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Doctor insights on: Prostate 5lx

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Dr. Milton Alvis, jr
7 doctors shared insights

Prostate (Definition)

The prostate is a gland that lies at the base of the bladder and surrounding a segment of urethra. It secretes a milky fluid that is discharged by excretory ducts into the urethra during the emission of semen. It is clinically important because enlargement of the prostate with age, and prostate cancer are two common ...Read more


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Does an enlarged prostate usually indicate prostate cancer?

Does an enlarged prostate usually indicate prostate cancer?

NO: An enlarged prostate has nothing to do with prostate cancer. Prostate enlargement may lead to urinary problems, but the size of the prostate may not correlate with symptoms either. ...Read more

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Is prostate enlargement painful?

Is prostate enlargement painful?

Usually not: You refer to urine flow which becomes more difficult in men as the prostate enlarges with age. It pushes on the urine outflow tract cause the symptoms of urgency, night frequency, slow and low flow and incomplete emptying of the bladder.It is uncomfortable, but no actual pain. Evaluation by your urologist to rule out cancer is needed. Meds to increase flow are available which can help. ...Read more

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What is prostate adenocarcinoma?

What is prostate adenocarcinoma?

Most common type: The most common histology of prostate cancer is an adenocarcinoma. This means it is a cancer with a glandular origin. ...Read more

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What causes PSA levels to increase after prostate removal due to prostate gland enlargement (benign prostatic hyperplasia)?

What causes PSA levels to increase after prostate removal due to prostate gland enlargement (benign prostatic hyperplasia)?

Increased levels of prostate-specific antigen (PSA) in your blood can be a sign of prostate cancer: However, cancer is just one of several possible causes of increased PSA. Prostate tissue normally releases small amounts of PSA into your blood. When the prostate grows, PSA levels increase. When the entire prostate is removed, PSA levels fall close to zero. Most procedures used to treat an enlarged prostate remove only part of the prostate, which partially decreases PSA levels. After any enlarged prostate procedure, a number of factors can cause PSA levels to go up again. For example: Prostate cancer. , Recurrent benign prostate growth. , Inflammation of prostate tissue (prostatitis). . If you have increasing PSA levels after surgery for enlarged prostate, your doctor might recommend: A wait-and-see approach. , Medication. , Additional tests. ...Read more

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Woulda prostate tumor cause any pain?

Woulda prostate tumor cause any pain?

Yes advanced: A prostate tumor would not initially cause any pain, but could cause pain if it metastasizes or advances locally into the surrounding tissues. ...Read more

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Can BPH or enlarged prostate cause prostate cancer in the future?

Can BPH or enlarged prostate cause prostate cancer in the future?

Not actually cause: But these 2 keep company. Big prostates casuse bladder outlet symptoms (frequency, urgency, sleep interrupting need to pee), and this brings men in for checks, include psa. Depending on psa level and rate of change, biopsies are done. Perhaps many can be watched, but obstructive symptms need treatment. Finasteride can be used as a prosca preventitive and shrink prostate over time. ...Read more

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What distinguishes pancreas, liver, colon, kidney, prostate and gallbladder cancers?

What distinguishes pancreas, liver, colon, kidney, prostate and gallbladder cancers?

Cure varies: Beyond the obvious differences in organ and cell type as well as the various treatment approaches, the most important patient difference is really the chance at cure. Early stage prostate and renal cell (kidney) cancers can be very curable. Even really early stage pancreatic cancers can be quite deadly. ...Read more

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Breast cancer, lymphadema, ovarian cysts,fibroid, atrophic kidney, gallbladder polyps, diverticula, appendicitis, osteoprosis, ddd are they connected?

Breast cancer, lymphadema, ovarian cysts,fibroid, atrophic kidney, gallbladder polyps, diverticula, appendicitis, osteoprosis, ddd are they connected?

