What is Robotic Prostatectomy?

Key Takeaways:

  1. The da Vinci Robotic Radical Prostatectomy is an innovative surgical technique used to remove the prostate in patients diagnosed with prostate cancer.
  2. The da Vinci robot provides for less blood loss, smaller incisions, a shorter hospital stay, and quicker recovery than the open approach.
  3. St Pete Urology in St. Petersburg, FL is leveraging advancements in technology for the benefit of their patients with a commitment to personalized care.

You are living in a time of rapid medical advancement. Nowhere is this progress more evident than in the world of urology, specifically in the treatment of prostate cancer. The once fear-inducing prospect of a radical prostatectomy to combat this disease has been transformed. This transformation has come with the advent of robotic technology. The introduction of the da Vinci robotic radical prostatectomy has revolutionized the way prostate cancer is treated. It has weaved together the threads of technology, human ingenuity, and surgical precision.

“Hi, I’m Dr. Nicholas Laryngakis, board certified urologist with St Pete Urology. Some patients are diagnosed with prostate cancer and elect to have surgical removal of their prostate for their best chance of cure,” explains Dr. Laryngakis in an introduction that can put even the most anxious patient at ease.

The Dawn of a New Era in Prostatectomy

Let’s first understand what exactly, at its most fundamental level, robotic prostatectomy is. At the forefront of this innovative surgical technique is the da Vinci Robotic Radical Prostatectomy. This procedure is employed to remove the prostate in patients diagnosed with prostate cancer. Furthermore, the notion of a robot performing surgery may sound like something out of a science fiction novel. However, it is a reality in today’s medical world.

According to Dr. Laryngakis, “The da Vinci robot is the newest technology used to remove the prostate. It provides for less blood loss, smaller incisions, a shorter hospital stay, and quicker recovery. Additionally, this allows patients to return home and resume normal activities sooner than the traditional open approach.” With these benefits, it’s easy to see why this technology has become the preferred method for many urologists in St. Petersburg, FL, and beyond.

Tailoring the Treatment to the Patient

Admittedly, while the da Vinci Robotic Radical Prostatectomy has its advantages, it is not the only solution for prostate cancer treatment. There are traditional open approaches. And, a patient’s individual circumstances will ultimately dictate which method is chosen.

“Both approaches can be done depending on the patient’s situation, but most robotic prostatectomies are the way to treat prostate cancer,” Dr. Laryngakis clarifies. The ability to provide both types of treatment highlights the versatility of modern urology and reinforces the importance of personalized healthcare.

A Beacon of Hope in St. Petersburg, FL

Nestled in St. Petersburg, FL, at the heart of the dynamic Tampa Bay area, you’ll find a urology practice that’s making waves in the fight against prostate cancer. At St. Pete Urology, a team of dedicated professionals, led by board-certified urologists like Dr. Laryngakis. They stand at the forefront of advancing prostate cancer treatment through da Vinci Robotic Radical Prostatectomy.

St. Pete Urology doesn’t just focus on providing top-notch healthcare. Also, they understand that the battle against prostate cancer is both a physical and emotional fight. With a commitment to patient-centric care and a skilled, compassionate team, they offer access to state-of-the-art technologies, including the da Vinci robot. As a result, this makes their practice a beacon of hope for many individuals battling prostate cancer.

In an era where advancements in technology are impacting all areas of life, healthcare stands out as one of the most profoundly touched sectors. As you navigate this landscape, having trustworthy medical professionals on your side is essential. Dr. Laryngakis and his team are demonstrating that when it comes to the fight against prostate cancer. Furthermore, a robotic prostatectomy is a powerful tool in the hands of a skilled urologist. The future of prostate cancer treatment shines brightly in places like St. Petersburg, FL. Here, medical practices like St Pete Urology are leveraging these advancements for the benefit of their patients.

