{"id":49113,"date":"2020-08-22T12:46:22","date_gmt":"2020-08-22T12:46:22","guid":{"rendered":"https:\/\/websitedesigns.com.au\/elankanew\/?p=49113"},"modified":"2023-06-28T10:40:57","modified_gmt":"2023-06-28T10:40:57","slug":"your-prostate-gland-how-much-trouble-can-it-give-you-by-harold-gunatillake","status":"publish","type":"post","link":"https:\/\/websitedesigns.com.au\/elankanew\/your-prostate-gland-how-much-trouble-can-it-give-you-by-harold-gunatillake\/","title":{"rendered":"Your Prostate Gland- how much trouble can it give you?-by Harold Gunatillake"},"content":{"rendered":"<h1 style=\"text-align: center;\"><span style=\"color: #ff6600; font-size: 28px;\">Your Prostate Gland- how much trouble can it give you?-<\/span><\/h1>\n<h1 style=\"text-align: center;\"><span style=\"color: #ff6600; font-size: 28px;\">by Harold Gunatillake<\/span><\/h1>\n<p><img loading=\"lazy\" loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12920 alignleft\" src=\"https:\/\/websitedesigns.com.au\/elankanew\/wp-content\/uploads\/2016\/10\/Harold-Gunethilake.jpg\" alt=\"Dr. Harold Gunethilake\" width=\"160\" height=\"160\" \/><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><iframe loading=\"lazy\" src=\"https:\/\/www.youtube.com\/embed\/G_h967_PBoA\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p><span style=\"color: #000000;\"><a style=\"color: #000000; font-size: 20px;\" href=\"https:\/\/doctorharold.com\/\" target=\"_blank\" rel=\"noopener noreferrer\">www.Doctorharold.com<\/a><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">Transcript:<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">Your prostate gland is about the size of an areconut seed or walnut seed situated at the bottom of your bladder in front of your back passage. The urine outlet from the bladder called the urethra runs through it.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">The main function of the gland is to secrete fluid along that nourishes and protects sperm, manufactured in your testicles.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">In most people the gland gives no problems, but in some it can get inflamed, like any other gland in your body. This, inflammation caused by bacteria is referred to as acute prostatitis.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">As you age the prostate naturally gets bigger and in most people such enlargement gives no problems.\u00a0 It is referred to as \u2018Benign Prostatic hypertrophy.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><!--more--><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">When the lateral lobes of the prostate grow outwards, it causes no problems to the urethral tube that runs in the middle of the gland.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">But, if the enlargement occurs inwards, causes obstruction to the urinary passage.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">Early symptoms of this situation are that you get up in the nighttime a few times to pass water, or you may be finding it difficult to pass water, or you empty your bladder incompletely.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">So, if you have any of the above symptoms in your middle age, please see your doctor.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">He will insert a finger in your back passage and feel the gland to check whether it is enlarged. You get a great feeling when the doctor does this per rectal or as we call PR examination.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">There is a joke that these days doctors insert two fingers, not one: the second finger is for a second opinion.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">Benign enlarged prostate does not cause cancer. This is a fear in most people.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">If the prostate gland is enlarged causing urinary tract discomfort as described above, there are natural prostatic remedies that reduce the dihydrotestosterone (DHT) that causes the problem, such as palmetto, betasitosterol, pumpkin seeds and vitamin B6. The drugs Avodart and Proscar also reduce the DHT levels.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">In the past we enucleated the prostate gland through a cut in the lower abdomen, called the Millins procedure.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">Today it is done through a Laparoscopic procedure.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">Laparoscopy for\u00a0<a style=\"color: #000080;\" href=\"https:\/\/www.webmd.com\/men\/picture-of-the-prostate\">prostate<\/a>\u00a0removal is a common procedure. Men who undergo this technique have less\u00a0<a style=\"color: #000080;\" href=\"https:\/\/www.webmd.com\/heart\/anatomy-picture-of-blood\">blood<\/a>\u00a0loss, less need for pain\u00a0<a style=\"color: #000080;\" href=\"https:\/\/www.webmd.com\/drugs\/index-drugs.aspx\">medication<\/a>, shorter hospital stays, quicker return to regular activities, early removal of urethral catheters (tubes inserted through the\u00a0<a style=\"color: #000080;\" href=\"https:\/\/www.webmd.com\/men\/picture-of-the-penis\">penis<\/a>,\u00a0to drain urine from the\u00a0<a style=\"color: #000080;\" href=\"https:\/\/www.webmd.com\/urinary-incontinence-oab\/picture-of-the-bladder\">bladder<\/a>), and a quicker recovery.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">Radical prostatectomy is also done today by Robotic-assisted procedure.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\"><strong>Prostatic Cancer<\/strong><\/span><\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">About\u00a0<strong>1 man in 9<\/strong>\u00a0will be diagnosed with prostate cancer during his lifetime.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">Prostate cancer is the second most common cancer diagnosed in men in Australia\u00a0and the third most common cause of cancer death. One in 6 men will be diagnosed with prostate cancer by the age of 85. It is more common in older men, with over 63% of cases diagnosed in men over 65 years of age.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">Prostatic cancer grows very slowly and is initially confined to the prostate gland, because the gland is enclosed in a thick fibrous capsule. When the condition is detected early and confined to the prostate gland has a good chance of successful treatment.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">The two most common tests to check whether you have cancer of the prostate gland, your doctor will do a digital rectal examination as done for benign prostatic enlargement, and the prostatic specific antigen test called the PSA test.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">This antigen a protein, is virtually produced only in the prostate gland. It is produced by the normal gland and in cancer of the prostate gland.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\"><strong>Warnings regarding the testing for PSA.<\/strong><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">Before 48 hours your PSA test is done, you should not ride a bike, motorcycle, or tractor.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">You should not participate in vigorous exercise that could jostle the prostate area.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">You should not have a digital rectal examination for 48 hours by the doctor.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">Do not have sex for at least 24 hours prior to the test.