What Are the Different Types of Prostate Problems? – Dr. Adam Oppenheim

Key Takeaways:

  1. There are two main types of prostate problems: Benign Prostatic Growth and Prostate Cancer.
  2. Early detection is key in managing and treating prostate cancer and should begin at age 50 (or 45 for those with a family history or higher risk factors).
  3. Treatment for both benign prostatic growth and prostate cancer depends on various factors and should be personalized to meet each patient’s unique needs.

Getting to Know Your Prostate

As the wise Dr. Adam Oppenheim says, “I’m a urologist with St. Pete Urology.” And who better to enlighten us on the different types of prostate problems than a seasoned professional? So, sit back and let’s delve into the world of prostate health.

First, let’s begin with some basics. The prostate is a walnut-sized gland located just below the bladder in men. Its primary function is to produce the fluid that nourishes and transports sperm. While this may seem like a small and insignificant part of the male anatomy, it can cause significant problems if not properly cared for.

Two Main Types of Prostate Problems

Dr. Oppenheim outlines two main issues in urology related to the prostate:

  1. Benign Prostatic Growth
  2. Prostate Cancer

Let’s take a closer look at each of these issues.

Benign Prostatic Growth: When Nature Takes Its Course

As Dr. Oppenheim explains, benign prostatic growth occurs when “patients have trouble urinating and they’re very bothered and often have to urinate very frequently or have a blocked stream.” This condition is known as Benign Prostatic Hyperplasia (BPH) and is a natural part of the aging process for men.

However, the symptoms of BPH can be quite bothersome, including:

  • Frequent urination
  • Difficulty starting and stopping urination
  • Weak urine stream
  • Dribbling of urine

While BPH is not life-threatening, it can significantly impact a man’s quality of life. Treatment options vary depending on the severity of symptoms and may include medications, minimally invasive procedures, or surgery.

Prostate Cancer: The Silent Threat

The second issue, prostate cancer, is a more sinister problem. Dr. Oppenheim informs us that “it doesn’t usually cause symptoms, but it can cause life-threatening cancer down the road if not treated.” This type of cancer occurs when malignant cells begin to grow uncontrollably in the prostate gland, often without any noticeable symptoms.

Early detection is key in managing and treating prostate cancer. Dr. Oppenheim suggests that men should begin screening for prostate cancer at age 50 (or 45 for those with a family history or higher risk factors). Regular screening tests, such as a prostate-specific antigen (PSA) blood test and digital rectal exam (DRE), can help identify any abnormalities in the prostate gland.

Choosing the Right Path: Customized Treatment Options for Prostate Problems

The course of treatment for both benign prostatic growth and prostate cancer depends on various factors, including the severity of the condition, age, overall health, and personal preferences. Dr. Oppenheim and the experts at St. Pete Urology offer personalized treatment plans designed to meet each patient’s unique needs.

For BPH, treatment options may include medication management, minimally invasive procedures, or surgery. For prostate cancer, treatment options can range from active surveillance (monitoring) to radiation or surgery, depending on the stage and aggressiveness of the cancer.

Conclusion: Trusting Your Prostate Health to St Pete Urology

Dr. Adam Oppenheim and the team at St Pete Urology in St Petersburg, Florida, understand the importance of early detection and customized treatment plans for men dealing with prostate problems. As Dr. Oppenheim says, “prostate health is a vital component of overall well-being, and we are here to help you navigate the complexities of this often-misunderstood aspect of men’s health.”

Don’t leave your prostate health to chance. Trust the urology professionals at St Pete Urology to provide the expertise and compassionate care you need. Schedule an appointment today and take control of your prostate health.

References:

Transcription:

I’m Dr. Adam Oppenheim, I’m a urologist with St. Pete Urology.
So the prostate, there’s kind of two main issues in urology with the prostate.
There’s benign prostatic growth where patients have trouble urinating and they’re very bothered and often have to urinate very frequently or have a blocked stream.
And then there’s prostate cancer which is different and that doesn’t usually cause symptoms but it can cause life threatening cancer down the road if not treated.

What is a PSA Test, and When is the Right Time to Get It? – Dr. Adam Oppenheim

Key Takeaways:

  1. The PSA Test measures the levels of prostate-specific antigen (PSA) in a man’s blood and is used to screen for prostate cancer.
  2. When to get tested depends on your age and risk factors. For men aged 55-70 without high-risk factors, it is recommended to consider getting a PSA test.
  3. Early detection of prostate cancer is key to successful treatment, so speaking to your doctor about when to get tested is important in safeguarding your health.

