Understanding Prostate Health and Common Problems

A Comprehensive Guide to Prostate Conditions, Symptoms, and Treatments

Internal Medicine

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Last updated: Mar 24, 2025

What is the Prostate?

The prostate is a walnut-sized gland in men located below the bladder and in front of the rectum. It produces fluid that nourishes and protects sperm.

Common Prostate Conditions

1. Benign Prostatic Hyperplasia (BPH)

  • Definition: Non-cancerous enlargement of the prostate
  • Common symptoms:
    • Frequent urination, especially at night
    • Weak urine stream
    • Difficulty starting urination
    • Feeling of incomplete bladder emptying

2. Prostatitis

  • Definition: Inflammation of the prostate gland
  • Types:
    • Acute bacterial prostatitis
    • Chronic bacterial prostatitis
    • Chronic pelvic pain syndrome
  • Symptoms:
    • Pain during urination
    • Pelvic discomfort
    • Flu-like symptoms (in acute cases)

3. Prostate Cancer

  • Most common cancer in men
  • Risk factors:
    • Age (more common over 50)
    • Family history
    • African ancestry

Diagnosis

  • Digital rectal examination (DRE)
  • PSA blood test
  • Prostate biopsy (when necessary)
  • Urinalysis

Treatment Options

For BPH:

  • Medications (alpha blockers, 5-alpha reductase inhibitors)
  • Minimally invasive procedures
  • Surgery in severe cases

For Prostatitis:

  • Antibiotics for bacterial infections
  • Anti-inflammatory medications
  • Lifestyle modifications

For Prostate Cancer:

  • Active surveillance
  • Surgery (prostatectomy)
  • Radiation therapy
  • Hormone therapy

Prevention and Lifestyle Tips

  1. Maintain a healthy diet
  2. Regular exercise
  3. Regular check-ups after age 50
  4. Stay hydrated
  5. Manage stress

When to See a Doctor

  • Difficulty urinating
  • Blood in urine or semen
  • Persistent pain in lower back or pelvis
  • Erectile dysfunction

Support and Resources

Consult your healthcare provider for personalized advice and treatment options.

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