Men: Growing older raises your risk of prostate problems.
The American College of Physicians, which issued new guidelines in January, recommends against prescribing testosterone therapy to boost energy, vitality or physical function, but supports its use for men experiencing sexual dysfunction. The recommendation calls for discussing potential benefits and risks with the patient and discontinuing treatment after one year if there is no improvement.
"I think one of the biggest concerns about testosterone therapy is whether it is really needed," said Dr. Robert Eckel, professor of medicine and an endocrinologist at the University of Colorado School of Medicine in Aurora, Colorado.
17 June 2020
- . - . - . - . - . - . - . - . - . - . - . - . - . - . - . - . - . - . - . - . - . - . - . - . - . - . - . - . - . - . - . -
What are the first steps in prostate cancer treatment? https://www.medicinenet.com/prostate_cancer/early_stage_treatment?ecd=mnl_men_031120 In terms of prostate cancer treatment, active surveillance refers to watching the cancer's progression carefully (for instance, with endoscopy procedures using the tool shown) and avoiding harsh treatments as long as is medically safe. When a man receives a prostate cancer diagnosis, especially if testing shows the disease is in early stages, the doctor and patient often start with a “watch and wait” approach.
Prostate cancer is one of the most common cancers among men. As a result, there’s a large body of data that show what treatments are most effective at any given stage of the disease. If prostate cancer is detected early and appears to be slow-growing, invasive procedures, chemotherapy, radiation and other aopproaches can sometimes do more harm than good.
Many prostate cancer treatments come with side effects, like incontinence or impotence, so it’s in the patient’s interest to put off invasive treatments as long as is medically safe.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
What Are the First Signs of Prostate Problems?
The first signs and symptoms of prostate disorder usually include problems with urination. These problems can cause you to:
Please consult your doctor if you experience any of the signs and symptoms to avoid the worsening of the prostate problems.
= = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = =
What is the prostate gland? What does it look like?
The prostate gland is part of the male reproductive system, and it is a walnut-sized gland found in men that is located below the bladder and in front of the rectum. It surrounds the urethra, the tube through which urine and semen exit the body. Its main function is to produce seminal fluid in order to transport sperm through the urethra.
https://www.medicinenet.com/prostatitis_inflammation_of_the_prostate_gland/article.htm
The following are signs and symptoms that may be present with prostatitis:
Lose Weight, Lower Prostate Cancer Risk
Latest Diet & Weight Management News
Here's more motivation for men to shed pounds if they're overweight: It could lower their risk for advanced prostate cancer. Researchers analyzed data from 15 studies that included a total of nearly 831,000 men, including nearly 52,000 who'd been diagnosed with prostate cancer.
Having a BMI (body mass index -- an estimate of body fat based on height and weight) above the range that's considered healthy (21-25) during middle to late adulthood was associated with the highest risk for advanced prostate cancer.
- - - - - - - - - - - - - - - - - - - - - - - - - - - -
AI Might Help Spot, Evaluate Prostate Cancer
https://www.medicinenet.com/script/main/art.asp?articlekey=227472&ecd=mnl_men_011720
Privacy & Trust Info
Latest Cancer News
Jan. 16, 2020 (HealthDay News) --
In another step toward using artificial intelligence in medicine, a new study shows that computers can be trained to match human experts in judging the severity of prostate tumors.
Researchers found that their artificial intelligence system was "near perfect" in determining whether prostate tissue contained cancer cells. And it was on par with 23 "world-leading" pathologists in judging the severity of prostate tumors.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Common Prostate Cancer Treatment May Increase Risk of Fatal Heart Condition
https://www.medicinenet.com/script/main/art.asp?articlekey=223403&ecd=mnl_men_080719
Many men with prostate cancer rely on common testosterone-blocking drugs as a part of their treatment. But those so-called antiandrogens also might put them at risk for a deadly heart condition, according to new research.
In a study published Monday in the American Heart Association journal Circulation, researchers looked at how several testosterone-blocking drugs affect the heart's QT interval – the time it takes the heart cells to recharge in between beats. The longer a QT interval, typically measured by an electrocardiogram, the more at risk a person is to develop serious heart rhythm problems and a condition called torsade de pointes, which can result in sudden death. Women naturally have a longer QT interval than men, and they are at higher risk for this form of arrhythmia.