Understanding the PSA Test

Ranked as the second leading cause of cancer deaths in men, prostate cancer demands serious attention. Yet, with early detection, many men can successfully overcome this potentially deadly disease. So, what precisely is a PSA test, and when should you consider undergoing one? Dr. Adam Oppenheim is a distinguished urologist at St. Pete Urology. He offers valuable insights into the significance of this vital diagnostic tool.

“A PSA is a blood test, it stands for the prostate-specific antigen, and it’s a blood test used in the screening of men for prostate cancer.” – Dr. Adam Oppenheim

Unveiling the PSA Test: How it Works

The PSA test measures the levels of prostate-specific antigen (PSA) in a man’s blood. This protein is produced by the prostate gland and is vital for the normal functioning of the prostate. However, elevated levels of PSA can be a red flag, indicating the possible presence of prostate cancer. It is important to note that other factors, such as age, medication, and inflammation, can also affect PSA levels.

When to Get Tested: Age and Risk Factors

The right time to start considering a PSA test largely depends on your age and risk factors. According to Dr. Oppenheim:

“Well, the guidelines recommend that screening for prostate cancer happen between the ages of 55 and 70 unless the patient has significant high-risk factors for prostate cancer, which are family history or being an African American.”

If you fall into this age range and have no high-risk factors, it’s time to think about getting a PSA test. However, if you have a family history of prostate cancer or are of African-American descent, consult your doctor. You should discuss the possibility of earlier screening to ensure proactive health management.

Treatment Options: Surgery vs. Radiation

When your PSA test reveals an elevated level of PSA, your doctor will probably recommend additional tests to confirm the presence of cancer. If cancer is indeed detected, the recommended treatment plan hinges on various factors. These factors include your age, as well as the stage of the cancer. It’s a comprehensive assessment that guides the most appropriate course of action.

“So it largely depends on how old the patient is, a younger patient is likely to be counseled to undergo surgery and have the prostate removed, whereas an older patient is probably more likely to be counseled to undergo radiation where they don’t have to have an inpatient setting of an operation and they can do treatments as an outpatient.” – Dr. Adam Oppenheim

Ultimately, whether you choose surgery or radiation treatment will be a personal decision made in consultation with your doctor.

Taking Control: The Importance of Early Detection

Prostate cancer is a serious medical condition, but with early detection, it can often be successfully treated. By understanding the PSA test and speaking to your doctor about when to get tested, you take an active role in safeguarding your health.

At St Pete Urology, a leading urology practice in St. Petersburg, Florida, their expert team is dedicated to helping you navigate your prostate health journey. From discussing your risk factors to offering guidance on treatment options, St Pete Urology accompanies you every step of the way. Their presence ensures that you receive the best possible care throughout your journey. Don’t leave your prostate health to chance. Reach out to the professionals at St Pete Urology today.

References:

Transcription:

I’m Dr. Adam Oppenheim, I’m a urologist with St. Pete Urology.
A PSA is a blood test, it stands for the prostate specific antigen, it’s a blood test used in the screening of men for prostate cancer.
Well the guidelines recommend that screening for prostate cancer happen between the ages of 55 and 70, unless the patient has significant high risk factors for prostate cancer, which are family history or being an African American.
So it largely depends on how old the patient is, a younger patient is likely to be counseled to undergo surgery and have the prostate removed, whereas an older patient is probably more likely to be counseled to undergo radiation where they don’t have to have an inpatient setting of an operation and they can do treatments as an outpatient.

What are the 4 stages of prostate cancer?

Key takeaways

  • Prostate cancer starts in the prostate gland, but can spread outside of it if not detected and treated early.
  • To confirm a diagnosis of prostate cancer and assess the stage of the cancer, doctors will use tests such as the PSA test and DRE, as well as a biopsy, ultrasound, MRI, and CT scans.
  • The cancer is staged based on the size and spread of the tumor, with Stage I being the least advanced and having a high survival rate.

Prostate cancer starts and grows in the prostate gland, but may spread outside the prostate, particularly when not detected and treated early. As it grows and spreads away from the prostate, the tumor may invade nearby tissues and consequently get carried via lymph nodes and lymph vessels traveling to distant tissues.

