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:

The Role of Diet in UTI Prevention and Treatment

3 Key Takeaways:

  1. Diet can play a role in UTI prevention and treatment by reducing exposure to UTI-causing bacteria, changing the pH of urine, flushing out bacteria, preventing bacteria from attaching to cells, and adding good bacteria to the urinary tract. 
  2. Eating a vegetarian diet, drinking plenty of fluids, eating foods rich in vitamin C, and eating berries can help protect against UTIs. 
  3. Avoiding sugary foods, bladder irritants, acidic fruits, and animal meats can reduce the risk of UTIs and improve recovery.

Do you already have a urinary tract infection (UTI)?

If so, you need immediate antibiotic treatment—UTIs respond well to antibiotics. But if your UTI is a stubborn or recurrent illness, then you should try a dietary change alongside the antibiotics. There are foods that can protect your urinary tract by increasing the pH of the tract, stopping the growth of bacteria, or preventing bacterial attachment on cells. In turn, they improve the efficiency of antibiotics and speed up recovery. So, what is the role of diet in UTI prevention and treatment?

  1. Can reduce exposure to UTI-causing bacteria

Some foods are reservoirs of UTI-causing bacteria while others are not. For example, pork, poultry, and other types of animal meat are reservoirs of the bacterial strains of Escherichia coli (E. coli) called extra-intestinal pathogenic E. coli (ExPEC). ExPEC are known to be responsible for over 70 percent of all UTIs. Therefore, when you regularly eat foods that contain ExPEC, you increase your risk of UTIs. On the contrary, plant-based foods do not often contain these bacteria. Hence, a vegetarian diet helps you avoid contact with these bacteria and protects you against new or recurrent UTIs.

  1. Can change the pH of the urinary tract

For you to have a UTI, bacteria from the outside or from another part of the body must reach and establish in the urinary tract. But the growth of bacteria in the tract requires a suitable pH, among other factors. Studies have shown that foods that increase the pH of urine tend to stop the growth of UTI-causing bacteria. In contrast, foods that make the urine more acidic promote the growth of these bacteria and increase the frequency of UTIs.

This is how: Studies have shown that red meat and other animal proteins contain high potential renal acid loads (PRALs). When these foods are eaten frequently, they increase the acidity of urine and encourage the growth of UTI-causing bacteria. But fruits and vegetables contain low potential renal acid loads (PRALs). So, a regular vegetarian diet makes urine less acidic, prevents the growth of bacteria, and protects against UTIs. To prevent UTI, regularly eat oranges, broccoli, tomatoes, spinach, red berries, cauliflower, grapefruits, and foods rich in vitamin C.

  1. Can flush out bacteria from the urinary tract

Water and other fluids are powerful antidotes against UTIs. Drinking plenty of fluids, even when not thirsty, increases urinary frequency. During urination, the urine stream washes out bacteria from the urinary tract. This reduces their numbers and protects against infection. In fact, studies have shown that taking 6-8 glasses of water every day reduces the risk of UTIs by 58 percent. It also speeds up recovery from UTIs and protects against recurrent infections.

  1. Can prevent bacteria from attaching to cells of the urinary tract

Some foods play a role in UTI prevention and treatment by stopping infectious bacteria from attaching to the walls of the urinary tract. For example, freshly-squeezed 100-percent berry juices, like cranberry and blueberry, make it impossible for Escherichia coli and other bacteria to attach to cells of the urinary tract. These berries contain compounds called proanthocyanidins, which prevent the bacteria from sticking to the lining of the urinary tract. Hence, the bacteria remain free in the tract and are easily flushed out by urine. So, by adding these berries to your diet, you lower your risk of infection, speed up your recovery from an existing UTI, and prevent recurrent infections.

  1. Can add good bacteria to the urinary tract

UTIs can be prevented by biological means. And probiotics and fermented foods are a great way to use good bacteria to stop the growth of bad bacteria in the urinary tract. For instance, yogurt and other fermented foods, such as sauerkraut and pickles, contain Lactobacilli and Bifidobacteria. When these bacteria reach the urinary tract, they stop Escherichia coli and other infectious bacteria from growing. By enriching your diet with probiotics and fermented products, you can prevent UTIs by stopping the growth of infectious bacteria.

  1. Can make the urinary tract favorable for growth of UTI-causing bacteria

There are certain foods that encourage the growth of Escherichia coli and other UTI-causing bacteria. And so their intake should be reduced when undergoing treatment for UTIs. For instance, taking too much sugar encourages the breeding of bacteria in the urinary tract. That’s why you need to reduce sugar consumption when undergoing treatment or avoid sugar when struggling with a recurrent UTI. Also avoid sugary cookies, candies, or sweetened beverages—substitute them with water. Likewise, potential bladder irritants should be avoided. Once they irritate the bladder, they increase lower urinary symptoms that end up creating conditions necessary for the growth of infectious bacteria. Therefore, when undergoing treatment for UTI, avoid bladder irritants such as tea, soda, alcohol, coffee, and artificially sweetened beverages. Equally, avoid spicy foods and stop eating acidic fruits, such as lemons, oranges, or limes. You can resume eating them after the infection is gone, especially to get vitamin C, which helps prevent future infections.

