Doctor insights on:
Is Prostrate Exam Harmful
Yes: A nurse practitioner is a fully trained provider who can do a complete physical examination, including a prostate exam. ...Read more
I am a 55 ole male how can I decrease chances of enlarged prostrate and how often should I have a prostrate exam?
Enlarged prostate: Ep is a normal part of aging. It is only problematic if it causes urinary symptoms that are bothersome to you. If you are at increased risk of prostate cancer (i.e. You have a family history of it, are of african descent, or your psa has been high previously), it should be checked annually. If you are not at increased risk, it should be checked every two years, if you decide you want screening. ...Read more
My ejaculatory mussels seem to have quit working. Could this be age related, or a prostrate problem? It seems like it started after an exam.
EJACULATION: This is often effected by medication given for voiding difficulty. It often returns when the medication is stopped. ...Read more
Husband had a prostrate ultrasound and report said; measurement 49 times 39 times 30, contained some internal calcifications, and is mildly prominent. Otherwise unremarkable exam. Is this concerning?
No: This sounds like a pretty unremarkable prostate ultrasound. The prostate is on the large side; calcifications are common and not concerning. Depending on what else is going on, this seems overall reassuring. ...Read more
Would you advise for a prostrate exam as part of my annual physical? I'm 66 and was treated successfully for a retinal melanoma 10 years ago.
Prostate exam: See: http://www. Cancer. Org/cancer/prostatecancer/moreinformation/prostatecancerearlydetection/prostate-cancer-early-detection-acs-recommendations Digital rectal exam is important part of health assessment. ...Read more
Had a urologist give me a digital rectal exam and I have an inflamed prostrate. He just told me it will get better and take acidophilus, is this true?
Congestion: The urologist probably felt that your prostate gland was congested rather than infected. If the gland was infected a course of antibiotics would be indicated. Acidophilis shouldn't harm you. Sitting in a tub of warm water is soothing, also. ...Read more
Not Easily: Can't say I have much direct experience, but this would probably be an ineffective approach. Even if you can reach your prostate, you'd have to know what to look for. Consider leaving this to a professional. ...Read more
To a degree: Super-beta prostate contains beta-sitosterol, a plant agent that some studies have shown has some beneficial effects on mild-moderate benign prostate enlargement (BPH) & apparently without the side effects of rx meds. Discuss w/ your pcp/urologist if this product may b adequate for your symptoms. Beta-sitosterol also blocks cholesterol from being absorbed from foods; so it can be heart-healthy too. ...Read more
it is important to keep your prostate healthy by emptying it on a regular basis with regular ejaculation. Good nutrition is also key. There are numerous men who also keep the size and swelling under control with an herb known as saw palmetto.
One of the surprise scientific truths is that the longer one is sexually active the less risk of prostate cancer. ...Read more
Medication: Need to reduce size of prostate and improve flow. ...Read more
Frequent urination: Hi! Men typically experience urinary symptoms when the prostate is enlarged. BPH (benign prostatic hyper trophy) causes increase in urination, incomplete emptying of the bladder, dribbling, leaking, slow stream, hesitation upon starting urine. There are supplements like saw palmetto and lycopene, as well as prescription meds that can improve symptoms. ...Read more
Prostrate: If your examination for the prostrate is normal and the PSA is normal but you still have problems passing urine, a trial of medication can be done. Important issue is that a normal PSA does not rule out cancer and an abnormal PSA does not rule in cancer. Usually if your PSA is progressively increasing on serial testing biopsy is required. TURP is the surgery for benign prostate Hypertrophy. SEE GP ...Read more
R/O Prostate Ca: The main concern in this situation is making sure there is no worry about the possibilty of prostate cancer. If the psa is normal and the prostate exam is normal I have no concerns about offering testosterone replacement, though I do have a lower threshold in reccommending prostate biospy. ...Read more
Prostate cancer: Not all prostate cancers requires tx. Tx decision depends on staging, PSA, gleason score, etc. TURP is used to treat BPH, or symptomatic prostate cancer. But it does not cure prostate cancer because it only removes portion of prostate. Early stage prostate cancer is usually treated with radical prostectomy or radiation. Thus if prostate cancer re-occurs, can consider above options. ...Read more
Treated, if symptoms: If you do not have symptoms and calcifications do not associated with malignancy, leave them. ...Read more
Prostatitis: Prostatitis is most often caused by gram negative bacteria native to ones GI tract. Only occasionally is it thought to truly be a sexually transmitted disease. Because there is no way of identifying the organism as in other infections, antibiotics to cover the possibility of std are usually prescribed as treatment. ...Read more
Take tissue blocks:
You can ask pathology department to give you (or they can send themself) tissue cell block or blocks with your core biopsies and slides, to your second opinion doctor. In this case you do not need to have biopsy again, at least until you hear second opinion.
Be well. Thank you for question. ...Read more
Yes: An enlarged prostate is a chronic condition and the symptoms usually progress. The symptoms can include slowing of urinary flow, trouble starting a stream feeling of incomplete emptying, straining to void. ...Read more
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