Grading of prostate cancer

Prostate cancer is primarily screened using the prostate-specific antigen (PSA) test and the digital rectal exam (DRE). And when screening tests give abnormal results, your physician will run further tests to confirm the diagnosis, grade the cells, and then assess the stage of the cancer.

To confirm the diagnosis, your doctor will order a prostate biopsy.  The test involves obtaining a sample of tissue from the most affected areas of the prostate and having the cells examined by a pathologist to determine if they are cancerous. And since cancerous cells appear different from healthy cells, the biopsy helps to confirm the diagnosis.

The appearance of cells is also used to grade the cancer. Usually, the cells are classified using the Gleason system, which uses the numbers 1 to 5 to grade the patterns of cells seen in the tissue sample as the most common (primary) and the second most common (secondary) patterns of cells.

Cells that look much similar to normal cells are given a score of 1, and then the scores 2-4 are given an increasing order of difference from normal ones. Therefore a score of 4 represents cells that are more different and have a higher chance of uncontrolled replication than a score of 2. And a score of 5 is given to cells that are completely different from normal prostate cells.

The total Gleason score is obtained by adding the primary and secondary scores, with the least tally that indicates cancer being 6—a score that shows a low-grade, least aggressive cancer. A Gleason score of 7 indicates a medium-grade cancer, while tallies of 8, 9 or 10 show a high-grade cancer.

Generally, the higher the score, the more the cancer cells appear different from normal prostate cells, and the more aggressive the cancer. Aggressiveness of a cancer means it has more chances of spreading to other areas of the body.

Today, the Gleason score is used alongside the grade group score to help stage prostate cancer. Other tests that help assessing the stage of prostate cancer include Transrectal ultrasound, prostate-specific antigen (PSA), MRI of the prostate, abdominal and pelvic CT scan to detect the potential spread of the cancer, nuclear scans to detect spread to bones, and surgical biopsy to check lymph nodes of your pelvis for the tumor.

So what are the stages of prostate cancer?

Staging of a prostate cancer means classifying the cancer according to how far it has spread and its effects on the prostate. The staging system helps in tailoring treatment to properly address the tumor.

To determine the stage of a cancer, your doctor will use a number of indicators. For instance, your doctor will use the TNM system, which has three different aspects. Tumor (T) describes the size of the main area of the cancer, nodes (N) identifies whether the cancer has spread to the lymph nodes and to what extent, while metastasis (M) describes how far from the prostate the cancer has spread.

Similarly, your physician will use the Gleason score and the grade group score to stage the cancer. The higher the Gleason or grade group score, the more aggressive and widely spread the cancer. Plus, your doctor will use the PSA level, ultrasound, MRI, CT scans, nuclear scans, and surgery to correctly stage the cancer.

  1. Stage I Prostate Cancer

The least advanced prostate cancer, usually small and not yet spread beyond the prostate, is called stage I prostate cancer.  It is characterized by a PSA level that’s less than10 ng/mL, a Gleason score of 6, and a grade group score of 1. The cancer has a 5-year survival rate of almost 100 percent.

Stage I prostate cancer is managed by active surveillance for nearly all patients with a Gleason score of 6, unless the patient is unwilling or unable to undergo additional biopsies or has high-volume disease.

Active surveillance means your doctor monitors the tumor over time to check whether further treatment is necessary. Apart from active surveillance, stage I cancer may be treated using radical prostatectomy—the surgical removal of the prostate; or radiation therapy, either alone or with prostate removal.

  1. State II Prostate Cancer

The cancer is still restricted to the prostate and has not spread to the lymph nodes or other parts of the body.  Also, it may or may not be felt during a prostate exam, though it may appear on ultrasound imaging.

Stage II prostate cancer has a PSA score of less than 20ng/mL, but is further divided into three phases depending on Gleason scores and grade group scores. Stage IIA has a Gleason score of 6 or less and grade group score of 1, stage IIB has a Gleason score of 7 (3+4) and grade group score of 2, while stage IIC has a Gleason score of 7 or 8 and grade group score of 3 or 4.

For stages IIA and IIB, active surveillance may be adequate. But, in some cases, doctors recommend removing the prostate together with the surrounding lymph nodes in order to prevent further spread of the cancer. Your doctor may also consider radiation therapy, in the form of external beam or brachytherapy.