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">The Test is done on a sample of your blood<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">This test is useful to diagnose early prostatic cancer and monitoring its treatment<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">The normal range of the age specific PSA is 0-4 ng\/ml<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">The normal prostate gland secretes this chemical right through one\u2019s life. It gradually increases yearly and could be variable.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">For men under 50, healthy PSA levels will usually range between 0.3 and 2.5 nanograms per milliliter. In the presence of cancer PSA levels can rise to up to 160 ng\/mL. In men between 50 -60, healthy PSA level will usually range between 0.3 and 4.7 ng\/mL<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">Men over 60-70 the healthy PSA levels will usually range between 0.3 and 8.3 ng\/mL<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">For men over 70, healthy PSA levels will usually range between 0.4 and 17.8 ng\/mL with an average of 8.9<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">The protein antigen can rise dramatically, in the presence of prostate cancer.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">PSA levels can rise with benign prostatic hyperplasia and with infections in the gland.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">There is a problem with over-weight people. They could have cancer of the prostate gland with low PSA levels.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">PSA test is controversial because there are cases with false negatives, and that could affect the management.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">When it comes to the management of prostate cancer, the treatment assessment is according to the staging, which communicates how advanced the disease is and to help treatment.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">The staging is done according to the American Joint Committee on Cancer TMN staging system.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">This staging depends on the size or the extent of the tumor, the number of lymph nodes involved, and whether it has spread to distant sites and organs.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">The staging is also referred to as the Gleason score.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">In stage one the cancer is restricted to one half of the prostate with no spread, and the PSA level is below 10<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">Stage 2A the tumour is still restricted to one side of the prostate and the PSA level could be less than 20 ng\/mL<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">Stage 2B the tumour has spread onto the opposite side of the prostate<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">Stages 3 and 4 the cancer has spread and quite advanced.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">In most cases where the PSA level is not too high in prostate cancer are left alone and only observed.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">The reason is invasive procedures can harm and the morbidity figures do not show better results than no treatment and just observation.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">For this reason, the U.S. Preventive Services Task Force now recommends that men aged 55 to 69 decide for themselves whether to undergo a prostate-specific antigen (PSA) test, after talking it over with their doctor. The task force recommends against screening for men over 70 because the potential benefits do not outweigh the risks.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">People who eat lot of tomatoes are less likely to get prostate cancer. Lycopene an antioxidant found in tomatoes seem to decrease cell damage and slow cancer cell production<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">Broccoli and other crucifers including cauliflower, cabbage, Brussel sprouts and kale contains complex compounds that may help protect against cancer, including prostate cancer.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">Green tea seems to reduce the risk of prostate cancer.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">Phytoestrogens found in beans, peanuts and lentils seem to reduce the risk of prostate cancer.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">Omega 3 fish oils and fish in general, may be beneficial to prevent prostate cancer<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">\u00a0Bottomline:<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">Every male after the age of 50 years should be aware of the risk of having prostate cancer.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">Annual PSA test on your blood is recommended, especially for those having a family history.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">The management and preventive measures are discussed.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">Hope this article was useful.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">Thank you for watching this video<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">Stay safe until we meet again.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000080;\">Goodbye- for now.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">Disclaimer:<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">The information contained in this article is for general information purposes only, and whilst the author will endeavour to keep the information up to date and correct, eLanka makes no representations or warranties of any kind, express or implied, about the completeness, accuracy, reliability, suitability or availability with respect to the eLanka website or the information, products, services, or related graphics contained in this article for any purpose. 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The inclusion of any links does not necessarily imply a recommendation or endorse the views expressed within them<\/span><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Your Prostate Gland- how much trouble can it give you?- by Harold Gunatillake &nbsp; &nbsp; &nbsp; &nbsp; www.Doctorharold.com Transcript: Your prostate gland is about the size of an areconut seed or walnut seed situated at the bottom of your bladder in front of your back passage. The urine outlet from the bladder called the urethra [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":116942,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"aside","meta":{"footnotes":""},"categories":[20,1103],"tags":[8982,29153],"class_list":{"0":"post-49113","1":"post","2":"type-post","3":"status-publish","4":"format-aside","5":"has-post-thumbnail","7":"category-articles","8":"category-dr-harold-gunatillake","9":"tag-prostatic-cancer","10":"tag-prostatic-hyperplasia","11":"post_format-post-format-aside"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.7.1 (Yoast SEO v25.9) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Your Prostate Gland- how much trouble can it give you?-by Harold Gunatillake<\/title>\n<meta name=\"description\" content=\"Your prostate gland is about the size of an areconut seed or walnut seed situated at the bottom of your bladder in front of your back passage.\" 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