Want to learn more about UTIs and other urological problems? Visit the site “St Pete Urology.”

References

“How to Prevent UTI.” Healthline, https://www.healthline.com/health/how-to-prevent-uti.

What could a male do to help correct a low sperm count

A low sperm count, also known as oligospermia, can be an indicator of male fertility issues. In order to help correct this condition, there are several steps that can be taken.

  1. Increase intake of foods rich in ingredients essential for sperm production. These include folic acid, selenium, lycopene, zinc, vitamins C, D, and E, and healthy fatty acids. Eating a diet rich in these nutrients can help to improve sperm count and overall sperm health.
  2. Take more antioxidant-rich foods. Free radicals can damage sperm cells, but antioxidants can neutralize them and prevent damage. Foods high in antioxidants, such as beta-carotene, lutein, vitamin C, and beta-cryptoxanthin, can help to improve sperm count. Additionally, taking a fenugreek supplement has been shown to be a natural remedy for poor sperm health and increased sperm count.
  3. Keep things cool. The testicles need to be kept at temperatures lower than 98.6 degrees Fahrenheit in order to produce healthy sperm. Avoiding hot tubs, prolonged hot baths, tight clothing, and prolonged sitting can help to keep the scrotum cool and improve sperm production.
  4. Get enough exercise. Regular exercise can boost testosterone levels, increase sperm count and improve overall sperm health. Aim for at least 3 times a week for about 1 hour each, with focus on weight training, running, jogging, and strength training. However, it is important to avoid over-exercising as it can lower testosterone levels.
  5. Avoid exposure to toxins. Pesticides, heavy metals, and plastics can impact sperm count and quality. To prevent exposure, choose organic foods, steer clear of plastic containers and packaging, and minimize contact with heavy metals.
  6. Maintain a healthy weight. Obesity can disrupt hormonal balance, potentially causing a low sperm count. Shedding excess weight through diet and exercise can enhance sperm count and overall health.
  7. Consult with a specialist. If you suspect you have a low sperm count, it is best to consult with a specialist such as a urologist or reproductive endocrinologist. They can perform a semen analysis, identify the underlying cause and recommend appropriate treatment options.

Sperm count is the average number of sperm cells in a single semen sample. Doctors routinely assess it as an indicator of male fertility. A normal sperm count consists of at least 15 million sperm cells per milliliter of semen or a minimum of 39 million per ejaculate. A count below this level signifies a low count and indicates fertility problems.

For more information on erectile dysfunction, male infertility and various urological disorders, visit the site “St Pete Urology.”

What are the four main symptoms of an overactive bladder?

The bladder is a hollow organ located in the abdomen that temporarily holds urine produced by the kidneys. As the bladder fills with urine, nerve signals are sent to the brain, which causes the urge to urinate. These signals from the brain coordinate the relaxation of pelvic floor muscles and urethral sphincter muscles. Then, it directs the bladder muscles to contract and expel urine through the urethra.

An overactive bladder is a condition in which there is a loss of coordination of bladder muscles. The muscles responsible for urination have the remarkable ability to initiate contractions independently, even without direct signals from the brain. This intrinsic capability allows these muscles to expel urine through the urethra. This is a process that can occur even when the volume of urine in the bladder is relatively low. This results in an urgent, uncontrollable need to urinate, and may lead to urine leakage if a bathroom cannot be reached immediately. There are two types of overactive bladder: a dry form that occurs without an overwhelming urge to urinate (hence no urine leakage), and a wet form that is characterized by an uncontrollable need to urinate (therefore, leakage or involuntary voiding occurs).

Overactive bladder is a common problem, especially in older adults (though it is not a normal result of aging). It affects 1 in every 11 people in the United States, mostly those aged 60 and older. However, women may be affected earlier, often in their mid-forties.

The four main symptoms of an overactive bladder are:

Frequent urination:

Also called urinary frequency, this refers to an urge to urinate that is more frequent than usual. Urinary frequency can disrupt a normal daily routine or interfere with sleep. For example, while most people urinate 6-7 times per day after consuming about 2 liters of fluid, someone with urinary frequency may urinate 8 or more times within 24 hours.

Urgency:

Urinary urgency refers to a sudden, uncontrollable urge to urinate. It is caused by involuntary contractions of bladder muscles and feels like painful straining. Uncontrolled loss or leakage of urine may follow if a person is not able to urinate immediately. It tends to occur alongside, and is usually related to, urinary frequency.

Nocturia:

Waking up at least once each night to urinate is called nocturia. Normally, a person should be able to sleep for 6-8 hours without having to wake up to go to the bathroom. However, when a person has an overactive bladder, involuntary contractions of the bladder may occur at any time at night, leading to the need to wake up more than once every night to urinate. This can disrupt the normal sleep cycle and impact quality of life.