References:

  1. St Pete Urology. (2011, November 2). Prostate Cancer. St Pete Urology. https://stpeteurology.com/prostate-cancer/
  2. St. Pete Urology | Urologists in St Petersburg, Florida. (2020, September 14). St Pete Urology. https://stpeteurology.com/da-vinci-laparoscopic-radical-prostatectomy/
  3. Radical prostatectomy: MedlinePlus Medical Encyclopedia. (2020). Medlineplus.gov. https://medlineplus.gov/ency/article/007300.htm
  4. Health. (2022). Prostatectomy – for cancer. Vic.gov.au. https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/prostatectomy-for-cancer
  5. Robotic Surgery for Cancer: The Da Vinci Surgical System. (2022, April). City of Hope. https://www.cancercenter.com/treatment-options/surgery/surgical-oncology/robotic-surgery

Technologic Innovations in Urology at St Pete Urology

Key Takeaways:

  1. St. Pete Urology is at the forefront of integrating advanced technologies like the DAVINCI robot and URONAV MRI ultrasound fusion biopsy technique into their medical practice, offering improved detection and treatment of urological diseases.
  2. These technological innovations in urology allow for less blood loss and quicker patient recoveries.
  3. At St. Pete Urology, their commitment to delivering top-quality, technologically advanced care makes them a top choice for anyone seeking urology services in Florida.

 

If you are seeking innovative solutions for urological issues, look no further than St. Petersburg, FL. As stated by the board-certified urologist Dr. Nicholas Laryngakis, “Urology is a very innovative field.” Based in St. Petersburg, FL, Dr. Laryngakis and his team of skilled urologists at St. Pete Urology have been pioneering advancements in the realm of urology, with technology playing an instrumental role in enhancing patient care, diagnosis, and treatment plans.

Revolutionizing Urology with the DAVINCI Robot

St Pete Urology is at the forefront of integrating advanced technological solutions like the DAVINCI robot into their medical practices. Dr. Laryngakis proudly affirmed, “We were one of the first urology groups to utilize the DAVINCI XI robot on the west coast of Florida.” This cutting-edge tool marks a significant stride in the evolution of urology treatments in St Petersburg, offering a whole new approach to treating prostate and kidney cancer, as well as other urologic diseases.

The use of the DAVINCI robot underscores the crystallization of innovation and medical excellence at St Pete Urology. It’s not just about the ‘cool factor’ of the technology; it’s about the tangible benefits this technology brings to patients. As Dr. Laryngakis explains, “This provides for less blood loss and quicker patient recoveries.”

Improved Cancer Detection with the URONAV MRI Ultrasound Fusion Biopsy Technique

Another indispensable tool in the technological arsenal of St. Pete Urology is the URONAV MRI ultrasound fusion biopsy technique, which is utilized for prostate cancer detection. Dr. Laryngakis elucidates that this technique steps in “if patients have an elevated PSA or abnormal rectal exam and require a prostate biopsy for diagnosis of cancer.”

The URONAV MRI ultrasound fusion biopsy technique is engineered for precision. It leverages MRI images that are fused with a URONAV-guided biopsy technique. This innovative combination bolsters detection rates, thus promising a more robust and accurate diagnosis for patients.

St Pete Urology: A Vanguard of Innovations in Urology

As you look ahead to your urological healthcare choices, especially if you are based in St. Petersburg, FL consider St Pete Urology. They are not just a team of proficient urologists but pioneers who continually embrace and implement advanced technological innovations in their practices.

In the words of Dr. Laryngakis, “Urology is a very innovative field,” and it is clear that St Pete Urology is actively shaping that field. They employ the DAVINCI robot for surgical procedures. Additionally, they utilize the URONAV MRI ultrasound fusion biopsy technique. These approaches are turning the tide in the detection and treatment of urological diseases.

While the world of urologic treatment can seem intimidating, rest assured that with St Pete Urology, you are not just a patient, but a partner in your healthcare journey. They serve as a beacon of innovation. Their commitment to delivering top-quality, technologically advanced care makes them a top choice for urology services in Florida. Choose St Pete Urology, where technology meets compassion, and innovations in urology pave the way to better health.

References:

  1. St. Pete Urology | Urologists in St Petersburg, Florida. (2022, July 11). St Pete Urology. https://stpeteurology.com/robotic-surgery/
  2. St Pete Urology. (2011, November 2). Prostate Cancer. St Pete Urology. https://stpeteurology.com/prostate-cancer/
  3. Gyles, C. (2019). Robots in medicine. The Canadian Veterinary Journal = La Revue Veterinaire Canadienne, 60(8), 819–820. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6625162/
  4. UroNav. (2023). Philips. https://www.philips.com.ph/healthcare/product/HC784026/uronav-mrultrasound-guided-fusion-biopsy-system
  5. Prostate biopsy. (2021). Prostate Cancer UK. https://prostatecanceruk.org/prostate-information-and-support/prostate-tests/prostate-biopsy

Prostate Enlargement: The Silent Issue Men Ignore

Key Takeaways:

  1. Prostate enlargement, or BPH, is a common part of the aging process for men, but it is often ignored.
  2. Symptoms of an enlarged prostate can range from increased urgency to urinate, difficulty starting a stream, to interrupted sleep, urinary tract infections, and even kidney damage.
  3. Healthy lifestyle choices, regular check-ups, and open conversations with healthcare providers are key to managing prostate enlargement effectively.

