Vitamin D Deficiency: Health Complications
Additionally, vitamin D deficiency can increase cardiovascular risk factors. Some of them increases the risk of BPH. These parameters are inversely related to prostate volume. In other words, as obesity or hypertension becomes worse, the prostate gland tends to increase.
Another vitamin D deficiency risk that causes prostate enlargement is oxidative stress. In an environment with excess free radicals, the structures of the molecules start to change. The prostate tissue undergoes changes as well and starts to grow in response.
Thats why a recent study evaluated all of these associations, and the authors gave their opinion. They suggest that vitamin D deficiency counts as an independent risk factor for BPH. In other words, you can have normal health, but vitamin D deficiency alone will cause BPH. The authors of this study published in the journal Urology recommend vitamin D as a therapeutic target and a potential marker of BPH .
Similarly, other studies have evaluated the effect of vitamin D levels in the incidence of prostate cancer. The authors report that vitamin D levels are lower in patients with BPH. However, they are still lower in patients with prostate cancer. As vitamin D levels were reduced, the Gleason score and the aggressiveness of cancer increased .
What Does My Prostate Do
It is a small gland that is part of the male reproductive system. It’s supposed to be about the shape and size of a walnut.
It rests below your bladder and in front of your rectum. It surrounds part of the urethra, the tube in your penis that carries pee from your bladder.
The prostate helps make some of the fluid in semen, which carries sperm from your testicles when you ejaculate.
Eat Tomatoes And Other Red Foods
Tomatoes, watermelon, and other red foods owe their bright color to a powerful antioxidant called lycopene. Some recent studies show that men who consume this fruit and tomato-based products have a lower risk of prostate cancer than those who dont. However, the American Institute for Cancer Research cautions that studies linking tomatoes to prostate cancer prevention are limited and ongoing.
A 2018 study from Spain suggest that cooking tomatoes makes it easier for your body to absorb lycopene. The redder the tomato, the better because lycopene accumulates during ripening. That means that pale, store-bought tomatoes that are picked too early have less lycopene than vine-ripened tomatoes.
- Drinking four to five cups of coffee every day can lower your chances of fatal and high-grade prostate cancer, according to a 2014 review of clinical studies.
- Regardless of how many cups you drink overall, every three cups of coffee you drink can reduce your risk of fatal prostate cancer about 11 percent.
This describes a dose-response relationship between prostate cancer and coffee. That means the effect on prostate cancer goes up or down with the amount of coffee you drink. These effects may not extend to someone who only grabs an occasional cup.
However, high doses of caffeine can cause major health issues, such as irregular heartbeat and seizures. The Mayo Clinic cautions against ingesting more than 400 milligrams of caffeine a day, the equivalent of four cups of brewed coffee.
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What Have I Learned By Reading This
You learned about:
- Why prostate cancer treatment can cause erectile dysfunction
- What can be done about erectile dysfunction
- How erectile dysfunction may affect your sex life
- What your partner can expect
If you have any questions, please talk to your doctor or health care team. It is important that you understand what is going on with your prostate cancer treatment. This knowledge will help you take better care of yourself and feel more in control. It will also help you manage any side effects you may have from your treatment.
Bigger But Not Better
Prostatic enlargement is pretty much inevitable. The urinary symptoms associated with it are treated with pills called alpha-blockers, which essentially enlarge the urethral channel by relaxing the muscle fibers within it. You can start with herbals like that of the woody shrub saw palmetto, pumpkin seeds , stinging nettle extract, pygeum, rye grass or beta-sitosterol extract and cruciferous vegetables but in randomized trials herbals take a distant second place to alpha blockers. Other drugs called 5-alpha-reductase inhibitors actually shrink the gland by 1/3 of its size and can also help urination. If these pills don’t keep you peeing straight and strong, there are also various indescribable procedures that can remove the excess prostatic tissue. And yes, some of them involve lasers, which you just gotta love.The prostate can also become inflamed, termed prostatitis, which occurs in about 10% of men at least once during their lives. This diagnosis is not subtle as most men with prostatitis pee firewater several times an hour. Ways to avoid this include good hydration, regular, timed voiding and treating BPH when it occurs.
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Types Of Prostate Surgery
There are several ways of removing the prostate keyhole surgery either by hand or robot-assisted, and open surgery.
Although robot-assisted keyhole surgery is the newest technique, the most recent research suggests all three techniques are as good as each other for treating prostate cancer, as long as the surgeon is experienced. They also have similar rates of side effects.
The advantages of keyhole surgery, both by hand and robot-assisted, are that you are likely to lose less blood, have less pain, spend less time in hospital, and heal more quickly than with open surgery.
Keyhole surgery
Keyhole surgery .
