Men's prostate gland conditions

Lucrative prostate gland conditions, for professionals doing the testing and treating, some of which is essential and some of little use to you. 

If you're up many times a night because of an enlarged prostate obstructing the flow of urine, the obstruction may be causing unnecessary damage to bladder and kidneys. There may be a pint of urine left  in the bladder after one finishes. Relieving this obstruction is essential.

You're perfectly healthy and go to the doctor for a checkup. It is recommended that you undergo a digital rectal examination and PSA blood test for prostate cancer. You've been given advice which is highly controversial, as there is more chance that you will be harmed than helped by these tests.

The United States Preventative Medicine Task Force recommended in 2011 against routine screening, saying "there is moderate or high certainty that the service has no benefit or that the harms outweigh the benefits."

See what the discoverer now thinks about this.

What is prostatic hypertrophy?

Hypertrophy means enlargement, due to prostatic hyperplasia (proliferation of prostate cells, but not cancerous.) The inner part of the gland can now block the passage, even if the whole gland is not obviously enlarged. You are now likely to have a slow start, reduced stream and a dribbly finish. This is inconvenient and embarrassing, but the incomplete emptying that often accompanies it can be dangerous, so a medical check is in order.

Mr. A had these symptoms and on rectal examination had a large smooth (not cancerous) gland. His urologist found he had quite slow flow, up to 5ml per second as he passed 150ml leaving a residual 100ml in his bladder. He had been referred as he needed a hernia repair, so agreed to having the prostate fixed first. Straining to pass urine could otherwise risk recurrence of the hernia after an operation.

His PSA was over 7 initially, and a couple of months after the TURP (prostatectomy) it had dropped to 0.3 which is normal. This test mainly shows up prostate gland enlargement, when used for screening.



Infected prostate glands

Prostatitis or inflammation of the gland, can be due to infection, but along with the previous conditions is predisposed to by lack of zinc, magnesium and essential fatty acids in the diet. Dietary deficiencies of these nutrients are quite common even in wealthy countries, due to poor soils, farming practices and unhealthy diets.

See the pelvic pain page of this site.

Guidelines list a number of key priorities:

1. An individualised approach to management based on the symptom pattern - Uro-genital pain (perineal, scrotal, suprapubic, rectal etc), Urinary symptoms (storage & voiding difficulty), Sexual symptoms (e.g. erectile dysfunction, ejaculatory dysfunction or discomfort) and Psychosocial symptoms (e.g. anxiety & depression).
2. Avoidance of recurrent courses of antibiotics unless clear evidence of infective aetiology. Here I predict that the best method to determine this will be the Ruggiero-Klinghardt Protocol using ultrasound and PCR.
3. Early use of anti-neuropathic pain medication - strictly on a trial basis, only continued if clearly helpful.
4. Early referral to a multi-disciplinary specialist team.
5. Clear explanation of the condition to patients including the basis of the chronic pain cycle (pain and distress aggravating each other.)

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