For stage IIC, a combination of hormone therapy with radiation therapy in select patients—group grade 3 or those with more than 50-percent positive biopsy cores, usually gives great results.

  1. Stage III prostate cancer

At this stage, the cancer may or may not have spread outside the prostate. If the tumor hasn’t spread outside the prostate, the 5-year survival rate still remains close to 100-percent. But when the tumor has spread, the survival rate is reduced.

Stage III prostate cancer is divided into three sub-groups: IIIA, IIIB and IIIC. In stage IIIA, the cancer hasn’t spread outside the prostate, has a PSA level of 20ng/mL or higher, a Gleason score of 8 or less, and grade group score of 1 to 4.

Stage IIIB has spread outside the prostate and may have reached the seminal vesicles or the surrounding tissue, but it hasn’t reached the lymph nodes or other parts of the body. It may have any PSA level, but a Gleason score of 9 or 10, and grade group score of 5.

Stage IIIC prostate cancer may or may not have spread to the lymph nodes or other nearby organs. It has any PSA level, but a Gleason score of 9 or 10 and a grade group score of 5.

Stage III prostate cancer is treated through a combination of external beam radiation and hormone therapy. In some cases, brachytherapy or radical prostatectomy—with removal of pelvic lymph nodes—is considered. Active surveillance isn’t used for stage III prostate cancer because there is a higher risk of disease progression if not treated.

  1.     Stage IV prostate cancer

This is the most advanced form of prostate cancer. The cancer has typically spread to distant parts of the body and affected several organs. Stage IV prostate cancer is divided into IVA and IVB. Stage IVA tumor has spread to nearby lymph nodes but hasn’t reached other areas of the body. Stage IVB tumor has reached distant lymph nodes and many other areas including bones or organs.

The treatments for stage IV prostate cancer include hormone therapy, chemotherapy, external beam radiation, targeted radiation and potentially prostate surgery.

Effective, state-of-the-art treatment

Successful treatment of prostate cancer depends on regular screening to increase the chances of early detection, correct grading of the cancerous cells, and proper staging of the cancer. Early detection ensures a higher survival rate just as the right staging ensures that the treatment administered is safe and effective.

At St Pete Urology, after a diagnosis, our skilled and experienced urologists select the right tests to determine the stage of the cancer. Then through a multidisciplinary approach, we provide a tailored treatment with the highest potential of achieving the best possible outcomes.

Call us today to book your screening, diagnosis and treatment of prostate-related problems. For more information on prostate cancer and other urological disorders, visit https://stpeteurology.com/

References

What are the key signs of prostate cancer?

Key takeaways

  • Prostate cancer occurs when prostate cells grow and multiply uncontrollably, and can be malignant and life-threatening if it spreads to other parts of the body.
  • Early-stage prostate cancer does not have any unique signs or symptoms and is difficult to detect, making regular screening and testing important for early detection.
  • Common screening tests for prostate cancer include the PSA test and the DRE, and men who are 55-69 years old, African-American, or have a family history of prostate cancer should consider getting screened.

The prostate is a tiny, walnut-shaped gland in the pelvis. Located near the bladder and felt through a digital rectal exam, the prostate produces the fluid that transports and nourishes sperm. The fluid—called seminal fluid—is squeezed out via the urethra during ejaculation.

What is prostate cancer?

Prostate cancer occurs in the prostate when prostate cells grow and multiply non-stop. The growth of the prostate can either be benign or malignant. Benign growth of the prostate, also called benign prostatic hyperplasia, is rarely a threat to life as it doesn’t invade tissues around your prostate, doesn’t spread, and can be removed or shrink back.

On the other hand, prostate cancer is a malignant growth that can spread to nearby organs like the bladder or rectum and is, therefore, a threat to life. This cancer can spread to other parts of your body and may grow back after removal.

When prostate cancer cells break away from the prostate, they can spread through lymph nodes or blood vessels to other parts of your body. 

Upon spreading, the cancer cells attach to other tissues and grow to form new tumors that cause damage in the areas where they land.

Prostate cancer is one of the most common types of cancer. 

Although most cases of prostate cancers grow slowly and are restricted to the prostate gland, where they tend to cause little harm, some types of cancer are aggressive, spread quickly, and are life-threatening.

