Registered Nurse David Holt says: "Something else should kill you before your Prostate does!"

Provided you get diagnosed early and treated promptly, your golf ball, that is your Prostate, should not be the cause of your death.

The prostate is a walnut sized gland which the surrounds the urethra (though which we urinate). Prostate fluid is added to semen.

An enlarged prostate pinches the urethra and obstructs urine flow.

Get an annual PSA and digital examination, both are covered by medicare. Prostate Cancer Avoidance

1. Be a woman.
2. Don't smoke: You're less likely to get prostate cancer and you're less
likely to become impotent after radiotherapy.
3. Eat three servings of beta carotine containing vegetables a day such
 as green and yellow veggies including brocoli and cabbage.
 Beta-carotene supplements will help if you are anti veggie, ie if your 
beta-carotene levels are low.
4. Exercise: According to the Archives of Internal medicine, running 1.5
to 2 hours per week can help prevent prostate problems.
5. The American Cancer Society recommends annual prostate screening
 at age 45 for some, and at 50 for all men. Get a rectal exam and a PSA test.

Arnold Palmer, Sidney Poitier, Marv Levy, Norman Schwartzkopf and Bob Dole came through prostate cancer. Rudolph Giuliani was recently diagnosed. Michael Milken is leading one facet of the search for prostate treatments. But about 40,000 men a year will die from the effects of prostate cancer.

Prostate Specific Antigen blood test (PSA)

The prostate specific antigen (PSA) in our blood rises at a predictable rate as we age. By monitoring your PSA level, your doctor has a valuable tool in detecting prostate cancer and its secondaries (the ones which are most likely to kill you). Your PSA can suggest the presence of prostate cancer 5 years earlier than a digital exam. Treatment can begin before other glands are involved.

Prostate Cancer Treatments include:

1. Surgery
2. external radiation
3. radioactive seed implantation
4. cryosurgery
5. hormone therapy
6. monitoring the tumor...watchful waiting to 
see if treatment is required

The rational for number six is that there are complications or drawbacks from all the other five.

Radical Prostatectomy

There is nothing radical about taking the entire prostate out in order to rid yourself of cancer.Prostatectomyt is best for under 60s in good health who have a long life expectancy (a healthy lifestyle). The success rate is high, but the side effects are many, especially for older men following an unhealthy lifetyle.

1. Impotence is often the worst fear, and is well founded. If you functioned well pre-surgery, and you use an experienced surgeon, 86 % of under 50 year olds will retain sexual function. Over 70 years old and 40-60 percent will have erection problems 18 months post surgery. Eight percent will have bladder control problems.

2. Surgical risks include pneumonea and pulmonary embolism...secondary to physical inactivity after the surgery. Movement with early and frequent ambulation and deep breathing exercises decrease the risk.

3. Excessive bleeding is quite rare. Ditto complications from anesthesia.

4. Concurrent diseases affect your survival rate. Bad heart, lungs or poor fitness increase your risk. Regular exercisors who are not overweight and do not smoke have the lowest risk of complications.


Other cancer pages from David Holt RN
Prostate info at Mayohealth

Though it has no relationship to prostate cancer:

Prostatitis is an inflammation of the prostate, with or without bacteria being involved.

Affects mainly 30-50 year olds.
Signs include:
Constant burning feeling
frequent urge to urinate
pelvic muscle spasms
flu like fever and chills
tenderness when sitting

Treatments include antibiotics.

BPH or Benign Prostatic Hypertrophy, just like cancer of the prostate pinches the urethra and obstructs urine flow.

Frequent urge to urinate
nocturia (night-time bathroom visits)
urgency
difficult start to urination
and dribbling at the end, are its joyful symptoms

Treatments include drugs and widening the hole for the urethra. TURP or trans urethral resection of the prastate is the rotarooter of choice to maintain effective voiding habits. It is a less drastic surgery than a prostatectomy, with fewer complications.


Other health and fitness topics from David Holt
Copyright David Holt 2,000 Any part, or all of this health and fitness material may be quoted or reviewed...provided you acknowledge the source...Fitness Book author David Holt, this web page or www.runningbook.com, and contact me at holtrun@sprynet.com to let me know the material is being used or reviewed.

This page is Registered Nurse and author David Holt's notes on Prostate Cancer: Something else should kill you before your Prostate does!