- Robot-assisted keyhole surgery Your surgeon makes five or six small cuts in your lower abdomen and a slightly bigger cut near your belly button, and removes the prostate using special surgical tools. These include a thin, lighted tube with a small camera on the tip. The image will appear on a screen so the surgeon can see what theyre doing. Your surgeon controls the tools from a console in the operating room via four or five robotic arms. Although its called robot-assisted, its still a surgeon who does the operation. You may hear the equipment called the da Vinci® Robot.
- Keyhole surgery by hand As with robot-assisted keyhole surgery, the surgeon will make four or five small cuts in your abdomen. But they will hold the surgical tools in their hands, rather than using robotic arms.
Open surgery
Reasons For The Procedure
The goal of radical prostatectomy is to remove all prostate cancer. RP isused when the cancer is believed to be confined to the prostate gland.During the procedure, the prostate gland and some tissue around the gland,including the seminal vesicles, are removed. The seminal vesicles are thetwo sacs that connect to the vas deferens , and secrete semen.Other less common reasons for radical prostatectomy include:
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Inability to completely empty the bladder
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Recurrent bleeding from the prostate
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Bladder stones with prostate enlargement
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Very slow urination
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Increased pressure on the ureters and kidneys from urinary retention
There may be other reasons for your doctor to recommend a prostatectomy.
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What The Research Says
A recent study has also evaluated a possible connection. The authors explored the link between prostate enlargement and vitamin D. They did it through the hormone testosterone. Their results show that higher vitamin D levels in the blood reduce the PSA levels. They also hypothesize that testosterone levels and function depend on vitamin D status. If thats the case, low vitamin D levels would also have a hormonal consequence that explains BPH and BPH symptoms .
Other studies explored a more direct association between the prostate tissue and vitamin D. Interestingly the prostate epithelial cells can activate vitamin D. Moreover, these cells have a vitamin D receptor, even prostate cancer cells. Upon binding, vitamin D sends signals to control the proliferation of cells.
Pain During Erection Or Ejaculation
Some men find that erections and ejaculating is painful after surgery, or during and after their course of radiotherapy.
Painful erections following surgery could be due to internal bruising caused by the operation. The tube which carries urine from the bladder to the outside of the body gets inflamed by the radiotherapy treatment.
This side effect should disappear a few weeks after you finish radiotherapy or as you recover from surgery. Talk to your specialist nurse for specific advice. If masturbation and sex is important to you, its important to keep stimulating the penis to keep it healthy. On the other hand, if erections are very painful, you might need to avoid ejaculation for a while and try again later.
The penile injections to stimulate an erection can cause painful erections in some men. This pain might lessen with continued treatment.
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Why Do Some Men Get Prostate Cancer
Prostate cancer is the most common malignancy diagnosed in men. Prostate cancer is a disease defined by the abnormal growth of cells. These abnormal cells can proliferate in an uncontrolled way and, if left untreated, form tumors which may metastasize or spread to other parts of the body. Prostate cancer has the potential to grow and spread quickly, but for most men, it is a relatively slow growing disease.
For men who suspect that they might have prostate cancer, it is very important to understand the risk factors and symptoms. Knowing where the prostate is located in the body, and the functions of the prostate will explain the impacts of prostate cancer and prostate cancer treatment. Patients diagnosed with prostate cancer need to discuss with their doctors their particular type, aggressive or non-aggressive, of prostate cancer. This will allow the patient, working with their doctor to determine the most effective treatment for their cancer.
The prostate cells produce an enzyme named Prostate Specific Antigen or PSA, found in a man’s blood. PSA is produced exclusively by prostate cells. Elevated levels of the PSA enzyme can be helpful in diagnosing issues with the prostate, like cancer or infection. These elevated levels of PSA can be detected with a simple blood test. For more information, visit our page on PSA.
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Pde5 Inhibitors: Viagra Levitra And Cialis
Approved by the FDA in 1998, sildenafil revolutionized the way we think about and treat erectile dysfunction, largely because it is so easy to use and effective. Since then the FDA has approved three closely related drugs, vardenafil , avanafil and tadalafil .
All four drugs work in a similar fashion, by affecting the normal physiology of the penis. In particular, they block PDE5, an enzyme that breaks down the erection-producing chemical cyclic guanosine monophosphate. This enables the penis to fill with blood and to stay erect long enough for intercourse. Of course, its important to realize that none of these drugs is an aphrodisiac. Youve got to feel sexually stimulated in order for them to work.
The main differences between the drugs have to do with timing: how quickly they begin to work, and how long their effects last . Levitra may start working slightly faster than Viagra although the FDA says that like Viagra, it should be taken about an hour before sexual activity. Some studies suggest that Levitra may help some men who dont respond to Viagra. And while some doctors are skeptical about this claim, theres no harm in trying Levitra or Cialis if Viagra doesnt work for you.
Cialis has also been approved to treat men with both erectile dysfunction and BPH. The dose is lower, usually 5 milligrams per day.