"Testosterone is in part responsible for the protective effect in men," said lead study author Dr. Joe-Elie Salem, an associate professor of cardiology and pharmacology at Sorbonne University in Paris.
05 August 2019
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - --
Click here: The Prostate - what is it?
and look here for some graphic displays... to help you understand what is happening.
The most common 3 prostate problems are:
1) Prostatitis
2) Benign prostatic hyperplasia
3) Prostate cancer
Please ask your Doctor about the risk of being over-diagnosed. Over-diagnosis refers to placing a diagnostic label on people with mild or no symptoms, who have abnormalities which will not shorten their lives and for whom the knowledge and treatment may do more harm than good, says Bond University's Ray Moynihan, a health researcher who found in a 2013 study that three in four of the doctors who work on committees that define diseases have ties with pharmaceutical companies. This research surveyed 500 Australians about over-diagnosis and found only one in ten had ever been told about it by a Doctor.
What is the prostate gland?
The prostate is a gland about the size of a walnut. It is part of the male reproductive system and wraps around the tube that carries urine out of the bladder. It grows larger as you get older. If your prostate gets too large, it can cause health issues. Having prostate problems does not always mean you have cancer.
Sometimes a doctor may find a problem during a routine checkup or by doing a rectal exam. If you think there is something wrong with your prostate, see your doctor right away.
Observation' Best Option for Most Low-Risk Prostate Cancer
The PSA blood test allowed doctors to detect prostate cancers that otherwise would have gone unnoticed throughout a man's life, said Dr. Len Lichtenfeld, deputy chief medical officer of the American Cancer Society.
"In the PSA era, when we could start finding many more cancers, we made the assumption that every cancer we found had the potential to be a 'bad cancer,' where in fact it's a minority of prostate cancers that will ever cause a man difficulty during his lifetime," Lichtenfeld said. "It's a lesson we knew many years ago but lost sight of along the way."
WEDNESDAY, June 5, 2019 (HealthDay News)
While men with early-stage prostate cancer can delay treatment, few follow guidelines for monitoring their condition, researchers report.
It wasn't clear why so few men followed the guidelines, the researchers said. No connection was seen with income, race or age.
"This raises the question of whether we need to investigate whether active surveillance is a safe option when patients do not receive routine monitoring," Chen said in a university news release. "Our goal is not to reduce the number of patients choosing active surveillance; rather, the results of this study should increase awareness and efforts to ensure that active surveillance patients are monitored rigorously."
https://www.medicinenet.com/script/main/art.asp?articlekey=221540&ecd=mnl_men_060719
For YOU. It is a simple matter of informed consent. Ask your Doctor directly about the harms of medical intervention as well as the benefits.
Live long enough, and most men will develop prostate cancer. Globally, it is the second most common cancer in men, and in some places it takes the top
spot. As the prime reproductive years fade, the gland typically begins to misbehave. The first sign that men often experience is inflammation — a
condition that is sometimes, but not always, a precursor to cancer. The interplay between inflammation and cancer remains an area of intense research.
Prostate-cancer screening has provoked contentious debate (page S120). Blood tests for prostate-specific antigen (PSA) have led to the discovery of
cancers at earlier and more treatable stages. But they have also revealed many tumours that could safely be left untreated. Researchers are looking
beyond PSA to other biomarkers that could be used to tell more reliably which cancers need treatment (page S124). Often, the best therapeutic option
is just to be vigilant — 'active surveillance' is now the norm.
When a trip to the operating theatre is unavoidable, robotics is making prostate surgery less likely to cause adverse effects.
For more information about different treatments for prostate cancer and their side-effects - click here.
Hormonal Therapy for Prostate Cancer Might Raise Depression Risk
Male hormones, such as testosterone, are known to fuel the growth of prostate tumors. So doctors use drugs to reduce hormone production. But that can bring on tough side effects, such as incontinence or impotence.
By Steven Reinberg
HealthDay Reporter
and for those 'Other' problems - click.
Male reproductive health is also very important. The normal working of the male reproductive system plays a key role in many areas of well-being. Knowing more about your body, how it works, and what diseases can affect you is the first step to a healthier life.
