Mayo Clinic Q And A: New Technique For Prostate Biopsies Virtually Eliminates Risk Of Infection
DEAR MAYO CLINIC: My husband had an MRI that showed an abnormal spot on his prostate. The last time he had a prostate biopsy, he got a severe urinary tract infection, which led to him being hospitalized. It took him weeks to recover. Is he at risk of another serious infection after this prostate biopsy? Is there anything we can do to reduce that risk?
ANSWER: Although its uncommon to contract an infection as a result of a prostate biopsy, as your husband found out, it can happen. A new technique for prostate biopsies has been developed, however, that reduces the odds of an infection to almost zero. That technique, called transperineal fusion biopsy, is a good alternative to consider, particularly for someone like your husband who has already had one severe infection due to a biopsy.
A prostate biopsy is a procedure that removes samples of suspicious tissue from the prostate gland, so they can be examined for signs of cancer. Until recently, prostate biopsies had to be performed with a probe inserted through the rectum. During the procedure, a needle is passed through the rectal wall to obtain tissue from the prostate. This approach, known as a transrectal biopsy, exposes the biopsy needle to bacteria found in the rectum.
Another significant difference between the new transperineal biopsy and thetraditional transrectal biopsy is that the new approach dramatically reducesthe need for antibiotics before the procedure.
How Your Doctor Can Help
If you have one or more of these symptoms, its important to talk with your doctor about a treatment plan. Treatments for BPH include medication, minimally invasive therapies, and surgery. You can also try lifestyle changes to control symptoms. And sometimes the symptoms get better even without treatment, according to the Mayo Clinic. The best news? Although they can produce similar symptoms, enlarged prostate has no connection to prostate cancer.
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Enlarged Prostate Many Options To Treat This Common Problem
ROCHESTER, Minn. More than half of men in their 60s experience symptoms caused by an enlarged prostate gland. Add another decade or two, and nearly all men experience symptoms that may include a weak urine stream, difficulty starting urination, stopping and starting while urinating, and an urgent need to urinate.
The July issue of Mayo Clinic Health Letter covers how the prostate gland changes with age and ways to find relief for whats technically termed benign prostatic hyperplasia.
The prostate gland is just below the bladder and surrounds the urethra through which urine passes out of the body. After puberty, the prostate gland is about the size of a walnut. As men age, the prostate gland can increase in size, pressing on the urethra and interfering with urine flow.
Men with mildly enlarged prostate glands and mild symptoms may not need immediate treatment. Studies have shown that up to one-third of mild cases clear up without treatment.
When treatment is needed, the focus is on reducing troubling symptoms and restoring normal urinary tract function. Several medication options are available for men with mild-to-moderate symptoms. Therapies include:
Alpha blockers: These drugs relax the bladder neck muscles and muscle fibers in the prostate. They help increase urine flow and reduce the need to urinate as often. Medications in this category are terazosin, doxazosin, tamsulosin, alfuzosin and silodosin.
Surgery options include:
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Risk And Other Prostate Conditions
The most common misconception is that the presence of non-cancerous conditions of the prostate will increase the risk of prostate cancer.
While these conditions can cause symptoms similar to those of prostate cancer and should be evaluated by a physician, there is no evidence to suggest that having either of the following conditions will increase a mans risk for developing prostate cancer.
Benign Prostatic Hyperplasia is a non-cancerous enlargement of the prostate. Because the Urethra runs directly through the prostate, enlargement of the prostate in BPH squeezes the urethra, making it difficult and often painful for men to urinate. Learn more about BPH.
Prostatitis, an infection in the prostate, is the most common cause of urinary tract infections in men. Most treatment strategies are designed to relieve the symptoms of prostatitis, which include fever, chills, burning during urination, or difficulty urinating. There have been links between inflammation of the prostate cancer and prostate cancer in several studies. This may be a result of being screened for cancer just by having prostate-related symptoms, and currently, this is an area of controversy. Learn more about prostatitis.
What Is The Survival Rate For Prostate Cancer
Most of the men diagnosed with prostate cancer will not die from it. Other medical conditions along with prostate cancer can cause death.
Survival rates for men with prostate cancer have increased over the years due to increased screening and treatment options. Ninety-nine percent of men with prostate cancer will survive for a minimum of five years after diagnosis.