As a middle-aged man, you’re probably no stranger to the odd health problem here and there. Yet, one issue often sidestepped in conversation, and subsequently ignored, is prostate enlargement. This condition, clinically known as benign prostatic hyperplasia (BPH), is a typical part of the aging process for men. However, its importance cannot be understated; its silence is its most dangerous attribute.

Understanding Prostate Enlargement

The prostate gland plays a critical role in the male reproductive system. Casually nestled below the bladder, it surrounds the urethra, aiding in semen production. When enlargement occurs, it constricts the urethra, leading to often uncomfortable urinary symptoms. Factors contributing to this enlargement can range from age, family history, obesity to lifestyle choices, such as diet or lack of physical activity. This highly common issue could affect up to 50% of men in their 60s.

Signs and Symptoms

The symptoms of an enlarged prostate can be gentle whispers at first; an increased urgency to urinate, difficulty starting a stream or feeling that the bladder isn’t entirely empty. As the condition progresses, these whispers can crescendo into a drumbeat, wreaking havoc on the wellbeing and daily life of those affected, causing interrupted sleep, urinary tract infections, and even kidney damage.

Diagnosis and Treatment Options

Diagnosis can be as simple as a digital rectal exam, where a Urologist can feel the size of the prostate, or a prostate-specific antigen (PSA) blood test. Treatment options are myriad and are chosen based on the severity and impact of the symptoms. Medications can be useful for reducing the size of the prostate and the accompanying symptoms. Minimally invasive procedures and surgeries are available for more severe cases.

Potential Complications

An enlarged prostate is not synonymous with prostate cancer, nor does it increase the odds of developing it. But the symptoms are certainly akin and should not be ignored. Sexual health, too, can be affected, with erectile dysfunction and reduced libido commonly reported in men with prostate enlargement.

Lifestyle Modifications for Prevention and Management

Adopting a healthy lifestyle can help both prevent and manage prostate enlargement. Regular exercise, a balanced diet, maintaining a healthy weight, and avoiding excessive alcohol and caffeine can go a long way toward reducing the risk and the severity of the condition. Managing symptoms can be as straightforward as scheduling regular bathroom visits and avoiding drinking fluids before bedtime.

Breaking the Silence: Encouraging Men to Seek Help

You don’t have to bear this burden in silence. There is a disquieting stigma surrounding prostate health, one that refrains men from discussing it openly. Regular check-ups and open conversations with healthcare providers go a long way in managing this condition effectively.

St Pete Urology, based in St. Petersburg, FL, offers comprehensive care for men suffering from prostate enlargement. With a team of board-certified urologists, cutting-edge diagnostic equipment, and a patient-centric approach, they are committed to breaking the silence surrounding this issue. Their dedicated physicians offer individualized treatment plans, from medical management to minimally invasive procedures and surgical interventions, ensuring optimum urinary health.

In conclusion, while prostate enlargement is a common part of aging, it should never be ignored. Remember, silence isn’t golden when it comes to your health. Untreated, unnoticed, it can have severe implications. So, take heed, and take action. St Pete Urology is ready to stand by you, help you reclaim your quality of life, and alleviate the silent issue of an enlarged prostate. You owe it to yourself. Your wellbeing deserves a voice.

