Updated: Dec 28, 2020
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Many men aren't sure what their prostate is, what it does, or when to call a doctor if they think they might have a problem. So, information is the best tool you have in dealing with this aspect of menâ€™s health.
What Does My Prostate Do?
The prostate is a small gland and forms part of the male reproductive system. The healthy prostate is the shape and size of a walnut and sits below your bladder and in front of your rectum. It surrounds the urethra, the tube in your penis taking pee from your bladder.
The prostate makes some of the fluid in semen, allowing sperm to be carried from your testicles when you ejaculate.
This Gland Can Grow
As you age, your prostate becomes larger and is a normal part of aging for most men.
When you reach age 40, your prostate might have gone from the size of a walnut to the size of an apricot. By the time you reach 60, your prostrate might be the size of a lemon.
Because it surrounds the urethra, the enlarged prostate can squeeze that tube which causes problems when you try to pee. Typically, you wonâ€™t see these problems until youâ€™re 50 or older, but sometimes they can start even earlier.
You might this hear this called benign prostatic hyperplasia, or BPH for short. It is not cancerous.
Who Can Get an Enlarged Prostate?
BPH is common and cannot be prevented. Age and a family history of BPH can increase the chances you might get it. A few stats on that:
Some 8 out of every 10 men eventually develop an enlarged prostate.
About 90% of men over the age of 85 will have BPH.
About 30% of men will find their symptoms bothersome.
If you have trouble starting to urinate or have to go a lot especially at night, these could be signals that you have an enlarged prostate. Other signs and symptoms include:
Your bladder doesnâ€™t empty completely after you pee
You feel the need to go out of the blue with no sensation of build-up
You may stop and start several times
You have to strain to get any flow happening
Itâ€™s important that you see your doctor if you have any symptoms of BPH. Although rare, this condition can lead to serious problems such as kidney or bladder damage.
A larger prostate doesnâ€™t mean youâ€™ll have more or worse symptoms. Itâ€™s different for each person. In fact, some men with very large prostates have few, if any, issues. But let your doctor know should be aware either way.
How your doctor handles your condition depends on the details of your case -- your age, how much trouble itâ€™s causing, and more. Treatments may include:
Watchful waiting. If you have an enlarged prostate but are not bothered by symptoms, you may be advised merely to get an annual checkup, which will include a variety of tests.
Lifestyle changes. This includes cutting back on how much you drink before bedtime, especially drinks with alcohol or caffeine.
Medicine. Common treatments for BPH are alpha-blockers, which ease BPH symptoms, and whatâ€™s called 5-alpha reductase inhibitors, or 5-ARIs, which help shrink the prostate. These can be taken together.
The FDA now requires labels on the 5-ARIs to include a warning that they may be linked to an increased chance of a serious form of prostate cancer. These medications are dutasteride (Avodart) and finasteride (Propecia and Proscar). The combination pill Jalyn also contains dutasteride as one of its ingredients.
Surgery. Men with severe symptoms who aren't helped by other treatments might have to turn to surgery. Talk to your doctor about possible risks and outcomes.
This is an infection or inflammation of the prostate; itâ€™s not the same thing as BPH, though some of the symptoms are similar.
It can affect men from their late teens well into old age. Symptoms include:
Trouble passing urine
Chills and fever
Treatment usually includes antibiotics.
If you have recently had a catheter or other medical instrument put into your urethra, you have a higher chance of getting bacterial prostatitis. Some sexually transmitted diseases, such as chlamydia, may cause ongoing infection and inflammation.
Doctors use a variety of tests to check on the condition of your prostate. A few of them include:
Digital rectal exam: Your doctor puts on a glove and gently inserts one finger into your rectum to check the size and shape of your prostate. They may check for prostate size, firmness, and any lumps.
Prostate-specific antigen test: This blood test checks the amount of a protein called PSA that is produced by prostate cells. Higher levels may be a sign of cancer. By themselves, they are not proof you have prostate cancer.
Higher levels could also point to an enlarged prostate or prostatitis. But, levels may be low even with men who have prostate cancer, so discuss the results with your doctor.
Prostate biopsy: Men with high PSA results or other symptoms of cancer may have a tissue sample taken of their prostate to determine whether cancer is present.
Screening for Cancer
Screening for prostate cancer is controversial. You may read different kinds of advice and guidance from various sources. Talk to your doctor about what is best for you.
The American Cancer Society: It says men should talk to their doctors about the benefits, risks, and limits of prostate cancer screening before deciding whether to be tested. This discussion should take place:
At age 50 for men with an average chance for prostate cancer,
At 45 for men with a higher chance for the condition: this includes African-Americans and men who have a father, brother, or son who has been diagnosed with prostate cancer at 65 or younger.
At age 40 for men who have more than 1 first-degree relative (father, brother, or son) diagnosed with prostate cancer at an early age.