Unintentional loss of urine:

The strong, sudden, and uncontrollable urge to urinate that occurs in people with an overactive bladder is often followed by accidental loss or leakage of urine. This is because a person is not usually able to hold the urine long enough to reach the bathroom. Leakage of urine can be embarrassing and may force a person to avoid normal social or routine activities.

There are a number of effective treatments for an overactive bladder. These include behavioral strategies such as dietary changes, fluid schedules, prompted and timed voiding, bowel programs, and absorbent garments. However, if the symptoms of urinary incontinence become notably distressing or significantly disrupt one’s daily life, a doctor can opt to prescribe medications as part of the treatment plan. These medications may include antispasmodics or anticholinergics, such as tolterodine (Detrol), oxybutynin (Ditropan), oxybutynin skin patch (Oxytrol), trospium (Sanctura), or solifenacin (Vesicare). Their purpose is to reduce the number of urge episodes experienced by the individual.

An alternative treatment option is the sacral nerve stimulator. In this procedure, a pacemaker-type device is surgically placed under the skin of the abdomen. It is then connected to a wire that is positioned near the sacral nerves, which are located near the tailbone. This device can help regulate the bladder muscles and reduce the number of involuntary contractions.

It is important to see a doctor if you are experiencing symptoms of an overactive bladder, as it is a treatable condition. The doctor can help determine the underlying cause and recommend the appropriate treatment. In some cases, underlying medical conditions, such as urinary tract infection, may be contributing to the symptoms, and treating these conditions may improve bladder control.

Conclusion

In summary, an overactive bladder is a condition in which the bladder muscles contract involuntarily, leading to a strong, urgent need to urinate. This can cause frequent urination, urinary urgency, nocturia, and unintentional loss of urine. Urinary incontinence is more frequently observed among older adults. However, it’s important to note that it is not a natural consequence of aging. Fortunately, there are several effective methods available for managing and treating this condition. These methods encompass a range of approaches, including behavioral strategies and the use of medications. If you are experiencing symptoms of an overactive bladder, it is important to see a doctor for a proper diagnosis and treatment plan.

For more information on symptoms, diagnosis and treatment of an overactive bladder and other urological disorders, visit the site “St Pete Urology.”

Can Erectile Dysfunction be cured?

Erectile dysfunction (ED) is an ongoing inability to have and maintain an erection that is hard enough for penetration. But it could also be marked by an erection that does not last long enough for satisfactory sexual intercourse. 

It is normal for a man to fail to have and maintain an erection once in a while, especially during times of stress. However, a recurrent, bothersome inability to have an erection points to an underlying emotional or medical issue.

Can erectile dysfunction be cured?

All cases of erectile dysfunction can be treated and most can be addressed positively. Some forms of erectile dysfunction have reversible causes. When the underlying causes are reversed, the dysfunction is cured. Such are called curable erectile dysfunction.

However, other forms of erectile dysfunction have irreversible underlying causes. In the more rare cases the causes can only be improved, but never fully resolved. These are called treatable erectile dysfunction.

What is a curable ED?

A curable erectile dysfunction has a reversible underlying cause. When the trigger of the dysfunction is resolved, the condition is cured. 

You can be cured of an erectile dysfunction caused by stress, being overweight, or having relationship difficulties. Also, you can be cured of ED occurring as a side effect of a drug, alcohol, or cigarette smoking.

The quickest way to cure ED is to improve heart and vascular health and to resolve psychological issues. And while doing so is usually difficult, the dysfunction tends to go away when the underlying cause is reversed.

Ways of curing erectile dysfunction include:

  1. Lifestyle changes

ED can be cured by adopting an active lifestyle, such as daily exercise of at least 30 minutes, eating a balanced diet rich in minerals and vitamins, and losing weight. 

You can also cure the condition by quitting smoking, stopping alcohol use, and avoiding causative drugs, including cocaine, heroin, marijuana, barbiturates, and amphetamines.

  1. Address psychological issues

When ED is due to emotional and psychological issues like stress, low self-esteem, and relationship problems, getting mental health support and undergoing counseling can cure the problem.

  1. Withdrawal of medications

When withdrawing from medications, always consult a physician. Withdrawal of medications can be an effective cure for ED caused by anti-androgens, antidepressants, antihistamines, appetite suppressants, opioids, ulcer medications, sedatives, tranquilizers, blood pressure medications, or chemotherapy medications.

So if you feel that your ED could be the result of a medication you’re taking, speak with your doctor about it. Your physician may recommend lowering the dose or prescribe an alternative. Just don’t stop using the medication without your doctor’s approval.

What is a treatable ED?

A treatable erectile dysfunction is one caused by a condition, which may not completely resolve, but can improve with treatment. 

For instance, conditions such as hormonal imbalance, anxiety, depression and high cholesterol level can cause ED that improves when the conditions are treated.

Ways of tackling treatable ED include:

  1. Treating underlying health conditions

ED may be due to a condition such as atherosclerosis, diabetes, heart disease, chronic kidney disease, hypertension, low testosterone, high cholesterol, metabolic syndrome, Peyronie’s disease, multiple sclerosis, or sleep disorders. 