General changes you should look out for – what’s normal and what you should monitor:
Urinary habits
As you get older, you may find you have urinary problems but you don’t have to put up with them. If you have a problem in your prostate, your urinary habits may change. This is because your prostate surrounds the tube you pass urine through (your urethra).
For some men, problems with passing urine may be an early warning sign that they have a prostate problem. Most men with early prostate cancer do not have urinary symptoms.
Remember that not all problems with passing urine lead to the prostate. They could be caused by another health problem such as diabetes or by medication you may be taking.
Common symptoms of prostate problems
• Needing to urinate more often, especially at night
• Difficulty starting to pass urine
• Straining or taking a long time to finish urinating
• A weak flow of urine
• A feeling that your bladder has not emptied properly
• Needing to rush to the toilet or dribbling urine
Less common symptoms of prostate problems
• Pain when passing urine
• Pain when ejaculating
• Problems getting or keeping an erection
• Blood in the urine or semen
If you have any of the following symptoms, see a medical professional as soon as possible:
• Frequent urge to urinate
• Blood in urine or semen
• Painful or burning urination
• Difficulty in urinating
• Difficulty in having an erection
• Painful ejaculation
• Frequent pain or stiffness in lower back, hips, or upper thighs
• Inability to urinate, or
• Dribbling of urine
What is after-dribble?
After-dribble refers to the loss of a small amount of urine after emptying the bladder. It can be annoying and embarassing and occurs when the urethra (the tube which carries urine from the bladder to the penis) is not completely emptied. This occurs when the muscles surrounding the urethra do not contract properly, which in turn prevents the bladder from fully emptying.
What can I do?
There are a number of different things you can try to minimise after-dribble:
Testicular pain is pain or discomfort that is felt in one or both testicles. The pain may originate from the testicle itself, or it may be the result of other conditions affecting the scrotum, groin, or abdomen. Though there are numerous medical conditions that can cause testicular pain, it is important to understand that a few of them constitute medical emergencies that require immediate medical attention in order to prevent impairment or loss of testicular function. Testicular pain can be an acute (short-term) or chronic (long-term) condition. The testicular pain may be constant or intermittent.
- - - - - - - - - - -
The Diagnosis and Treatment of Prostate Cancer A Review Mark S. Litwin, MD, MPH1,2,3; Hung-Jui Tan, MD, MSHPM4 Author Affiliations JAMA. 2017;317(24):2532-2542. doi:10.1001/jama.2017.7248 Key Points Question What are the optimal methods for the diagnosis and treatment of prostate cancer based on current evidence?
Findings Improved risk classification methods, imaging techniques, and biomarkers have improved the ability to provide prognostic information to patients with prostate cancer. For the treatment of prostate cancer, monitoring for disease progression followed by local therapy is an accepted strategy for some men. Surgery and radiation techniques continue to evolve as treatment-related adverse effects are better defined. Median survival also has improved for men with metastatic disease and is now 5 years, due to the early administration of docetaxel and new drugs such as abiraterone, enzalutamide, and other agents.
Meaning With recent advances, prostate cancer can be accurately characterized and more optimally managed according to tumor biology, patient preferences, and survivorship goals.
Abstract
Importance Prostate cancer is the most common cancer diagnosis made in men with more than 160 000 new cases each year in the United States. Although it often has an indolent course, prostate cancer remains the third-leading cause of cancer death in men.
Observations When prostate cancer is suspected, tissue biopsy remains the standard of care for diagnosis. However, the identification and characterization of the disease have become increasingly precise through improved risk stratification and advances in magnetic resonance and functional imaging, as well as from the emergence of biomarkers. Multiple management options now exist for men diagnosed with prostate cancer. Active surveillance (the serial monitoring for disease progression with the intent to cure) appears to be safe and has become the preferred approach for men with less-aggressive prostate cancer, particularly those with a prostate-specific antigen level of less than 10 ng/mL and Gleason score 3 + 3 tumors. Surgery and radiation continue to be curative treatments for localized disease but have adverse effects such as urinary symptoms and sexual dysfunction that can negatively affect quality of life. For metastatic disease, chemotherapy as initial treatment now appears to extend survival compared with androgen deprivation therapy alone. New vaccines, hormonal therapeutics, and bone-targeting agents have demonstrated efficacy in men with metastatic prostate cancer resistant to traditional hormonal therapy.
