The prostate is a walnut-sized organ located between the penis and bladder. It supplies important nutrients for sperm and must be present to allow fertility. The prostate enlarges with age, which is termed Benign Prostatic Hyperplasia (BPH). The rate of increased in size is multifactorial and seems to be dependent on the male hormone Testosterone and genetic factors. BPH can ultimately cause obstruction of urine flow perceived as a slow stream, delayed flow, and interrupted flow, frequency, urgency and the need to get up at night because of incomplete bladder emptying. BPH affects 50% of males over the age of 50.
Treatment of BPH is varied, but usually is initiated with drug therapy. This may include medications such as Cardura, Hytrin, Uroxatral, Rapaflo or Flomax which relax the prostate to allow unobstructed flow of urine and the use of Proscar or Avodart that will actually decrease the size of the prostate. Surgical procedures designed to reduce the size of the prostate include the use of lasers (such as greenlight), microwave therapy, surgical resections(cutting) with the use of metal instruments through the penis or open surgical removal of the prostate. Please schedule an appointment with our physicians to discuss which of the options is most appropriate for you.
Prostatitis or prostate infection or inflammation is a common disease afflicting men as early as the second decade of life. It is a difficult problem for men who suffer from it and a perplexing problem for urologists who diagnose and treat it. Approximately, 25% of all men evaluated for urological problems have symptoms of prostatitis. It has been estimated that 50% of men will experience symptoms of prostatitis during their lifetime. Symptoms may include burning on urination, urinary frequency, urinary urgency, slow stream, discomfort above penis or below the testicles, rectal pain, fever, chills, etc. Treatment is variable and may include one or more of the following: antibiotics, anti-inflammatory drugs, pain killers, anti-anxiety medication, prostate massage, or biofeedback.