What are the key signs of prostate cancer?

Early-stage prostate cancer doesn’t have any unique signs or symptoms. It starts in the outer areas of the prostate and grows slowly. These areas are away from the urethra, so the growing tissue mass does not press against the tube and affects your urination.

There are no early urinary signs of prostate cancer. When symptoms occur, they are usually related to the non-cancerous condition called enlarged prostate or another health condition.

Nevertheless, as the tumor grows and spreads, it begins to affect the organs around the prostate. So with time, it will eventually show signs as it breaks out of the gland (locally advanced prostate cancer) or spreads to other areas of the body (advanced prostate cancer).

Unfortunately, even late-stage prostate cancer shares signs with other urological disorders, making it difficult to tell whether it is due to cancer or other conditions, such as prostatitis or benign prostate enlargement (BPH). 

That is why the key to establishing if you have prostate cancer is seeing a urologist, who will order tests to help find out what is causing the symptoms.

When they occur, the symptoms of prostate cancer include:

  1. Dull pain in the lower pelvic area
  2. Trouble starting to urinate or to empty your bladder
  3. Interrupted or weak urine flow
  4. Dribbling of urine after urinating or a feeling that the bladder hasn’t emptied properly
  5. Frequent urination, particularly at night
  6. Pain or burning sensation when urinating
  7. Difficulty having an erection, painful ejaculation, or decrease in the amount of ejaculate
  8. Blood in urine or semen
  9. Pain or pressure in the rectum
  10. Persistent pain in the back, hip, or pelvis
  11. Unexplained weight loss
  12. Bone pain
  13. Loss of appetite

Diagnosis of prostate cancer

Prostate cancer is highly treatable when detected early. But for the condition to be discovered early, frequent screening is necessary. 

Screening means you undergo testing even though you have no symptoms. The prostate-specific antigen (PSA) test and the digital rectal examination (DRE) are the most commonly used screening tests. Both help detect cancer early, although they aren’t perfect tests.

Speak with your urologist about whether or not you should undergo screening. Your doctor will assess your degree of risk and decide whether you should have the PSA test and the DRE. Generally, you should be screened if you are 55-69 years or older, African-American male, or have a family history of prostate cancer.

If the screening tests show that you might have cancer, your doctor will recommend a biopsy for confirmation. The decision to have a biopsy is based on the PSA and DRE results. Your doctor will also consider family history, ethnicity, and other health factors.

At St Pete Urology, we offer screening, diagnosis, and treatment of prostate cancer. Through our patient-centered, compassionate approach to care, we have ensured that most of our at-higher-risk clients are enrolled in screening.  

We have employed a collaborative, multidisciplinary approach that ensures all our patients get the best possible care. 

Call us today for more information on prostate cancer and other urology disorders.

References

7 Tips for Keeping a Healthy Prostate

Prostate problems are common in men over 40. The prostate, a tiny walnut-sized gland found only in males, surrounds the urethra and produces a thick, white fluid that mixes with sperm to form semen. Though smaller early in life, the gland grows bigger with age and can sometimes become enlarged or swollen by conditions such as prostate enlargement, prostatitis or prostate cancer.

All men, no matter their age, can find themselves dealing with a prostate issue, which is why every man should be concerned about his prostate health. Fortunately, there are easy ways to prevent or reduce the risk of developing prostate health problems.

Here are 7 tips for keeping your prostate healthy:

1. Eat more fruits and vegetables

Fruits and vegetables are great sources of anti-inflammatory and anticancer compounds, such as polyphenols, antioxidants, minerals, vitamins and fiber. Plants that boost prostate health are plentiful and include favorites such as tomatoes, broccoli, cauliflower, bok choy, cabbage, Brussels sprouts, pink grapefruits, watermelons, papaya and guava. Equally powerful are green leafy vegetables like spinach, lettuce, spring mix and kale which contain cancer-killing ingredients such as folic acid, vitamin D, turmeric and curcumin. Be sure to add fruits and vegetables to your everyday meals to boost your prostate health!

2. Eat more plant proteins and cut down on animal fat

You should avoid diets that are high in animal fat, including dairy products and red meat. Heavy consumption of red meat increases your risk of prostate cancer. So go for lean proteins, such as fish and chicken, but avoid grilled meat since grilling produces carcinogens that can inflame your prostate. Instead try baking, steaming, or broiling your meat.

