Maintaining good health often involves addressing issues that might seem uncomfortable to discuss. This is especially true when it comes to prostate health—a topic crucial for men but frequently neglected due to embarrassment or lack of knowledge. In a Health Styles podcast, SBL Urologist Julia Fiuk, MD, provided valuable insights into prostate health, common issues, and available treatments. Here’s a summary of what you need to know about this vital topic.
What is the Prostate and Its Role?
The prostate is a walnut-shaped gland located below the bladder and around the urethra. Its primary function is to produce seminal fluid, an essential component of semen. It also produces an enzyme called PSA (Prostate-Specific Antigen), which helps liquefy semen and serves as a key marker in prostate cancer screenings.
Common Prostate Issues
As men age, the prostate naturally grows, which can lead to several problems:
- Benign Prostatic Hyperplasia (BPH): This non-cancerous enlargement can restrict the urethra, causing symptoms like weak urine flow, difficulty starting urination, frequent nighttime trips to the bathroom, and a sense of incomplete bladder emptying.
- Prostate Cancer: Regular screening, especially for men over 55, is crucial for early detection. A simple blood test to monitor PSA levels can provide initial indications of cancer risk.
When to Seek Medical Advice
Dr. Fiuk emphasized that men often delay seeking help due to embarrassment or a belief that symptoms are minor. However, early intervention can significantly improve quality of life. She recommends regular screenings for men aged 55 to 70 and being alert to symptoms such as difficulty urinating or blood in the urine.
Treatment Options for Prostate Issues
- Lifestyle Adjustments: Staying hydrated, reducing caffeine and alcohol intake, and avoiding decongestants during cold seasons can help manage urinary symptoms.
- Medications: Drugs like Tamsulosin (Flomax) can relax the muscles around the prostate, while others like Finasteride may slow its growth.
- Surgical Treatments: Options range from minimally invasive procedures to advanced techniques such holmium laser nucleation. These procedures aim to alleviate symptoms by removing the excess tissue obstructing the urethra.
Impact on Sexual Function
A common concern among men is how treatments might affect sexual health. Dr. Fiuk reassured listeners that most treatments do not impact erections or orgasms. However, some procedures may cause retrograde ejaculation, where semen moves into the bladder instead of exiting the urethra.
Breaking the Stigma
Dr. Fiuk urged men to overcome the stigma and talk openly about prostate health. Regular discussions with primary care physicians and timely referrals to a urologist can lead to early diagnosis and effective treatment.
Final Thoughts
Prostate health is an essential aspect of overall well-being for men, especially as they age. Awareness and open communication can help dispel fears and ensure timely interventions. As Dr. Fiuk reminded us, “Your quality of life matters—don’t hesitate to speak up and seek help when needed.”
For more information or to find a urologist near you, visit Sarah Bush Lincoln.
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