Conclusions and Relevance Advances in the diagnosis and treatment of prostate cancer have improved the ability to stratify patients by risk and allowed clinicians to recommend therapy based on cancer prognosis and patient preference. Initial treatment with chemotherapy can improve survival compared with androgen deprivation therapy. Abiraterone, enzalutamide, and other agents can improve outcomes in men with metastatic prostate cancer resistant to traditional hormonal therapy.
------------------------------------
Urinate after intercourse. This has been shown to reduce UTIs among women generally.
08 August 2019
The American College of Physicians, which issued new guidelines in January, recommends against prescribing testosterone therapy to boost energy, vitality or physical function, but supports its use for men experiencing sexual dysfunction. The recommendation calls for discussing potential benefits and risks with the patient and discontinuing treatment after one year if there is no improvement.
"I think one of the biggest concerns about testosterone therapy is whether it is really needed," said Dr. Robert Eckel, professor of medicine and an endocrinologist at the University of Colorado School of Medicine in Aurora, Colorado.
17 June 2020
- . - . - . - . - . - . - . - . - . - . - . - . - . - . - . - . - . - . - . - . - . - . - . - . - . - . - . - . - . - . - . -
What are the first steps in prostate cancer treatment? https://www.medicinenet.com/prostate_cancer/early_stage_treatment?ecd=mnl_men_031120 In terms of prostate cancer treatment, active surveillance refers to watching the cancer's progression carefully (for instance, with endoscopy procedures using the tool shown) and avoiding harsh treatments as long as is medically safe. When a man receives a prostate cancer diagnosis, especially if testing shows the disease is in early stages, the doctor and patient often start with a “watch and wait” approach.
Prostate cancer is one of the most common cancers among men. As a result, there’s a large body of data that show what treatments are most effective at any given stage of the disease. If prostate cancer is detected early and appears to be slow-growing, invasive procedures, chemotherapy, radiation and other aopproaches can sometimes do more harm than good.
Many prostate cancer treatments come with side effects, like incontinence or impotence, so it’s in the patient’s interest to put off invasive treatments as long as is medically safe.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
What Are the First Signs of Prostate Problems?
- Medical Author: Dr. Jasmine Shaikh, MD
- Medical Reviewer: Pallavi Suyog Uttekar, MD
The first signs and symptoms of prostate disorder usually include problems with urination. These problems can cause you to:
- Have the urge to rush to the washroom to pass urine
- Have urine that dribbles in drops
- Have a weak urine stream
- Have the urge to pass urine more often during the night
- Have difficulty or pain while passing urine
- Feel that the bladder has not been emptied properly even after urinating
- Get frequent pain or discomfort in your lower abdomen
- Have hematuria (blood in the urine)
- Have hematospermia (blood in semen)
- Erectile dysfunction
- If you have prostatitis, your symptoms may cause long-lasting pain or discomfort in your penis or scrotum, your belly, or your lower back.
- If you have bacterial prostatitis, you may not be able to evacuate your bladder completely. Signs of infection, such as fever, chills, or body aches, may be present.
- If you have Benign prostatic hyperplasia (BPH), you may feel the urge to urinate often during your night’s sleep. You may have urine with an abnormal color or odor. Urination or ejaculation may be painful.
Please consult your doctor if you experience any of the signs and symptoms to avoid the worsening of the prostate problems.
= = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = =
What is the prostate gland? What does it look like?
The prostate gland is part of the male reproductive system, and it is a walnut-sized gland found in men that is located below the bladder and in front of the rectum. It surrounds the urethra, the tube through which urine and semen exit the body. Its main function is to produce seminal fluid in order to transport sperm through the urethra.
https://www.medicinenet.com/prostatitis_inflammation_of_the_prostate_gland/article.htm
The following are signs and symptoms that may be present with prostatitis:
- Painful, difficult and/or frequent urinating
- Blood in the urine
- Groin pain, rectal pain, abdominal pain and/or low back pain
- Fever and chills
- Malaise and body aches
- Urethral discharge
- Painful ejaculation or sexual dysfunction
Lose Weight, Lower Prostate Cancer Risk
Latest Diet & Weight Management News
- Many 'Dehumanize' People with Obesity
- Eating to Reach Health Goals
- Drinks, Fruit Juice Increase Risk of Early Death
- Diets High in Processed Foods Recipe for Obesity?