References:

  1. St Pete Urology. (2013, March 11). What is Prostate Enlargement? St Pete Urology. https://stpeteurology.com/what-is-prostate-enlargement/ 
  2. and, D. (2023, July 31). Prostate Enlargement (Benign Prostatic Hyperplasia). National Institute of Diabetes and Digestive and Kidney Diseases; NIDDK – National Institute of Diabetes and Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/urologic-diseases/prostate-problems/prostate-enlargement-benign-prostatic-hyperplasia 
  3. NHS Choices. (2023). Overview – Benign prostate enlargement. https://www.nhs.uk/conditions/prostate-enlargement/ 
  4. ‌Prostate-Specific Antigen (PSA) Test. (2022, March 11). National Cancer Institute; Cancer.gov. https://www.cancer.gov/types/prostate/psa-fact-sheet

Defeat Prostate Enlargement: Tips for a Healthier Life

Key Takeaways:

1. Diet and physical exercise can contribute to maintaining prostate health.
2. Stress management techniques such as meditation and yoga can help manage stress levels and positively impact prostate health.
3. Healthy habits such as maintaining a healthy weight, limiting alcohol consumption, and quitting smoking can boost prostate health, as well as consulting a healthcare professional before starting any supplement regimen.

Prostate enlargement, medically known as benign prostatic hyperplasia (BPH), is a condition that stealthily chips away at men’s health and quality of life. Affecting primarily older men, it poses an ongoing challenge to their well-being. The silver lining, however, is that adopting a healthier lifestyle can effectively combat this medical condition.

Understanding Prostate Enlargement: Causes and Symptoms

To understand prostate enlargement and its implications, let’s delve into its primary cause: BPH. This noncancerous increase in the size of the prostate gland can lead to irritating urinary symptoms and, in severe cases, bladder, urinary tract or kidney problems. Symptoms can include frequent urination, difficulty starting urination, weak urine flow, and the feeling of incomplete bladder emptying. Recognizing these signs early can assist in diagnosing and treating the condition swiftly.

The Role of Diet in Prostate Health

Diet plays an instrumental role in maintaining prostate health. Incorporating a balanced diet rich in fruits, vegetables, lean proteins, and whole grains can contribute to a healthy prostate. Nutrients like zinc, selenium, and lycopene found in foods like shellfish, Brazil nuts, and tomatoes respectively, support prostate health. Conversely, red meat, dairy products, and alcohol, linked with increased prostate enlargement risk, should be limited.

Regular Exercise and Prostate Enlargement

Physical exercise is another stronghold in your arsenal against prostate enlargement. Regular exercise, particularly aerobic and resistance training, can help maintain a healthy weight and reduce the risk of BPH. Whether it’s swimming, cycling, or a brisk walk around the block, the key is consistency. Aim for at least 30 minutes of moderate exercise most days of the week.

Stress Management and Prostate Health

Stress, the silent enemy, often exacerbates prostate health problems. Chronic stress can lead to hormonal changes potentially contributing to prostate enlargement. Mindfulness meditation, deep-breathing exercises, and yoga can help manage stress levels effectively, positively impacting prostate health.

Healthy Habits for Optimal Prostate Health

A handful of good habits can further augment your prostate health. Maintaining a healthy weight, limiting alcohol consumption, and quitting smoking can remarkably boost your prostate health. Coupled with regular check-ups and screenings, these habits facilitate early detection and treatment.

Natural Remedies and Supplements for Prostate Health

There are also natural remedies and supplements that hold promise for prostate health. Saw palmetto, beta-sitosterol, and Pygeum are regarded as beneficial for managing prostate enlargement symptoms. However, they are not devoid of side effects and interactions. Hence, consulting with a healthcare professional before starting any supplement regimen is advisable.

Stepping back, one realizes that leading a healthier life isn’t merely a slew of practices but a holistic change in perception and lifestyle. The road to combat prostate enlargement is paved with balanced diets, regular exercise, stress management, healthy habits, and regular medical check-ups.

But, remember, this journey need not be traversed alone. Personalized advice from healthcare professionals like those at St Pete Urology, a leading urology practice in St Petersburg, Florida, can make all the difference. St Pete Urology is dedicated to providing expert, compassionate care to guide you in your battle against prostate enlargement. With their focus on individualized treatments, state-of-the-art facilities, and experienced professionals, achieving a healthier, happier life is more than just a distant possibility. Make your health a priority today, because nothing you do tomorrow can bring back the day you lose today.