High animal fat intake reduces antioxidant production in the body. And since it is the antioxidants that help to maintain a healthy prostate, excess fat diminishes prostate health. A good option for a healthy prostate is fish, which contains omega-3 acids that minimize the risk of prostate problems. Fish such as tuna, herring or salmon are good choices, but if fish is not your thing, then walnuts and flaxseed can be great sources of omega-3 acids.

Ideally, you should go for whole, natural foods that provide a lot of fiber. Soy is also good for your prostate and you can get it through sources like soy nuts, soy flour or tofu. Likewise, you should eat foods rich in selenium such as wheat germ, tuna, beef liver, eggs, sunflower, cashews, sesame seeds, mushrooms, onions, garlic and kidneys. Selenium boosts prostate health and minimizes the risk of prostate cancer.

3. Achieve a healthy weight

Obesity has been associated with various prostate health issues, including prostate cancer. If you are overweight, cutting back your weight, particularly abdominal fat, reduces the risk of BPH. In fact, if you desire to shrink your prostate size and get relief from annoying urinary symptoms, weight loss is valuable. Weight loss also helps reduce the risk of prostate cancer and relieves prostatitis.

4. Regular exercise

Moderate or vigorous activity minimizes the risk of BPH, urinary tract symptoms and prostatitis. Regular exercise also decreases stress, releases tension, improves immune function and maintains healthy hormone levels, all of which are important for a healthy prostate.

Aim for at least 30 minutes of moderate or intense physical activity every day. Try walking, swimming, running or bicycling, and make sure your exercise routine is not boring by varying your activities and even inviting friends to join you.

5. Drink tea

Both green tea and hibiscus tea contain potent antioxidants. Studies show that regular intake of tea helps with prostatitis, BPH and prostate cancer. Green tea also slows down the growth of aggressive prostate cancer.

Make sure to choose caffeine free sources of tea since caffeine irritates both the prostate and bladder and worsens symptoms of prostatitis. As a measure to cut down on caffeine intake, make sure to reduce energy drinks, coffee and soda.

Like tea, water is also great for the prostate. Drinking plenty of water will help you remain hydrated and enjoy normal prostate function. Make sure to drink at least 8 glasses of water every day, and to increase water intake during and after exercise.

6. Avoid smoking

Smoking affects every cell in your body. In fact, when cigarettes are burned, they are complete carcinogens. While smoking has less effect on low-grade or benign prostate cancer, it increases the risk of fatal prostate cancer. The heaviest smokers have 24-30 percent higher risk of death from prostate cancer than non-smokers. Smoking also increases the risk of prostate cancer progress after diagnosis.

Studies also show that smoking indirectly promotes benign prostatic hyperplasia (BPH) and increases prostate inflammation. Apart from smoking, alcohol use and inadequate sleep may adversely affect your prostate health. Also, a healthy sex life is good for your prostate.

7. Talk to your doctor

Do you have family history of prostate cancer? Let your doctor know. Remember that having a father or brother who has had prostate cancer more than doubles your risk of developing the disease. Speak with your doctor about your risk of prostate issues and explore the medical screening tests you should undergo as you age, follow dietary recommendations and be alert to any risk factors.
If you intend to begin a new exercise program, make sure to inform your urologist about it. Your doctor should know if you are experiencing symptoms such as:

  • Discomfort or pain anywhere in your rectal or pelvic area
  • Blood in your urine or semen
  • Difficulty or pain when urinating

Are you or your loved one suffering from a prostate problem? St Pete Urology offers specialty urology services in a state-of-the-art facility and surgery center in St. Petersburg, Florida. We provide the latest innovations in surgical techniques and medical technology, delivering comprehensive care to those with urologic conditions. For more information about the prostate gland, BPH and prostate cancer, visit the St Pete Urology website.

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How do you keep your prostate healthy?

Prostate health is an important part of overall health for men. The prostate is a walnut-sized gland situated between the bladder and the penis. The urethra, the tube through which urine exits the body, runs through the prostate. One of the prostate’s main functions is producing a fluid that nourishes and protects sperm. For men, the prostate is an important part of both the urinary and reproductive systems.