For such ED, your doctor will recommend treatment for the underlying cause, which in turn will help the condition to improve.

  1. Emotional and psychological support

For ED caused by conditions such as anxiety, guilt, depression, and fear of sexual failure, your doctor may recommend you have the issues addressed through mental support and counseling. 

  1. Testosterone therapy

When your ED is due to low testosterone level or circulatory and nerve issues, your doctor can prescribe testosterone replacement therapy. With improved testosterone levels, the condition will get better.

  1. Oral medications

Phosphodiesterase type-5 inhibitors (PDE5i) , such as avanafil (Stendra), sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra, Staxyn), are oral medications that can help you achieve and maintain an erection, especially if your ED is due to incurable causes.  They work by relaxing the muscles in the penis and encouraging increased blood flow in response to sexual stimulation.

  1. Self-injection with Alprostadil

When injected into the penis, Alprostadil causes the penis to fill with blood. It helps to achieve an erection within 5-20 minutes of injection. And the erection can last 30 minutes to an hour. Alprostadil is also available as a topical cream and as a suppository inserted into the urethra.

  1. Vacuum pump

Your doctor may prescribe a vacuum pump to help draw blood into your penis and elicit an erection. A vacuum device consists of a plastic tube placed around the penis, a vacuum pump to draw air into the tube, and an elastic ring at the end of the tube. The ring helps to maintain the erection, which can last up to 30 minutes.

  1. Surgery

If the other treatments fail, your doctor may recommend surgery. For instance, a procedure can be performed to place an inflatable pump in your penis.  When the pump is pressed, fluid from a reservoir fills the implant and makes your penis longer and wider. 

Another surgical option is the use of malleable implants that are adjusted manually to change the position of the penis.  In rare cases, your doctor may recommend surgery to repair your arteries to improve blood flow.

Are you struggling with erectile dysfunction? Call St Pete Urology today to schedule your consultation with a urologist who tackles ED on a regular basis. 

We offer a wide array of treatments, including lifestyle changes, medications, and surgery, and will provide tailored treatment that is right for your condition. For more information on erectile dysfunction and other urological problems, visit the site “St Pete Urology.”

10 Ways to Stop Leaks in Urinary Incontinence

Urine leaks due to urinary incontinence can be stressful and embarrassing. Persistent loss of urine may make you feel wet, dirty and uncomfortable. In turn, many feel they have to restrict their social and physical activities, including shopping, exercise, dancing, or visiting friends. 

Also, many may experience low self-esteem, body negativity, low physical attractiveness, inadequacy, and reduced sexual desire, which tragically can lead to self-isolation, loneliness, and depression. Plus, accidental urine leaks can compromise daily life activities as you have to continually interrupt your life to use the bathroom. 

There are a number of effective treatments for urinary incontinence, including medications, electrical stimulation, medical devices, and surgery. But there is also a lot you can do to reduce the risk of urinary incontinence and to avoid accidental leaks. 

Here are 10 ways to stop leaks in urinary incontinence.

  1. Increase your fluid intake

Drinking enough water makes your urine less concentrated. This prevents bladder irritation and minimizes urinary urgency that is usually the immediate cause of urine leakage.

So you shouldn’t stop drinking more water when you have urinary incontinence. Instead, make sure to drink 6-8 ounce glasses of water a day. 

An easier way to know you’re drinking enough water is to monitor the color of your urine. Pale yellow urine means adequate hydration, while darker yellow suggests you should drink more.

  1. Empty your bladder regularly

Visiting the bathroom on schedule, every 2-3 hours, even when you don’t feel the urge to pass urine is effective in preventing urine leaks. The strategy keeps urine volume in the bladder low enough to stop accidental leaks.

Another strategy is to always empty your bladder before you leave your house or other venue, like a restaurant or office, even when you don’t feel the urge to go. This will reduce the chances of having an uncontrollable urge to urinate as you travel or go about your routine.

  1. Know where bathrooms are located

When in a new, unfamiliar destination, such as a museum, restaurant, shopping center or park, make sure to know the location of the bathroom. This will enable you to reach the bathroom as soon as you feel the urge to urinate and reduce the chances of accidental leaks. 

  1. Keep a bladder diary

If you want to understand the triggers and patterns behind your urinary incontinence, tracking your bathroom habits using a bladder diary is an effective method. In fact, a few days before you visit your urologist, you should start keeping a diary.

Write down what you drink, the time you drink it, the number of times you pass urine, and whether you’ve had urine-leaking episodes. Also, indicate everything that might have caused the accidental leakage, such as exercising, coughing, or a sense of urgency.

  1. Engage in Kegel exercises

Pelvic floor muscle exercises, called Kegels, help strengthen bladder-supporting muscles and in turn prevent urine leaks and urinary urgency due to overactive bladder. 

Kegels are quite easy to do. For instance, you can simply tighten or squeeze your pelvic floor muscles (muscles that you use to stop urine flow or the passing of gas) for a count of three, then relax them slowly for a count of three. Build up to doing 10-15 squeezes, 3 times a day, and see your bladder control improve within 6 weeks.