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How To Reduce Prostate Size
This article was medically reviewed by . Dr. Litza is a board certified Family Medicine Physician in Wisconsin. She is a practicing Physician and taught as a Clinical Professor for 13 years, after receiving her MD from the University of Wisconsin-Madison School of Medicine and Public Health in 1998.There are 13 references cited in this article, which can be found at the bottom of the page. This article has been viewed 65,131 times.
The prostate gland is a part of the male reproductive system that can enlarge with age, putting uncomfortable pressure on the urethra. This can cause urinary difficulties, urinary tract infections , and even bladder stones. By making lifestyle changes and using medication, most men can reduce their urinary troubles. A few men, though, may need to consider minimally invasive or traditional surgery options to feel their best.
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Using Medication To Reduce Symptoms
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Blood In Urine/bladder Stones
A number of factors associated with enlarged prostate can cause blood in the urine: Enlarged veins in the prostate can rupture, or if youre forcing hard to urinate, that can also rupture veins. Blood in the urine can also be a sign of a UTI. Urine retention in your bladder can also cause bladder stones. These occur when urine becomes concentrated and crystallizes. They can be very painful and can further block the flow of urine. However, its unlikely that bladder stones would be the first noticeable symptom of an enlarged prostate, Dr. Linehan says.
Advanced Prostate Cancer Symptoms
Men with advanced prostate cancer may experience additional symptoms. Thats because the cancer has spread from the prostate to other parts of the body, such as the bones or lymph nodes.
A wide range of treatment options are available for managing advanced cancer. These treatments kill cancer cells, but they may also help patients manage pain.
Signs of metastatic prostate cancer may include:
- Swelling in legs or pelvic area
- Numbness or pain in the hips, legs or feet
- Bone pain that persists or leads to fractures
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Pain And Discomfort In The Pelvic Area Lower Back Or Upper Thighs
Symptoms associated with prostate cancer can also be caused by other non-cancerous diseases, such as a urinary tract infection or benign prostatic hyperplasia . The latter is often confused with prostate cancer. Your doctor can help to diagnose your exact condition and address any of the issues listed above with treatment.
Prostate Cancer Symptoms Explained As Joe Exotic Says He Has Aggressive Form Of Disease
Joseph Maldonado, better known as Joe Exotic, has been diagnosed with an aggressive form of prostate cancer, according to a letter written by the Tiger King figure.
A letter provided to CNN by his attorney John M. Phillips, Maldonadowho rose to fame in the 2020 Netflix documentary series Tiger King: Murder, Mayhem, and Madnesssaid a prostate biopsy had been returned with the diagnosis of aggressive cancer.
The tiger enthusiast, convicted in 2019 on animal abuse charges and for his role in a plot to murder longstanding rival animal rights activist Carole Baskin, added: “I am still waiting on the results from other tests as well. Right now, I don’t want anyone’s pity.”
His attorney told CNN: “The PSA test is a blood test used primarily to screen for prostate cancer. It was high. He finally obtained biopsies. They revealed cancer. Medical care is different in a prison environment and fewer options are available.”
According to the American Cancer Society, aside from skin cancer, prostate cancer is the second most common form of cancer in American men, 1 in 8 men will be diagnosed with the condition.
Prostate cancer is also the second-leading cause of death in American men after lung cancer, with estimates suggesting that 1 in 41 men in the U.S. will die as a result of the condition.
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Prostate Cancer Screening : The Most Common Prostate Cancer Screening Method Is : The Pancreas Is Located Behind The Stomach So Having Pancreatic Cancer Doesn’t Involve A Palpable Mass That You Can Feel
Although screenings for prostate cancer are one tool for early detecti. But hearing the words can still be scary. Being armed with information is vital to begin the fight. The earlier the detection of prostate cancer, the better the patient’s chance of survival is. There are a number of different treatments doctors recommend.
What You Need To Know About Prostate Cancer
Unless it causes problems, most men dont give a lot of thought to their prostate. The small gland is responsible for producing seminal fluid , and its located beneath the bladder and around the urethra, the tube that transports fluid to the penis.
Most types of prostate cancer are known as adenocarcinomas, which are cancers that develop from gland cells, the Mayo Clinic says.