- Weight-Loss Surgery Work Even Better During Teens
Here's more motivation for men to shed pounds if they're overweight: It could lower their risk for advanced prostate cancer. Researchers analyzed data from 15 studies that included a total of nearly 831,000 men, including nearly 52,000 who'd been diagnosed with prostate cancer.
Having a BMI (body mass index -- an estimate of body fat based on height and weight) above the range that's considered healthy (21-25) during middle to late adulthood was associated with the highest risk for advanced prostate cancer.
- - - - - - - - - - - - - - - - - - - - - - - - - - - -
AI Might Help Spot, Evaluate Prostate Cancer
https://www.medicinenet.com/script/main/art.asp?articlekey=227472&ecd=mnl_men_011720
Privacy & Trust Info
Latest Cancer News
- Approach to Pancreatic Cyst Prevent Dreaded Cancer
- Poor Diet Might Raise Your Cancer Risk
- Computers Detect Lung Cancer on Scans Like Docs Do
- Mustaches Are More Than Just Manly
- Colon Cancer Increasingly Striking the Young
- Want More News? Sign Up for MedicineNet Newsletters!
Jan. 16, 2020 (HealthDay News) --
In another step toward using artificial intelligence in medicine, a new study shows that computers can be trained to match human experts in judging the severity of prostate tumors.
Researchers found that their artificial intelligence system was "near perfect" in determining whether prostate tissue contained cancer cells. And it was on par with 23 "world-leading" pathologists in judging the severity of prostate tumors.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Common Prostate Cancer Treatment May Increase Risk of Fatal Heart Condition
https://www.medicinenet.com/script/main/art.asp?articlekey=223403&ecd=mnl_men_080719
Many men with prostate cancer rely on common testosterone-blocking drugs as a part of their treatment. But those so-called antiandrogens also might put them at risk for a deadly heart condition, according to new research.
In a study published Monday in the American Heart Association journal Circulation, researchers looked at how several testosterone-blocking drugs affect the heart's QT interval – the time it takes the heart cells to recharge in between beats. The longer a QT interval, typically measured by an electrocardiogram, the more at risk a person is to develop serious heart rhythm problems and a condition called torsade de pointes, which can result in sudden death. Women naturally have a longer QT interval than men, and they are at higher risk for this form of arrhythmia.
"Testosterone is in part responsible for the protective effect in men," said lead study author Dr. Joe-Elie Salem, an associate professor of cardiology and pharmacology at Sorbonne University in Paris.
05 August 2019
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - --
Click here: The Prostate - what is it?
and look here for some graphic displays... to help you understand what is happening.
The most common 3 prostate problems are:
1) Prostatitis
2) Benign prostatic hyperplasia
3) Prostate cancer
Please ask your Doctor about the risk of being over-diagnosed. Over-diagnosis refers to placing a diagnostic label on people with mild or no symptoms, who have abnormalities which will not shorten their lives and for whom the knowledge and treatment may do more harm than good, says Bond University's Ray Moynihan, a health researcher who found in a 2013 study that three in four of the doctors who work on committees that define diseases have ties with pharmaceutical companies. This research surveyed 500 Australians about over-diagnosis and found only one in ten had ever been told about it by a Doctor.
What is the prostate gland?
The prostate is a gland about the size of a walnut. It is part of the male reproductive system and wraps around the tube that carries urine out of the bladder. It grows larger as you get older. If your prostate gets too large, it can cause health issues. Having prostate problems does not always mean you have cancer.
Sometimes a doctor may find a problem during a routine checkup or by doing a rectal exam. If you think there is something wrong with your prostate, see your doctor right away.
Observation' Best Option for Most Low-Risk Prostate Cancer
The PSA blood test allowed doctors to detect prostate cancers that otherwise would have gone unnoticed throughout a man's life, said Dr. Len Lichtenfeld, deputy chief medical officer of the American Cancer Society.