The good thing with Kegels is that you can do the exercise any time, at your desk at work or while sitting in your car. 

  1. Lose weight

Losing weight removes the extra pressure on your bladder and pelvic muscles, which can cause accidental leakage. Losing up to 20 pounds of weight over a period of say 6 months can cut bladder leaking episodes by nearly 50 percent.

  1. Cut down bladder-irritating drinks and food

Certain drinks and foods may irritate the lining of your bladder and cause an overwhelming urge to urinate, which may be followed by accidental leakage. For instance, caffeine and alcohol are top bladder irritants. And by limiting alcohol and caffeine beverages, such as tea, coffee, and cola you can prevent urine leaks.

 Also avoid bladder irritants such as apples, apple juice, artificial sweeteners, carbonated beverages, chili and spicy foods, chocolate, citrus fruit and juices, milk products, cranberries and cranberry juice, pineapple, tomatoes, sugar and honey, and vinegar. 

A good strategy is to try eliminating one or more potential irritants from your diet for 2 weeks, the reintroduce them one by one every few days to see if there is a noticeable difference in your urge to pee, how often you go, and the number of leaks you’ll experience.

  1. Quit smoking

Smoking makes you more vulnerable to urinary incontinence by damaging the small blood vessels in your body and causing tissue weakness. Also, smoking can cause coughing, which may lead to urine leakage by increasing pressure on the pelvic floor muscles. 

Plus, cigarette smoking can triple your risk of bladder cancer, which has one of its symptoms as the need to urinate more often or an uncontrollable urge to urinate, even when the bladder is not full.

  1. Review your medications

Some medications can promote urinary incontinence. For example, diuretics increase urine production by the kidneys while muscle relaxants and sedatives relax the urethra and increase the need to pee.

When you suspect your drugs as culprits in your urinary incontinence, speak with your doctor about it. Your physician will determine if the dosage should be changed, if alternatives could be used, or if you should stop taking them.

  1. Treat constipation promptly

With constipation, your colon swells and strains due to excess abdominal muscle pressure. The continuous straining to pass stool weakens pelvic floor muscles and makes urinary incontinence worse. In turn, bladder muscles are adversely affected and the severity of urinary incontinence increases.

Eat more fiber to prevent constipation. Equally, exercise regularly and drink plenty of water. And if you have chronic constipation, speak with your doctor for recommendations on how to manage it, including taking medications or trying physical therapy.

Are you bothered by urine leaks? At St Pete Urology, we encourage you to make the above simple changes to strengthen your bladder and pelvic muscles, reduce bladder irritation, and improve your urinary incontinence symptoms.  If urine leakage persists, see your urologist to determine the underlying cause and develop a tailored treatment for you.

For more information on urinary incontinence and other urological problems, visit the site “St Pete Urology.”

The Pros and Cons of Vasectomy

Penis enhancement surgery is a procedure to correct structural and functional problems of the penis. It may be recommended after an injury, defect, or loss of function. But usually, it is a corrective measure for a micropenis or a buried penis. Both of which cause functional issues with urinating, sexual intercourse, or hygiene.

In rare cases, the procedure may be considered for making the penis longer or larger. It may also be used to make the stomach smaller in order to allow the penis to appear longer and wider. However, surgery to increase the size or width of the penis is medically discouraged. It is a deeply personal decision that requires careful consideration. 

That’s because most men who usually think they have a small penis tend to actually have a normal-sized penis. Also, most of the penis enhancement claims are false and tend to involve techniques and products that may be harmful to the penis.

Alternatives to surgery

  1. Jelqing exercises

Jelqing is a natural penis enlargement exercise involving a hand-over-hand rolling motion to increase blood flow to the head of the penis and stretch the organ. Though a fairly safe practice that can enhance the penis, it is not backed by enough medical studies. And it may lead to pain, irritation, or scar tissue formation if done too often or aggressively.

  1. Pills, potions, and lotions

While there are numerous penile enlargement vitamins, pills, herbal preparations, hormones, and lotions, most of the claims about them aren’t supported by evidence. Some may even interfere or interact with other medications or be harmful to users.

  1. Penile extenders

Penile extenders are non-invasive devices that use traction to stretch the penis. Studies have reported that extenders help to increase the length of a flaccid penis by more than 1.5 centimeters after 3 months of use. 

But more research is necessary to assess their safety and effectiveness. Plus, they are uncomfortable and cumbersome to use, and can overstretch the penis causing nerve damage, bruising, or blood clots.

  1. Vacuum pump

Though they are designed to treat erectile dysfunction, some people use them to occasionally “exercise” and stretch their penis. In the process, they can trigger tissue damage and cause erectile problems.

  1. Clamps and rings

Clamps and rings are used by some people to stretch and elongate their penis. The devices are placed around the base of an erect penis to reduce blood flow out of the penis. While wearing one of these devices may temporarily enlarge the penis, having it on for more than 30 minutes may cut off blood flow and damage penile tissues.

What are the pros and cons of penile enhancement surgery?

