Prostate Guide

Guide to the Prostate

Prostate Prevention

  • Natural Sources: Saw Palmetto
  • Herbal Remedies

Diet for Reducing and Preventing Prostate

  • Vitamin A: apricots, broccoli, cantaloupe, carrots, flax oil, pumpkin seeds, sea salt, spinach, squash, and sweet potatoes, walnuts,
  • Vitamin B:  beans, green vegetables, nuts, peas, and sunflower seeds.
  • Vitamin B6:   bananas, calves liver, chicken and turkey breast, tuna, cod, salmon,  snapper, halibut, beef tenderloin
  • Vitamin C:  Citrus fruits like berries, lemons, limes, melons, and oranges
  • Vitamin E: sunflower oil, cottonseed oil, safflower oil, rapeseed oil, cod liver oil, corn oil, soya bean oil, peanut oil, margarine, mayonnaise, hazelnuts, almonds, peanuts, Brazil nuts, walnuts,  pine nuts, marzipan, wheat germ, muesli, avocado, sweet potatoes, popcorn
  • Calcium: yogurt, milk, cheese, salmon, sardines, collard greens, spinach, turnip greens, okra, white beans, baked beans, broccoli, peas, brussel sprouts, okra, sesame seeds, bok choy, almonds, rhubarb, tofu
  • Magnesium: black beans, broccoli, okra, pumpkin, squash, spinach, halibut, oysters, rockfish, scallops, whole grain cereal, whole wheat bread, peanuts, plantains, soy
  • Zinc: oysters, wheat germ, veal liver, Sesame flour and butter, roast beef, pumpkin, squash, and watermelon seeds, cocoa powder and chocolate, lamb, peanuts, Alaska king crab, pork , chicken, lobster, flounder, sole, baked beans, kidney beans, green peas, cashews, yogurt, chickpeas, almonds, milk, cheddar and mozzarella cheese
  • L-Alanine:  beans, meat, nuts, seafood, seeds, soy, whey, brewer’s yeast, brown rice bran, caseinate, corn, dairy products, eggs, fish, gelatin, lactalbumin, legumes, whole grains.
  • L-glycine
  • L-Glutamic acid
  • Garlic
  • Essential Fatty Acids
  • Saw Palmetto
  • Fiber
  • Fluids

Symptoms

  • Painful burning sensation during ejaculation or urination
  • Increased need, but less productive urination fever, chills
  • Loss of energy,
  • Pain radiating in the lower back and abdomen
  • Bloody urine

Occurrence

  • More than half of all men over 50

Causes

The prostate grows during the aging process, putting pressure on the urethra. As urine travels from the bladder through the urethra, the enlarged prostate creates pressure. This pressure causes patients to feel the urge to urinate even though only a small amount of urine has accumulated. Incontinence or dripping urine may also be an indication of an enlarged prostrate.  If you have Benign Prostatic Hyperplasia (BPH), you may have one or more of these problems.


Preparation for Medical Appointment

Take the time to keep a record of number of times you urinate and when you experience burning. Are you awakened during the night to urinate? Record if and when there is blood in the urine. Do you experience pain during ejaculation? Remember, recording accurate information will enable your doctor to correctly diagnose and treat your particular prostate problem.

Be aware of the possible tests and examinations your physician may order including: a rectal exam, blood test, imaging using x rays or a sonogram, a urine flow study, or cystoscopy. While some of the tests may arouse concern, they present only minimal and temporary discomfort, capable of yielding a great deal of accurate information. Your awareness of the procedures will help allay any anxiety you may experience prior to the visit.


Support from Health Care Providers

Due to the sensitive nature of prostrate health, it is imperative that patients make the necessary effort to procure a health care provider with whom there is a truthful and comfortable relationship. Withholding information due to embarrassment will only impede diagnosis and proper treatment. If you find yourself unable to confide in your doctor, it is crucial that you seek another qualified health care provider rather than avoiding probing questions. When evaluating the severity of your problem, discuss the risks involved, making certain that you are prepared for possible side effects.


Cultural Attitudes about the Prostrate

Male incontinence in any culture indicates an unhealthy body at the very least. In the workforce, there is very little tolerance for loss of bladder control, even when it is the result of an enlarged prostrate. The abundance of adult diapers sold in the United States indicates the apparent need for protection while in society. Painful ejaculation is not a product of sexual health and enjoyment, which is highly prized in most cultures. Avoidance of sexual encounters, although accompanied by pain, does not fit the profile of a sexually healthy male and is not esteemed behavior in most cultures.


Psychological Implications

  • Stress
  • Anxiety
  • Low self-esteem
  • Identity crisis
  • Embarrassment over incontinence
  • Loss of confidence as a result of painful ejaculation
  • Shyness
  • Sexual Dysfunction
  • Marital problems as a result of sexual dysfunction
  • Impotence
  • Many men become totally impotent as a result of prostate problems, and some experience the added embarrassment of incontinence (uncontrolled wetting). The psychological effect’s can be devastating.

Career/Employment

  • Absenteeism
  • Loss of positive image impacting interpersonal relationships

Tests and Diagnosis

* Blood test: High PSA (prostate-specific antigen) found in the blood may indicate prostrate cancer.
* Rectal Exam: Wearing lubricated gloves, the physician probes the rectum with a finger to determine the size and shape of the prostrate.
* Imaging: An intravenous pyelogram requires the injection of dye into a vein to make urine visible on an x ray.
* Urine flow study: Monitoring the flow of urine may indicate an enlarged prostrate pressuring the urethra.
* Cystoscopy: The lense of the cystocope provides a view of the prostrate through a tube inserted into the bladder through the urethra.


Treatment with Prescription Drugs

  • Finasteride (Proscar)
  • Doxazosin (Cardura)
  • Tamsulosin (Flomax)
  • Alfuzosin (Uroxatral)
  • Prazosin (Minipress®)
  • Avodart
  • Proscar

Surgical Procedures

* Transurethral resection of the prostate (TURP): Removal of the inner portion of the prostate
* Open prostatectomy (open surgery): Removal of the prostate’s enlarged tissue
* Laser surgery: Laser removal to shrink the prostate and destroy tissue of prostate tissue
* Transurethral incision of the prostate (TUIP): Reduction of pressure on the urethra by making cuts to the prostate gland


Complications

  • Fainting or dizziness caused by reduced blood pressure
  • Headache
  • Nasal drip or stuffiness
  • Erectile dysfunction
  • Declining ejaculation
  • Surgical Complications of Transurethral Resection: Semen is deposited in the bladder as opposed to traveling through the urethra (retrograde ejaculation).

Risk Factors and Warnings

  • Bladder damage and stones

Coping and support

  • Kegel exercises: squeeze muscles around scrotum and anus
  • Regular physical examinations
  • Counseling
  • Support groups
  • Couples’ relationship seminars
  • Personal knowledge about sexual dysfunction
  • Proactive stance
  • Courage to seek medical help