The prostate is also the organ where the most common form of cancer for men develops. This cancer affects many men and the chances of developing it increase with age. The prostate also grows in size as men age. The rate and side effects of this growth can vary, but the most common symptoms are difficulty urinating and having to urinate frequently.

Given the importance of the prostate’s role and how easily it can develop problems, good prostate health is important. Luckily, there are simple lifestyle changes that can help improve prostate and overall health. These changes start with diet and exercise. There is a great deal of evidence that diet can help determine prostate health as well as cancer risk. It is recommended to have at least five servings of fruits and vegetables a day. Whole-grain bread and pastas are also recommended.

Protein is an important food group and eating the right kinds of protein plays a big role in prostate health. It is recommended to limit the intake of red and processed meats. Healthier sources of protein include fish, chicken, beans and eggs. Like protein, consuming the right fats is important, too. Healthy fats from olive oil, nuts, and avocados are much better than fats from animal byproducts or the trans fats found in fast food.

Sugar, salt and exercise play a role in prostate health as well. Sugary drinks like soda should be limited or cut out completely. Sweets in general should be an occasional treat, not a food group in your diet. Salt intake should be cut down for prostate health and keep in mind that most processed foods are very high in salt content.

Exercise is also important for maintaining good prostate health. There is evidence that regular exercise helps bring down the risk of stroke, heart disease and certain types of cancer.

Small changes to diet and exercise can add up to big health improvements, but there is still more you can do. Another important tool in keeping your prostate healthy is having a good relationship with your urologist. Yearly prostate exams and an open dialogue with a trusted urologist is key to maintaining prostate health and resolving issues early, before they turn into serious health problems. The urologists at St Pete Urology are dedicated to helping you keep your prostate healthy.

What Does the Prostate Gland Do?

The prostate gland is an organ that is part of the male reproductive system. It surrounds the urethra and is located between the bladder and penis. It is relatively small weighing in at a mere three-fourths of an ounce, and can be likened to the size of a walnut or small apricot.

Despite its small size, it does important work for the reproductive system. The primary function of the prostate is to produce and secrete prostate fluid, which is one of the main components of semen. This fluid, which makes up one-third of semen’s volume, contains important enzymes that aid sperm.

The enzymes are referred to as Prostate Specific Antigens (PSA) and help to prevent semen from thickening after ejaculation. The more liquid semen allows sperm to move freely, increasing the chances of its success.

The muscles of the prostate help propel semen. During ejaculation sperm moves from the testicles to the prostate. The prostate then will contract, closing the bladder’s opening to the urethra so the prostate can release the semen through the urethra.

When in good health, the prostate is an important part of the male reproductive system. However, it is prone to a few conditions that are most likely to increase as men age. The most common is enlarging of the prostate. Prostate growth affects virtually all men over age 50. It can cause difficulty urinating and the need for frequent urination. There are medicines that can help treat an enlarged prostate if symptoms get bad enough to warrant treatment.

Another common health issue is prostate cancer. Other than skin cancer, prostate cancer is the most common form of cancer in men. Fortunately, only one in 41 men diagnosed with prostate cancer dies, meaning survival rates are better than in many other forms of cancers. Prostate cancer can be treated with surgery, chemotherapy, radiation and hormone therapy. In some cases, when the cancer is not aggressive or spreading, doctors may recommend leaving the cancer alone and just monitoring it with your urologist.

Given its importance in the human body, good prostate health is important. Having your prostate checked once a year by a urologist should be a part of men’s annual health maintenance as they get older. Having a good relationship with your urologist is important. Urologists like those at St Pete Urology are dedicated to their patients’ best interest and overall health. They are specialists who can help with planning, treatment and any issues that may arise with the prostate. For more information, visit the St Pete Urology website.

Prostate Cancer: Symptoms and Signs

What is Prostate Cancer?

Prostate cancer only affects men because it occurs in the prostate, a small gland located below the bladder that produces the male seminal fluid to nourish and transport sperm.

What Are The Symptoms of Prostate Cancer?