Typically, a urologist recommends penile enhancement surgery to correct an injury, treat a defect, or improve function of the organ. Only in very rare cases can the doctor recommend surgery to increase the length or width of the penis.  

That’s because penis enhancement surgery comes with the risk of serious complications such as scarring, pain, infection, loss of penile sensation, and erectile dysfunction. 

Pros of penis enhancement surgery

  1. Helps to correct a micropenis – defined as a very small penis. A micropenis is a condition you’re born with, but which needs correction because it causes functional problems. 
  2. Helps to correct a buried penis – defined as a penis buried under the skin from your stomach, thighs or scrotum. A buried penis can be a congenital condition or a result of aging.
  3. Helps to restore a functional penis by correction of penile abnormalities caused by injuries or disease. Penile abnormalities may make it difficult to urinate while standing up or hinder penetrative sexual intercourse.
  4. Helps to achieve a satisfactory appearance of the penis, particularly in those with persistent, bothersome, and embarrassing concerns about their penis size or width.
  5. Helps to create a new sense of masculinity and sexual potency, which in turn improves personal relationships, overall mood, and productivity in daily work.
  6. Helps to increase confidence and self-esteem by achieving a penis length and girth that meets personal goals and expectations.

Cons of penis enhancement

  1. Is associated with surgery risks such possible infection, bleeding, or damage to nerve endings.
  2. There may be adverse reactions to anesthesia.
  3. It may produce a lop-sided penis appearance, where the penis seems to hang from the scrotum instead of from the abdomen.
  4. Fat used to widen or enlarge the penis can be reabsorbed, which eventually reduces the width of the enhanced penis.

Safe, effective penis enhancement 

At St Pete Urology, we perform penis enhancement surgery on a regular basis to correct congenital and acquired micropenis. The goal of the surgery is usually to restore a functional penis size in order to achieve normal standing urination, satisfying sexual intercourse, and enhanced quality of life.  

Occasionally, we perform penis enhancement procedure on men with normal length penises, but who perceive themselves to have small ones—something that is usually a psychological condition. But for such a procedure, a lot more consultations and a multidisciplinary approach are usually necessary to come up with a highly individualized surgery that meets patient goals and expectations.

For more information on penis enhancement and other procedures for treating urologic disorders, visit the site “St Pete Urology.”

Why do I get recurring urinary tract infections?

You can contract a urinary tract infection (UTI) at any point in your life. A urinary tract infection refers to entry of bacteria into the urinary tract via the urethra and then the subsequent multiplication and spreading to the urinary system, which leads to illness. The three most common UTIs are cystitis, urethritis, and pyelonephritis.

Urethritis is an infection of the urethra. It occurs when bacteria reaches the urethra and multiply there without progressing to deeper parts of the urinary tract. Cystitis is an infection of the bladder, which results when bacteria enter via the urethra and move into the bladder where it multiplies and causes disease. 

Pyelonephritis is an infection of the kidney.  It is triggered by the backward flow of infected urine from the bladder into the kidneys. But it can also be due to an infection in the bloodstream that ultimately reaches the kidneys.

Most urinary tract infections resolve without treatment. However, a number of them require antibiotic treatment.  When a urinary tract infection reappears 2 or more times within 6 months, it is said to be recurrent. A recurrent UTI may also be an infection that occurs at least 3 times per year. Failure to promptly and decisively treat recurrent UTIs can lead to kidney damage.

What are the causes of recurrent urinary tract infections?

  1. Underlying health issues

The risk of recurrent urinary tract infections increases with certain health conditions. For instance, you’re likely to have recurrent UTI if you have suppressed immunity, certain autoimmune diseases, neurological disorders, urinary stones, an enlarged prostate, or a chronic health condition like diabetes.

Also, you are more susceptible to recurrent UTI if you have had surgery on any part of your urinary tract, which produces scar tissue or an alteration in anatomy. Having a catheter and going through menopause also increase the risk of recurrent UTIs.

  1. Genetics

The risk of recurrent UTIs is higher if you have cells that are naturally more receptive to bacteria. A number of studies have shown that due to genetics some people have cell receptors that favor bacteria causing UTIs. For such people, it is difficult to flush out these bacteria from the urinary tract, which in turn predisposes them to recurrent bladder and kidney infections.

  1. Sex

Women have a higher risk of recurrent urinary tract infections than men. That’s because women have a shorter urethra than men and therefore have the urethra located nearer the vaginal opening. More bacteria reach the urethra in women and are more likely to spread to the bladder and kidneys than in men.

  1. Poor bathroom habits

There are a large number of bacteria in feces.  And when these bacteria in stool reach the urethra, they can cause urinary tract infections. That is why bathroom habits matter. And also why, after passing stool, women should wipe the anus from the front back to minimize the risk of fecal matter or bacteria moving from the anus into the urethra.

Also, bacterial transfer to the urethra increases in a dirty, moist environment. So it is important to be clean and dry before pulling your underwear back in place after peeing or passing stool. This prevents fecal matter from landing on the underwear and spreading when the underwear moves as you walk, sit or exercise.