References:

  1. St Pete Urology. (2018, June 13). Prostate Enlargement BPH. St Pete Urology. https://stpeteurology.com/prostate-enlargement-bph/
  2. Benign prostatic hyperplasia (BPH) – Symptoms and causes. (2023). Mayo Clinic; https://www.mayoclinic.org/diseases-conditions/benign-prostatic-hyperplasia/symptoms-causes/syc-20370087
  3. Benign Prostatic Hyperplasia and Complementary and Integrative Approaches. (2022). NCCIH; NCCIH. https://www.nccih.nih.gov/health/providers/digest/benign-prostatic-hyperplasia-and-complementary-and-integrative-approaches
  4.  Natural ways to treat an enlarged prostate – Harvard Health. (2023, February 14). Harvard Health; Harvard Health. https://www.health.harvard.edu/mens-health/natural-ways-to-treat-an-enlarged-prostate

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.

The Role of Stress in Prostate Enlargement: What You Need to Know

Key Takeaways:

  1. Stress can lead to an enlarged prostate due to increased levels of hormones and a decrease in zinc levels.
  2. The release of adrenaline due to stress can cause the bladder and prostate to shut down, resulting in more difficult and painful urination.
  3. Managing stress through lifestyle and behavioral changes such as exercise, sleep and therapy can help prevent prostate enlargement and ease its symptoms.

The prostate is a small, walnut-sized gland that forms part of the male reproductive system. It sits right below the bladder and surrounds the top portion of the urethra.

Its primary function is to secrete an alkaline fluid that adds to the bulk of semen—a mixture of seminal, bulbo-urethral, and prostatic fluid.

With its sphincter muscles, the prostate seals off the entry from the bladder into the urethra, preventing the flow of urine during sexual intercourse. Plus, it contains muscles that help to expel semen out of the penis during sexual intercourse.

Hormone-dependent enlargement

The prostate doesn’t remain tiny for life. It undergoes two phases of hormone-dependent growth: the first at puberty when it nearly doubles its size, and the second after 25 years and for the rest of life.

Now, the prostate requires testosterone to function. But it also contains the enzyme 5-alpha reductase, which converts testosterone to dihydrotestosterone (DHT).

DHT is responsible for development of various male characteristics, such as facial hair. And it equally promotes the enlargement of the prostate.

In fact, if you live long enough, the increased levels of DHT will ensure a continued growth of the gland until you have a condition called an enlarged prostate.

Also called BPH (benign prostatic hyperplasia), an enlarged prostate is a condition where the gland has grown large enough to press or pinch the urethra and cause urinary symptoms.

It occurs in roughly 30% of men over 50 years and in 90% of men aged 80 years.

What is the role of stress in an enlarged prostate?

Stress and BPH are highly related. In fact, the more stressed you become, the worse your BPH symptoms get. And the worse your BPH symptoms get, the more stressed you feel. It is an endless cycle.

But how is stress related to prostate enlargement?

And what should you know about that relationship?

  1. Stress affects hormones that trigger prostate enlargement

When your body is stressed, it releases more of the cortisol hormone. In men, cortisol suppresses other key hormones such as testosterone.

Now, as your level of testosterone drops, the level of estrogen increases. And the increased level of estrogen indirectly promotes the growth of prostate cells, resulting in an enlarged prostate.

Also, stress increases the rate of conversion of testosterone to dihydrotestosterone (DHT). When an increased level of DHT accumulates in the prostate, it triggers rapid cell growth and development.

While low levels of DHT may not cause an enlarged prostate, a very high level resulting from extreme, prolonged stress eventually causes prostate enlargement.

Actually, DHT is the central hormone responsible for the growth of the prostate both in puberty and young adulthood. Hence, increased levels of DHT due to stress are an important factor in prostatic enlargement.

  1. Stress depletes zinc

Stress usually causes body zinc levels to reduce significantly.

Zinc is a critical mineral for the prostate, controlling the gland’s rate of expansion. It occurs more commonly in the prostate than in any other human tissues.

So when zinc deficiency occurs due to prolonged stress, the prostate gland enlarges rapidly, resulting in an enlarged prostate.

If you already have BPH, then reduced zinc levels tend to worsen its symptoms.

By reducing stress and eating zinc-rich foods, such as pumpkin seeds, you can boost your body zinc levels, prevent rapid growth of the prostate, and ease BPH symptoms.

  1. Stress promotes adrenaline secretion

When your body is in a stressful situation, it gets into a ‘flight or fight’ mode that triggers the release of increased quantities of adrenaline.

The adrenaline triggers contraction of muscles of the prostate and bladder. As a result, the prostate compels the urethra to narrow, making passing urine more difficult and painful.