While some forms of prostate cancer grow and spread quickly, others grow quite slowly. The American Cancer Society notes that some people can have undetectable prostate cancer for decades without it causing any problems. But the risks of prostate cancer are quite serious, particularly as it begins to spread to other areas of the body.
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Southern Cross Medical Library
The purpose of the Southern Cross Medical Library is to provide information of a general nature to help you better understand certain medical conditions. Always seek specific medical advice for treatment appropriate to you. This information is not intended to relate specifically to insurance or healthcare services provided by Southern Cross. For more articles go to the Medical Library index page.
What Are The Stages Of Prostate Cancer
Your healthcare provider uses the Gleason score and Grade Groups to stage prostate cancer based on its projected aggressiveness. To get this information, the pathologist:
- Assigns a grade to each type of cell in your sample. Cells are graded on a scale of three to five . Samples that test in the one to two range are considered normal tissue.
- Adds together the two most common grades to get your Gleason score .
- Uses the Gleason score to place you into a Grade Group ranging from one to five. A Gleason score of six puts you in Grade Group 1 . A score of nine or higher puts you in Grade Group five . Samples with a higher portion of more aggressive cells receive a higher Grade Group.
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When To See A Doctor
Because its so difficult to identify prostate cancer early, it can often be difficult to know when its right to see the doctor. Of course, any of the warning signs and symptoms mentioned above warrant a trip to the doctor.
There are, however, other scenarios when you should see your doctor for prostate cancer screening, notes the Urology Care Foundation. For example, screening is generally recommended for men between the ages of 55 and 69. And if you have additional risk due to being African-American or having a family history of prostate cancer, then you may want to get screened earlier.
A wise approach: Talk to your doctor about whether prostate cancer screening would be right for you.
Breast Cancer Is The Second Most Common Cancer Found In Women After Skin Cancer But That Doesn’t Mean Men Aren’t At Risk As Well
One in seven men in the united states will receive a prostate cancer diagnosis during his lifetime. It may grow slowly and it’s typically treatable. Although the percentage of cases in men is much lower than in women, male breast cancer accounts for a por. You will find out more about screening for prostate cancer. The pancreas is located behind the stomach, so having pancreatic cancer doesn’t involve a palpable mass that you can feel. If breast cancer is diagnosed at an early enough stage, it’s treatable. Being armed with information is vital to begin the fight. There are a number of different treatments doctors recommend. The pancreas is an organ that releases enzymes involved with digestion, and hormones to regular blood sugar levels. Getting a diagnosis of bladder cancer can be a difficult time. Here are 10 more facts about prostate cancer. You will also learn the risks and benefits of screening. When malignant cancer cells form and grow within a person’s breast tissue, breast cancer occurs.
There are a number of different treatments doctors recommend. You will find out more about screening for prostate cancer. According to the american cancer society, a.
Getting a diagnosis of bladder cancer can be a difficult time. Although it is the most commonly diagnosed cancer in american women, breast cancer can impact people of all genders. Treatment for bladder cancer depends on your overall health, progression of the c.
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Signs Of Cervical Esophageal Cancer
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Early Signs Of Prostate Cancer Never To Ignore
Early-stage prostate cancer usually has very few or no warning signs at all. Cancer could only raise concern if the tumor happens to press on the urethra and cause changes to your urine flow. Early signs of prostate cancer may not be visible and their undetectable nature can lead to cancer progression.
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Recurrent Prostate Cancer Symptoms
Prostate cancer that returns after treatment is considered recurrent. When it returns to the area around the prostate, the disease is classified as a local recurrence. If the cancer is found in another part of the body, the recurrent cancer is considered metastatic. If the cancer metastasizes outside the prostate, it most likely develops in bones first. Metastatic prostate cancer most often spreads to the liver, bones and lungs.
After initial treatment for prostate cancer, PSA levels are expected to drop dramatically. The first sign of recurrent prostate cancer may be a rise in the PSA level. Other symptoms of recurrent cancer may depend on whether and where the cancer has spread. Symptoms include:
- Blood in the urine
- Difficulty breathing
Patients should discuss any symptoms with their doctor and ask about scheduling regular PSA tests after treatment.