Some cases of prostate cancer are silent. However, there are signs that might indicate the condition:

  • Urinary and Other Problems:
  • difficulty starting or maintaining a steady stream of urine
  • frequent urination and leakage of urine
  • excessive nighttime urination urge
  • leaking small amounts of urine
  • weak urination stream or straining to empty the bladder
  • blood in the urine or seminal fluid
  • onset of erectile dysfunction
  • discomfort when sitting

Risk factors

Factors that may increase your risk of prostate cancer include:

  • Age
  • Family history
  • Race
  • Obesity

Prostate cancer is one of the most common types of cancer affecting men. When detected early and still contained to the prostate gland, it usually grows slowly. When initially confined to the prostate gland, it may not cause major harm. Prostate cancer that has been detected early has a better chance of successful treatment.

Treatment and Diagnosis

If you or your loved one is experiencing the signs or potential risk factors, it is best to make an appointment with a urologist. The urologist can take a biopsy, which is the only sure way to know if you have cancer. Additional steps that your doctor may employ include:

  • A PSA test
  • A DRE (this is a manual exam)
  • Biomarker tests

Like any cancer, early detection and intervention are key to resolving it. If not caught and treated early, the cancer can metastasize or spread.

Untreated, prostate cancer can spread to nearby organs such as the bladder, or to the bones or other organs, through your bloodstream or lymphatic system. If prostate cancer reaches the bones, it can cause pain and broken bones. As prostate cancer advances, it can be treated and somewhat controlled but it is unlikely to be cured at a later stage.

Prostate Cancer Prevention

Doctors recommend the following changes to prevent prostate cancer. These recommendations are healthy lifestyle changes for all individuals:

  • Choose a healthy diet full of fruits, vegetables and whole-grain foods.
  • Avoid high-fat foods.
  • Exercise at least 3 to 4 times a week.
  • Maintain a weight that is healthy for your body mass.

Men who face a higher risk of prostate cancer may consider medications or other treatments. Your urologist may prescribe 5-alpha reductase inhibitors. Not only do these drugs reduce the overall risk of developing prostate cancer through controlling prostate gland enlargement, they also may reduce hair loss.

Many men would rather avoid prostate exams and knowing if they have prostate cancer. They may fear that if cancer is detected they will experience impotency or incontinence because of treatment. However, recent medical developments have made such concerns unnecessary. To learn more about prostate problems, visit the St Pete Urology website or make an appointment for a consultation.

What are 5 warning signs of testicular cancer?

Testicular cancer is cancer of the testes, the male organ responsible for producing male hormones and sperms. It is understood to be one of the rarer cancers, especially when compared to the prevalence of prostate cancer. In addition to its rarity, testicular cancer is also distinguished by the fact that it is one of the most treatable. Research estimates indicate that up to 95 percent of those diagnosed with it are treated successfully. This success rate holds even for cases in which the cancer has spread outside of the testes. Testicular cancer is most common among men of 15-35 years old.

Symptoms of testicular cancer

Testicular cancer does not always exhibit any symptoms and when it does, its symptoms are similar to those of non-cancerous conditions or inflammations. For these reasons, testicular cancer is often diagnosed at a late stage.

Any one or a combination of the following symptoms should serve as warning signs:

1. Lump and swelling in the testicle

A painless lump or a swelling, or a general change in the size of the testes is one sign of testicular cancer. It is not unusual for one testicle to seem larger than the other. However, a noticeable change from what is usually the normal size of either testes should be treated as a warning sign.

2. Pain or discomfort in the scrotum

Ordinarily a lump or swelling does not cause pain. In some cases of testicular cancer, however, patients report an ache in the scrotum holding the affected testes. It also could be a feeling of heaviness in the scrotum causing discomfort.

3. Enlargement and tenderness of breasts

In rare instances, the presence of testicular tumors encourages the development of breast tissue. This is a condition known as gynecomastia.

4. Accumulation of fluid in the scrotum

A sudden and perceptible collection of fluid in the scrotum should be treated as a red flag.

5. Pain in the groin area, abdomen or lower back

This occurs as an extension of the pain in the testes, if any. It also occurs if the cancer has spread from the testes to the lymph nodes around the groin and the abdomen.

It is noteworthy that the symptoms described above could arise from a non-cancerous condition. That may be reassuring news, but any symptoms also should be considered with caution, because they make testicular cancer that much harder to detect. It is advisable to see a urologist if you have experienced any of the above symptoms, if only to eliminate the presence of testicular cancer. Experienced urologists at St Pete Urology can offer help and treatment for urological problems. Their pool of trained urologists can offer consultation and guidance with any questions and concerns you may have. For more information about testicular cancer, visit the St Pete Urology website.