Also, the released adrenaline may cause the bladder to effectively ‘shut down’, worsening urinary symptoms.

So stress is bad for you if you already have an enlarged prostate. It elevates the amount of adrenaline in your body, which impacts both the bladder and prostate and worsens BPH symptoms.

  1. Stress increases tension in pelvic floor muscles

Lastly, when stressed, your pelvic floor muscles become tenser. And the tightening of these muscles forces the urethra to narrow.

In turn, this makes urine flow more difficult. Hence, if you already have an enlarged prostate, your symptoms become worse.

Prompt management of stress for BPH

If you have an enlarged prostate, it is important that you avoid or minimize stress. Speak about things that are stressing you or causing anxiety and depression with friends, family, or a therapist.

Also, consider lifestyle and behavioral changes to manage stress, including regular aerobic exercise, adequate sleep, and practicing yoga and meditation.

At St Pete Urology, we encourage healthy habits such as avoiding caffeine and minimizing fluid intake a few hours before bedtime. We also recommend speaking with a licensed therapist and joining a support group to help you with stress.

And for those with severe symptoms of an enlarged prostate, we recommend seeing a urologist for treatment to bring the symptoms under control. After that, you may only need annual checkups.

For more information on prevention, diagnosis, and treatment of benign prostatic enlargement and other urological problems, visit the site “St Pete Urology.”

References:

Is blood in the urine serious?

Blood in the urine, medically referred to as hematuria, should always be taken seriously because any blood in urine can indicate an elevated risk of severe health problems even if it occurs once. 

For instance, it can indicate an infection, kidney disease, cancer or a rare blood disorder.  So if you see blood in your urine, no matter how minor, you should never ignore it and immediately see a urologist. 

What are the different types of hematuria?

Blood in the urine can occur in two ways. It can present itself as gross hematuria or as microscopic hematuria. Gross hematuria means that your urine has significant elevation of blood and its color appears red or pink. Or your urine has spots of visible blood.

Microscopic hematuria means the amount of blood in your urine is so small that it can’t be seen with the naked eye. So your urine is not red or pink in color but a lab test can detect the blood or blood cells in the urine can be detected when a sample of the urine is examined under a microscope.

What are the causes of hematuria?

  1. Urinary tract infection

A bacterial infection somewhere in your urinary tract, kidneys or bladder can cause hematuria. An infection occurs when bacteria enters your urethra and moves and multiplies in the bladder or kidneys. The infection may result in pain, frequent urination, and bleeding that can eventually lead to gross or microscopic hematuria.

  1. Stones

Stones are crystals that form from minerals and other substances in your urine, especially when they are at high concentration. The stones form in the bladder or kidney and may lead to pain and bleeding as the stones pass through the urinary tract. Larger stones typically block the urinary tract and cause significant pain and hematuria.

  1. An enlarged prostate

For men who are middle-aged and older, the prostate gland tends to get bigger, compress the urethra, make it difficult to urinate, and may result in urinary tract infection (UTI). When an enlarged prostate causes UTI, blood in urine is often one of the symptoms of the infection.

  1. Kidney disease

When a kidney is inflamed, infected or damaged, bleeding may occur, resulting in blood in urine. Kidney disease can occur on its own or as part of another disease, like diabetes.  

For instance, in children aged 6-10 years, the kidney disease known as post-streptococcal glomerulonephritis, which tends to develop 1-2 weeks after untreated strep infection, usually causes hematuria. It is nowadays quite rare because antibiotics effectively treat strep infections.

  1. Cancer

Blood in urine can be due to bladder, prostate, or kidney cancer, typically as a symptom of advanced-stage tumor. Because blood in urine is rarely an early sign of cancer, you should see your doctor immediately to rule out the possibility of cancer.

  1. Medications and rare conditions

Hematuria can be caused by drugs like aspirin, penicillin, blood thinners (like heparin and warfarin), and cyclophosphamide (a drug used to treat certain cancers). Rare blood disorders like hemophilia, Alport syndrome, and sickle cell anemia also cause hematuria. 

Plus, you can have blood in your urine after strenuous exercise, a trauma to the kidneys, or if blood is coming from a different source, such as from bowel movement, the vagina in women, or the ejaculate in men.

When should you seek medical attention?

Blood in urine may be a sign of a grave underlying condition, so you should speak with your doctor as soon as possible. You must never ignore hematuria, even if only a small amount of blood occurs in the urine. 