"In the PSA era, when we could start finding many more cancers, we made the assumption that every cancer we found had the potential to be a 'bad cancer,' where in fact it's a minority of prostate cancers that will ever cause a man difficulty during his lifetime," Lichtenfeld said. "It's a lesson we knew many years ago but lost sight of along the way."
WEDNESDAY, June 5, 2019 (HealthDay News)
While men with early-stage prostate cancer can delay treatment, few follow guidelines for monitoring their condition, researchers report.
It wasn't clear why so few men followed the guidelines, the researchers said. No connection was seen with income, race or age.
"This raises the question of whether we need to investigate whether active surveillance is a safe option when patients do not receive routine monitoring," Chen said in a university news release. "Our goal is not to reduce the number of patients choosing active surveillance; rather, the results of this study should increase awareness and efforts to ensure that active surveillance patients are monitored rigorously."
https://www.medicinenet.com/script/main/art.asp?articlekey=221540&ecd=mnl_men_060719
For YOU. It is a simple matter of informed consent. Ask your Doctor directly about the harms of medical intervention as well as the benefits.
- Do I really need this test or procedure?
- What are the risks?
- Are there simpler, safer options?
- What happens if I do nothing?
Live long enough, and most men will develop prostate cancer. Globally, it is the second most common cancer in men, and in some places it takes the top
spot. As the prime reproductive years fade, the gland typically begins to misbehave. The first sign that men often experience is inflammation — a
condition that is sometimes, but not always, a precursor to cancer. The interplay between inflammation and cancer remains an area of intense research.
Prostate-cancer screening has provoked contentious debate (page S120). Blood tests for prostate-specific antigen (PSA) have led to the discovery of
cancers at earlier and more treatable stages. But they have also revealed many tumours that could safely be left untreated. Researchers are looking
beyond PSA to other biomarkers that could be used to tell more reliably which cancers need treatment (page S124). Often, the best therapeutic option
is just to be vigilant — 'active surveillance' is now the norm.
When a trip to the operating theatre is unavoidable, robotics is making prostate surgery less likely to cause adverse effects.
For more information about different treatments for prostate cancer and their side-effects - click here.
Hormonal Therapy for Prostate Cancer Might Raise Depression Risk
- Genomics Improve Treatment of Pancreatic Cancer
- Jury Awards $29.4 Million in Talcum Powder Case
- Scientists Spot Clues to Predicting Breast Cancer
- AI Takes Aim at Lung Cancer Screening
- 1st Immunotherapy Drug for Breast Cancer Approved
- Want More News? Sign Up for MedicineNet Newsletters!
Male hormones, such as testosterone, are known to fuel the growth of prostate tumors. So doctors use drugs to reduce hormone production. But that can bring on tough side effects, such as incontinence or impotence.
By Steven Reinberg
HealthDay Reporter
and for those 'Other' problems - click.
Male reproductive health is also very important. The normal working of the male reproductive system plays a key role in many areas of well-being. Knowing more about your body, how it works, and what diseases can affect you is the first step to a healthier life.
General changes you should look out for – what’s normal and what you should monitor:
Urinary habits
As you get older, you may find you have urinary problems but you don’t have to put up with them. If you have a problem in your prostate, your urinary habits may change. This is because your prostate surrounds the tube you pass urine through (your urethra).
For some men, problems with passing urine may be an early warning sign that they have a prostate problem. Most men with early prostate cancer do not have urinary symptoms.
Remember that not all problems with passing urine lead to the prostate. They could be caused by another health problem such as diabetes or by medication you may be taking.
Common symptoms of prostate problems
• Needing to urinate more often, especially at night
• Difficulty starting to pass urine
• Straining or taking a long time to finish urinating
• A weak flow of urine
• A feeling that your bladder has not emptied properly
• Needing to rush to the toilet or dribbling urine
Less common symptoms of prostate problems
• Pain when passing urine
• Pain when ejaculating
• Problems getting or keeping an erection
• Blood in the urine or semen
If you have any of the following symptoms, see a medical professional as soon as possible:
• Frequent urge to urinate
• Blood in urine or semen
• Painful or burning urination
• Difficulty in urinating
• Difficulty in having an erection
• Painful ejaculation
• Frequent pain or stiffness in lower back, hips, or upper thighs
• Inability to urinate, or
• Dribbling of urine
What is after-dribble?
