Prostate Health

By Matthew Heavner, MD

AA Urology

. https://aaurology.com/

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Prostate Health

What Every Man Should Know

Far too many men neglect their health and delay doctors’ visits and screening exams. Recent public campaigns have emphasized men’s health and encouraged men to take control of their healthcare. At the forefront of this discussion is the prostate gland. The prostate can cause several issues as men age; however, with proactive medical care and diligent screening, men can improve their quality of life and avoid unnecessary delays in diagnosing curable prostate diseases.

What Is the Prostate?

The prostate is a walnut-sized gland that sits at the base of the bladder and contributes components of semen. Given its location, the prostate is commonly responsible for problems with urination over time. Prostate cancer may also develop and is one of the most commonly diagnosed cancers in men.

What Is Prostate Cancer?

Prostate cancer results from abnormal cell growth within the prostate gland and carries a risk of spreading, or metastasizing, to other parts of the body. It is the second most common cancer in men worldwide. About 1 in 8 men will be diagnosed with prostate cancer during their lifetime, and an estimated 36,000 men will die from the disease in 2026. Urologists specialize in identifying and treating prostate cancer. Screening and early detection have been proven to save lives.

How Do Urologists Detect Prostate Cancer?

Prostate cancer is most commonly found in men age 65 and older and is rare in men under 40. The American Urologic Association recommends screening beginning between ages 45-50 with a simple PSA blood test. Men at higher risk, including those with a family history of prostate cancer and Black men in the US and Caribbean, may begin screening as young as age 40. Ask your primary care physician or urologist about your individual risk and when screening should begin.

What Treatments Are Available For Prostate Cancer?

Treatment depends on the cancer’s grading and the patient’s goals. Observation or Active Surveillance may be appropriate for low-risk prostate cancer, while higher-risk disease may require surgery to remove the prostate or radiation therapy. Cancer that has spread to other parts of the body is generally treated with medications. Treatment decisions ultimately involve shared decision making between the patient and urologist.

What Other Problems Can the Prostate Cause?

Many men in their 50’s and 60’s develop urinary problems, including a weak stream, frequent urination, nighttime urination, leakage and urgency. Prostate obstruction is often the cause. Medications and minimally-invasive procedures can improve urinary flow and bladder emptying.

What Can I Do For
My Prostate Health?

Along with an active lifestyle and heart-healthy diet, routine prostate cancer screening with a PSA blood test should be discussed with your primary care doctor or urologist. As with many health issues, early screening and intervention are critical to long-term success.