Visit your doctor immediately if you see blood clots as you urinate or if you have hematuria along with nausea, vomiting, fever, chills, or pain in your abdomen, back or side. 

Also, speak with your doctor if you don’t see blood in urine but experience frequent pain, difficulty urinating, or have abdominal or kidney pain, as these could indicate microscopic hematuria.

During your visit, your doctor will ask you about when and the amount of blood you see during urination.  The physician will also want to know how frequently you urinate, any pain or blood clots in the urine, and any medications you’re taking. 

The doctor will then perform a physical exam, obtain a sample of your urine for analysis, and may order imaging tests, like CT scan or cystoscopy.

The treatment offered after the tests will depend on the underlying cause of the hematuria. For instance, if it is due to urinary tract infection, your doctor will prescribe antibiotics. 

For hematuria caused by an enlarged prostate, your doctor may prescribe 5-alpha reductase inhibitors, alpha blockers, or surgery.

Do you have blood in urine? 

For more information on the diagnosis and treatment of urological problems, visit the site “St Pete Urology.”

What Are The 5 Warning Signs of Prostate Cancer?

You are experiencing some terrifying symptoms.

Pain as you pee. 

Some blood in your urine.

Or frequent urination.

Now, you fear the worst.

You’ve heard of prostate cancer, and you’re scared you might have it.

Perhaps, that’s why you’re reading this post—to confirm your worries.

At St Pete Urology, we want our clients to be involved in decisions about their health. And to make the most informed health choices. 

So we strive to provide our clients with the most accurate and trustworthy information.  And direct them to where they’ll get helped.

We hope to help you overcome your worries. And make the right decisions.

Prostate cancer—a slow-growing cancer

Though prostate cancer is one of the most common types of cancer, it generally grows slowly and tends to be confined to the prostate. And as long as it remains in the prostate, it does not usually cause serious harm. In fact, slow-growing types of prostate cancers may need minimal or no treatment. 

Still, there are few types of prostate cancer that are aggressive, spread quickly, and need timely treatment. Such types of the cancer need to be detected early, particularly when still confined to the prostate, so that they can be treated successfully.

It is due to these types of the cancer that you should know the early warning signs of the cancer and seek prompt treatment.

Yet, with prostate cancer, there are a number of challenges when it comes to warning signs.

  1. Different men have different symptoms.
  2. Some men do not show symptoms at all.
  3. The cancer grows slowly, so it takes time for symptoms to occur.
  4. Only aggressive, rapidly spreading types of the cancer may need treatment.
  5. The cancer doesn’t show any signs or symptoms when in the early stages. So it needs to grow for a while before you can notice any signs.
  6. Signs and symptoms that appear as the cancer advances aren’t specific, and could be due to other non-cancerous conditions.

Nevertheless, any signs are still valuable in early detection of the disease as long as you consult your doctor as soon as you have worrying or persistent symptoms.

 The five warning signs of prostate cancer are:

  1. Pain or a burning sensation when urinating. Pain may also occur when ejaculating
  2. Frequent urination especially at night
  3. Blood in urine or semen
  4. Sudden erectile dysfunction
  5. Difficulty starting or stopping urination

Most of these warning signs are related to urination. That is because the prostate is situated beneath the bladder. So an increased mass or size of the prostate immediately affects the bladder and hinders urination.

When prostate cancer has spread beyond the prostate, other warning signs may appear. 

They include:

  1. Lower body swelling
  2. Bone pain
  3. Abnormal urinary or bowel habits
  4. Sudden, inexplicable weight loss
  5. Pain in the back, pelvis, or hips that doesn’t go away
  6. Difficulty emptying the bladder completely

When to see a doctor

Since the warning signs of prostate cancer aren’t specific, you should make an appointment with your doctor if you have any symptoms that worry you or if any signs are persistent. Your doctor will take your history, conduct exams, and order for tests that will help to rule out other conditions. 

Besides, even if you are diagnosed with prostate cancer, it is much easier to treat when detected early.

At St Pete Urology, we offer a full-range of diagnostic testing for prostate cancer. Our multidisciplinary team of urologic oncologic experts is devoted to evaluating, detecting and treating prostate cancer. Book your consultation now if you have any of the above warning signs. For more information on the diagnosis and treatment of prostate cancer, visit the site “St Pete Urology.”

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