North America and may potentially assist in reducing urinary frequency and increasing urinary flow.
Treatment of prostate cancer can involve:
What Is The Main Cause Of Prostate
On a basic level, prostate cancer is caused by changes in the DNA of a normal prostate cell. DNA is the chemical in our cells that makes up our genes, which control how our cells function. We usually look like our parents because they are the source of our DNA. But DNA affects more than just how we look.
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Importance Of Regular Screenings
These common signs and symptoms can be attributed to several other medical conditions or causes. For instance, ED can simply be caused by stress, and pain can be attributed to a pulled muscle or other injury.
So how do you know when any of these red flags are signaling prostate cancer? Only your doctor can determine the root cause of any of these problems. With one in nine men diagnosed with prostate cancer in the United States, its important to receive regular prostate cancer screenings and to inform your doctor of any new signs or symptoms right away.
When Should I Call A Doctor
Your symptoms may not bother you too much. But itâs important to talk over any urinary problems with your doctor.
Itâs hard to predict how BPH will play out, and you canât assume that the problem will get better on its own. Your doctor also will want to rule out things that cause similar problems.
Some symptoms need quick medical attention. If you have any of these, call your doctor right away or head to an emergency room:
- You canât urinate at all.
- You have to pee frequently, itâs painful, and you have fever and chills.
- You have blood in your urine.
- You feel a great deal of pain in your lower belly and urinary tract.
National Institutes of Health: National Institute of Diabetes, Digestive and Kidney Diseases — Prostate Enlargement: Benign Prostatic Hyperplasia.
Cleveland Clinic: Diseases and Conditions — Benign Prostatic Enlargement .
Johns Hopkins Medicine Health Library: Benign Prostatic Hyperplasia.
Mayo Clinic: Diseases and Conditions — Benign Prostatic Hyperplasia .
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Is Drinking A Lot Of Water Good For Your Prostate
If you have BPH or prostatitis, make an effort to reduce your caffeine intake by cutting back on coffee, soda or energy drinks. Avoiding caffeine can make a big difference in your urinary health. Another important drink for you prostate is water. Stay hydrated, and do not try to drink less to reduce your urine.
Sexual Function After Surgery
Many men worry about whether surgery for BPH will affect their ability to enjoy sex. Some sources state that sexual function is rarely affected, while others claim that it can cause problems in up to 30 percent of cases. However, most doctors say that even though it takes awhile for sexual function to return fully, with time, most men are able to enjoy sex again.
Complete recovery of sexual function may take up to 1 year, lagging behind a persons general recovery. The exact length of time depends on how long after symptoms appeared that BPH surgery was done and on the type of surgery. Following is a summary of how surgery is likely to affect the following aspects of sexual function.
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