After-dribble refers to the loss of a small amount of urine after emptying the bladder. It can be annoying and embarassing and occurs when the urethra (the tube which carries urine from the bladder to the penis) is not completely emptied. This occurs when the muscles surrounding the urethra do not contract properly, which in turn prevents the bladder from fully emptying.
What can I do?
There are a number of different things you can try to minimise after-dribble:
- Sit down on the toilet to empty your bladder.
- Make sure that you pull your pants and the elastic of your briefs down properly, so that both the penis and scrotum are fully exposed when you empty your bladder. The elastic from your briefs will apply some pressure behind the scrotum and help to straighten the urethra so that it is completely emptied.
- Place your fingertips (three fingers wide) behind your scrotum and apply gentle pressure upwards and forwards to encourage the flow of urine along and down the urethra, then shake or squeeze the penis in the usual way. Repeat this movement twice to make sure the urethra is completely empty.
Testicular pain is pain or discomfort that is felt in one or both testicles. The pain may originate from the testicle itself, or it may be the result of other conditions affecting the scrotum, groin, or abdomen. Though there are numerous medical conditions that can cause testicular pain, it is important to understand that a few of them constitute medical emergencies that require immediate medical attention in order to prevent impairment or loss of testicular function. Testicular pain can be an acute (short-term) or chronic (long-term) condition. The testicular pain may be constant or intermittent.
- - - - - - - - - - -
The Diagnosis and Treatment of Prostate Cancer A Review Mark S. Litwin, MD, MPH1,2,3; Hung-Jui Tan, MD, MSHPM4 Author Affiliations JAMA. 2017;317(24):2532-2542. doi:10.1001/jama.2017.7248 Key Points Question What are the optimal methods for the diagnosis and treatment of prostate cancer based on current evidence?
Findings Improved risk classification methods, imaging techniques, and biomarkers have improved the ability to provide prognostic information to patients with prostate cancer. For the treatment of prostate cancer, monitoring for disease progression followed by local therapy is an accepted strategy for some men. Surgery and radiation techniques continue to evolve as treatment-related adverse effects are better defined. Median survival also has improved for men with metastatic disease and is now 5 years, due to the early administration of docetaxel and new drugs such as abiraterone, enzalutamide, and other agents.
Meaning With recent advances, prostate cancer can be accurately characterized and more optimally managed according to tumor biology, patient preferences, and survivorship goals.
Abstract
Importance Prostate cancer is the most common cancer diagnosis made in men with more than 160 000 new cases each year in the United States. Although it often has an indolent course, prostate cancer remains the third-leading cause of cancer death in men.
Observations When prostate cancer is suspected, tissue biopsy remains the standard of care for diagnosis. However, the identification and characterization of the disease have become increasingly precise through improved risk stratification and advances in magnetic resonance and functional imaging, as well as from the emergence of biomarkers. Multiple management options now exist for men diagnosed with prostate cancer. Active surveillance (the serial monitoring for disease progression with the intent to cure) appears to be safe and has become the preferred approach for men with less-aggressive prostate cancer, particularly those with a prostate-specific antigen level of less than 10 ng/mL and Gleason score 3 + 3 tumors. Surgery and radiation continue to be curative treatments for localized disease but have adverse effects such as urinary symptoms and sexual dysfunction that can negatively affect quality of life. For metastatic disease, chemotherapy as initial treatment now appears to extend survival compared with androgen deprivation therapy alone. New vaccines, hormonal therapeutics, and bone-targeting agents have demonstrated efficacy in men with metastatic prostate cancer resistant to traditional hormonal therapy.
Conclusions and Relevance Advances in the diagnosis and treatment of prostate cancer have improved the ability to stratify patients by risk and allowed clinicians to recommend therapy based on cancer prognosis and patient preference. Initial treatment with chemotherapy can improve survival compared with androgen deprivation therapy. Abiraterone, enzalutamide, and other agents can improve outcomes in men with metastatic prostate cancer resistant to traditional hormonal therapy.
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Urinate after intercourse. This has been shown to reduce UTIs among women generally.
08 August 2019