  1. Sexual activity

Bacteria tend to spread easily during sexual activity. They can spread from your partner’s finger, tongue or genitals. They can also spread from sex toys. Plus, your own bacteria can spread from the vagina, penis or anus into the urethra. Likewise, items used during sex, such as spermicides, diaphragms and condoms increase the risk of recurrent UTIs.

Practicing good hygiene before and after sexual activity—such as cleaning sex toys before and after using them—can really minimize the risk of recurrent UTIs. Passing urine soon after sexual activity also helps to flush out errant bacteria. Speaking with your doctor about alternatives to spermicides and diaphragms can equally help with recurrent urinary tract infections.

What should you do to prevent recurrent urinary tract infections?

When struggling with recurrent UTIs, speak with your doctor about it. Apart from prescribing appropriate antibiotic treatment, the doctor may refer you to a urologist—a specialist in diseases and problems of the urinary system—to better pinpoint the cause and provide the most appropriate treatment.

Besides, you can take the following steps to prevent recurrent UTIs:

  1. Drinking plenty of water, advisably 8-10 glasses of water per day, to help you flush out bacteria from the urinary tract.
  2. Going to the bathroom as soon as you feel the urge to pee as holding urine can create a favorable environment for spread and multiplication of bacteria. 
  3. Avoiding scented products, like sprays, douches, and powders that can irritate your urethra and predispose your urinary tract to infections.
  4. Emptying your bladder soon after sexual activity to help you flush out errant bacteria.
  5. Considering vaginal estrogen therapy after menopause to help keep healthy reproductive and urinary systems.
  6. Using alternative contraception that does not include spermicides, diaphragm or condoms.
  7. Proper wiping, particularly for women and girls, after using the toilet to reduce exposure of the urethra to UTI-causing bacteria found in poop.

Patient-friendly, compassionate treatment of urological disorders

Urinary problems can be both distressing and embarrassing. You may even find it difficult to speak about them. At St Pete Urology, we offer a pleasant, empathetic urological care to enable you to speak freely about your urinary tract infections and other urological disorders in order to ensure prompt, accurate diagnosis and treatment.

For more information on recurrent urinary tract infections and other urological disorders, visit the site “St Pete Urology.”

Does your diet affect UTI?

Diet is generally critical in the prevention, treatment and recovery from urinary tract infections (UTIs). Some diets boost immunity and protect against UTIs while others reduce irritation in the urinary tract and hasten the healing process. Still some diets help to shed off bacteria and lower the risk of UTIs altogether.

So how does your diet affect UTI?

  1. Plant-based diet

Studies have shown that plant-based diets lower the risk of developing urinary tract infections. In a 2020 study where 9,724 Buddhists were followed over a period of 9 years, it was reported that their vegetarian dietary pattern helped to lower their risk of UTIs by 16 percent.

But how does the vegetarian dietary pattern work? It works in two ways: by preventing bacterial growth and proliferation and by eliminating bacterial reservoirs. 

Firstly, a vegetarian diet has low potential renal acid loads (PRALs). As a result, vegetables and fruits make urine less acidic and can prevent the growth of bacteria associated with UTIs.

On the contrary, red meat and other animal proteins have higher potential renal acid loads (PRALs). Therefore a regular diet rich in animal proteins leads to urine that is more acidic and that promotes urinary tract infections.

Secondly, a vegetarian diet pattern avoids foods that are reservoirs for the bacterial strains of E. coli called Extra-Intestinal Pathogenic E. coli (ExPEC). Since these bacteria account for 65-75 percent of urinary tract infections, eliminating their reservoirs prevents UTIs.

In contrast, animal meat, such as poultry and pork, are reservoirs of extra-intestinal pathogenic E. coli. And the frequent consumption of animal-based proteins increases the risk of UTIs.

  1. Yogurt and other fermented products

Regular consumption of yogurt or other fermented dairy products reduces the risk of urinary tract infections by up to 80 percent. That’s because yogurt contains good bacteria, called live and active cultures.  

When these bacteria reach your digestive and urinary tract, they crowd out and inhibit the growth of UTI-causing bacteria. The bacterial cultures in yogurt also boost immunity. 

Fortunately, these bacteria are never killed by the freezing process. Instead, they only undergo a dormancy state. When eaten and restored to a warm temperature within the body, the bacteria become active and provide protection to the urinary tract.

  1. Berries and fresh fruit juices

Frequent drinking of fresh berry juice lowers the risk of UTIs by up to 50-percent. Berries such as cranberries, raspberries, blueberries and other berries contain the phytochemical called pro-anthocyanidins, which reduces the ability of E. coli bacteria to adhere to the urinary tract walls.

Therefore, fresh berry juice makes it easier to flush out bacteria responsible for UTIs by destroying their capacity to adhere to the lining of the urinary tract. A great way of consuming large amounts of berries in your diet is through smoothies. 

  1. Foods rich in vitamin C

Foods rich in vitamin C, such as oranges, lemons, strawberries, and green leafy vegetables, help to change urine pH. The change in acidity of urine prevents bacteria from growing in urine. Vitamin C also boosts immunity and speeds healing.