Symptoms Of Prostate Disease
In its earliest stages, prostate disease may or may not be associated with symptoms. The symptoms of prostate disease depend on the condition, but may include:
- difficulties urinating, such as trouble starting the flow of urine
- the urge to urinate often, particularly at night
- feeling as though the bladder can’t be fully emptied
- painful urination
- blood in the urine or blood coming from the urethra independent of urination.
Blood in the urine is often due to causes not related to the prostate. Always see your doctor if you find blood in your urine.
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Are There Differences Between Orp Lrp And Ralrp
According to a 2010 of different surgery types for prostate cancer, the outcomes for open radical prostatectomy , laparoscopic , and robotic-assisted prostatectomy are not significantly different.
But people who choose LRP and RALRP may experience:
- less blood loss
- shorter hospital stay
- faster recovery time
Also, people who choose RALRP report faster recovery in continence and decreased hospital stay, in comparison to LRP. But the overall outcomes still depend on the surgeons experience and skill.
Does Incontinence Happen If I Treat Prostate Cancer With Radiation
Some men need radiation therapy after prostate removal. During radiation therapy, some of the normal tissues around the urinary sphincter, urethra and bladder may be exposed, causing irritation to occur post therapy, leading to incontinence. This typically subsides within a few months after radiation therapy, however if it persists, additional treatments described below may be helpful.
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Who Might Get An Enlarged Prostate
BPH is common and cannot be prevented. Age and a family history of BPH are two things that increase the chances you might get it. A few stats on that:
- Some 8 out of every 10 men eventually develop an enlarged prostate.
- About 90% of men over the age of 85 will have BPH.
- About 30% of men will find their symptoms bothersome.
Are There Things I Can Do To Help Myself If I Have Erectile Dysfunction
Yes, there are changes you can make in your life that may help with your erectile dysfunction. Remember to speak with your doctor or healthcare team before making any of these changes.
Some changes you may want to consider are:
- Try to exercise on a regular basis.
- Try to eat a healthy diet.
- Drink responsibly. Long-term, heavy drinking lowers your ability to have an erection.
- Try to lower your stress and fatigue . Being diagnosed with prostate cancer and working in all the changes it brings to your life can be stressful. Stress and the tiredness caused by your prostate cancer treatment, can make it difficult for you to get in the mood. Many men going through prostate cancer treatment feel this way. Talking with your partner might help lower your stress. You may also speak to your doctor or healthcare team about how you are feeling. They are there to help you through this time.
- Stop smoking. Research studies show that smoking can harm your ability to have sex. If you need help to stop smoking, speak with your doctor or healthcare team.
- Practice your Kegel exercises. Kegel exercises help strengthen your pelvic floor muscles, which support your bladder and bowel. These muscles also help with erections. For more information, please see the IMPACT booklet, Kegel Exercises for Men.
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Inflammation Of The Prostate
While prostatitis can affect men of any age, it is more common in younger men, aged between 30 and 50 years. The main types of prostatitis are:
- bacterial prostatitis acute or chronic bacterial infection
- non-bacterial prostatitis inflamed prostate, also known as chronic pelvic pain syndrome .
In most cases, the cause of prostatitis is unknown. Bacterial prostatitis responds well to antibiotic drugs that can get into the prostate.
Non-bacterial prostatitis, or CPPS, is the most common form of prostatitis and is more difficult to manage. Symptoms vary from one man to another. There is no single test to diagnose CPPS, so your doctor will need to rule out other possible causes of your symptoms before making a diagnosis.Possible causes of CPPS include:
- a past bacterial prostatitis infection
- irritation from some chemicals
- chronic anxiety problems.
Things You Should Expect After Prostate Surgery
Prostate removal is a major type of surgery and requires time for the body to recover. Even though robotic prostatectomy using the Da Vinci robot has less severe effects on the body and the patient can leave the hospital the same day, men should expect some changes in order to know how to deal with them. The surgery is performed through small incisions that are barely sensitive at the incision sites and the scar tissue is almost unnoticeable. Typically, the recovery is fast, most men are able to go home the next day and resume driving and working in two to three weeks after the surgery.
In the immediate hours after surgery:
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Can I Prevent Ed After Prostate Surgery
These days, many prostatectomies use nerve-sparing techniques to reduce injury to the tissue and prevent ED, though it still can happen. There are also several interventions for men after prostate surgery to help regain erectile function and prevent ED. Research shows that after surgery, 20% 25% of men regain their erectile function, but it may take several years.
To increase the chances of penile recovery and to prevent ED, several interventions after surgery may be offered. One option is called penile rehabilitation which uses medications to help improve blood flow into the penis. This may include the use of drugs like Viagra or Muse taken at night before bedtime. However, current research on the benefits of this intervention is limited. Still, its recommended that men be encouraged to proceed with normal sexual habits after healing, as it may help prevent long-term issues, and to use medications to increase blood flow and improve erections.