Muliple issues: I would suggest that you seek a comprehensive medical evalaution: some GI symptoms may be related; however breast cance, ovarian cysts, kidney diease are all separate issues. Get yourself in the hands of an expert or experts-ASAP. ...Read more

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Coud there be another treatment for benign prostatic hyperplasia (bph) besides doxazosin and flomax (tamsulosin)?

Coud there be another treatment for benign prostatic hyperplasia (bph) besides doxazosin and flomax (tamsulosin)?

BPH: Treatments for BPH fall into two categories; medical and surgical. Medical therapy includes Alpha blocker medications to improve urine flow and 5-alpha reductase inhibitors to shrink the gland. The surgical options include thermal or laser destruction of prostatic tissue or transurthral resection of prostaic tissue (turp). The "best" treatment is a very individual thing. ...Read more

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Could rapaflow (silodosin) alpha-1 blockers affect urinary sphincter or just the prostate?

Could rapaflow (silodosin) alpha-1 blockers affect urinary sphincter or just the prostate?

Both: Alpha blockers relax the smooth muscle component of the prostate (as opposed to the glandular part). They also relax the INTERNAL urinary sphincter at the neck of the bladder.This is why retrograde ejaculation(the ejaculate goes into the bladder instead of coming out) can occur. They do not relax the EXTERNAL sphincter(below the prostate) which controls urine voluntarily. ...Read more

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Could avodard (dutasteride) shrink the prostate?

Yes: Dutasteride and Finasteride both work well to shrink the prostate. Called 5 Alpha reductase inhibitors, these drugs stop the conversion of testosterone to dihydrotestosterone, which causes baldness and prostate enlargement. Not a quick fix as maximum benefit is not reached for 6-12 months. ...Read more

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What is metastatic prostate cancer?

What is metastatic prostate cancer?

Metastasis: in general, metastasis refers to a cancer that has gone from the organ of origin to other parts of the body ...Read more

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Prostate enlargement symptoms?

Prostate enlargement symptoms?

Prostate enlargement: Benign enlargement may have no symptoms but when it does cause symptoms there is often difficulty emptying the bladder, incomplete emptying, slow stream, getting up at night to urinate. ...Read more

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Age: 47. Had ct: bladder distended, cyto: no blockage. Chronic retention. Urologist wants to 'ream uro-prostate channel.' could problem be neuro?

Age: 47. Had ct: bladder distended, cyto: no blockage.  Chronic retention.  Urologist wants to 'ream uro-prostate channel.' could problem be neuro?

Maybe: It can be neurological in origin but that would be rare without other symptoms. Are you on any medication? Most urologists would try medical therapy for this problem before jumping straight to surgery. I would recommend a second opinion. ...Read more

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Does ejaculating relieve enlarged prostate?

Does ejaculating relieve enlarged prostate?

BPH: Ejaculation has no relationship to prostate size. Prostatitis, on the other hand, is sometimes improved by frequent ejaculation. ...Read more

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Ultrasound following kidney stone attack. Revealed prostate "mildly inhomogeneous posteriorly otherwise unremarkable". PSA <1 and DRE clear 11 months ago. I'm 57. Opinion?

Ultrasound following kidney stone attack. Revealed prostate "mildly inhomogeneous posteriorly otherwise unremarkable". PSA <1 and DRE clear 11 months ago. I'm 57. Opinion?

Early Early BPH: Your medical info suggest very early benign prostatic hypertrophy (BPH). There are various OTC med that may help this such as beta sitosterol formulations and saw palmetto. If your urine stream becomes difficulty consult your PCP. You need an annual exam, of course. ...Read more

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Is bladder stone curable?

Very curable: Most bladder stones can be broken up into little pieces or dust by endoscopic laser or lithoclast lithotripsy (breaking up stone by laser or "jackhammer" type instrument passed via cystoscope). Broken pieces or "dust" can be irrigated, juctioned out or remaining small pieces grasped. Very large stones (> than an egg) are sometimes best removed by open surgery. Patient cured then prevent new ones. ...Read more

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