  1. Fiber-packed foods

Fiber is a critical stimulator of bowel movement. Hence, including bananas and other high-fiber foods in your diet can help you prevent UTIs by encouraging regular bowel movement and minimizing pressure on urine flow.

  1. Increased hydration

Increased water and fluid intake is a dietary measure that prevents UTIs. In fact, drinking at least 8 glasses of water per day lowers the risk of UTIs by up to 40-percent. The high volume of water makes it more efficient to flush out bacteria from the urinary tract. 

  1. Cutting down on bladder irritants

Drinking cola soft drinks increases the risk of UTIs by at least 10-percent. According to a 1985 study that involved 225 women, beverages such as soda trigger or worsen urinary symptoms and in turn increase the risk of UTIs.

Like soda, bladder irritants, such as coffee, tea, alcohol, artificially sweetened drinks, and carbonated beverages amplify the risk of lower UT symptoms, such as urinary urgency and frequency, which increase the risk of urinary tract infections.

Timely, effective treatment of UTIs

Are you experiencing frequent urinary symptoms? Would you like a permanent solution to your recurrent urinary tract infection? 

At St Pete Urology, we offer prompt, accurate diagnosis and treatment of UTIs.  Our objective is to always provide proper treatment of UTIs to prevent serious complications, such as urosepsis and kidney damage, which are potentially life-threatening.

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

What are the Success Rates of a Vasectomy Reversal?

A vasectomy reversal is the surgical procedure to undo a vasectomy.  The operation involves reconnecting each vas deferens that was cut and sealed off during vasectomy. Once reconnected, each vas deferens becomes a channel through which sperm can again pass through from the testicle into the semen.

The reversal procedure is a more difficult and delicate procedure compared to the vasectomy. It is performed with the aid of a powerful surgical microscope that helps to magnify the vas deferens by as much as forty times in size. And most importantly, the surgery demands a high degree of skill and experience to carry out.

What is a successful vasectomy reversal?

A successful vasectomy reversal not only restores sperm in semen, but also enables a man to get his partner pregnant. Many men undergo the reversal procedure due to loss of a child, change of heart or remarriage and with their motivation being the opportunity to have more children. 

So the measure of a successful reversal is fundamentally on whether or not a man is able to make his partner pregnant. Unfortunately, this is not a straightforward measure as many factors are involved in achieving a pregnancy. 

For instance, getting a pregnancy depends on the man’s age, age of his partner, and on the health and motility of his sperm.  This means that having a vasectomy reversal after the age of 50 years when the number of healthy sperm and their motility has reduced significantly may not be successful. In contrast, having a vasectomy reversal done when a man is younger and with a younger partner may increase the chances of success of the procedure.

Success of a vasectomy reversal also depends on the type of vasectomy procedure a man had and how long it has been in place. The more time after a vasectomy, the more likely you are to develop scar tissue in the vas deferens that will make it difficult to have sperm pass through the tube and reach semen.

What are the success rates of a vasectomy reversal?

The success rates of vasectomy reversal range from 10-90 percent depending on the type of procedure, time that has elapsed since the vasectomy, age of the partner, the surgeon’s experience and training, and whether you had fertility issues before the vasectomy. 

When the reversal procedure is done soon after the vasectomy, the chances of success are quite high. In fact, if a vasectomy is reversed within 10 years after the procedure, there is more than 95-percent possibility of having sperm back in the ejaculate and over 50-percent chance of achieving pregnancy. But a reversal performed more than 15 years after the vasectomy has a lower potential of restoring sperm back in semen and as low as 30-percent rate of pregnancy.

Success rates of vasectomy are:

  1. Up to 97 percent success rate of sperm in semen and 76-percent rate of pregnancy when reversal is done within 3 years after the vasectomy.
  2. Up to 88 percent success rate of sperm in semen and 55 percent rate of pregnancy when reversal is done between 3-8 years after the vasectomy.
  3. Up to 79 percent success rate of sperm in semen and 44 percent pregnancy rate when the reversal is done 9-14 years after the vasectomy.
  4. Up to 71 percent success rate of sperm in semen and 30 percent rate of pregnancy when the reversal is done 15-19 years after the vasectomy.
  5. Up to 52-percent sperm in semen and less than 10 percent rate of pregnancy when the reversal is done after 20 years since the vasectomy.

The reversal technique used and its eventual success depend on the part where the surgeon finds sperm during the procedure. If the surgeon finds sperm within the blocked vas deferens, the vasectomy is reversed by simply reconnecting the two ends of the vas deferens back together. This is a simple procedure that offers 75-97 percent chance of restoring sperm in semen and over 50 percent chance of achieving pregnancy.

But when there is no sperm in the tubes, which is often due to a blockage nearer the testicles, the surgeon will often perform the vasoepididymostomy procedure. During vasoepididymostomy, the vas deferens is connected to the epididymis. This procedure gives a 58-85 percent success in having sperm in semen and produces an average 34 percent rate of pregnancy.

For more information on vasectomy and vasectomy reversal, visit the site “St Pete Urology.”