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Prostate Problems

It’s true that prostate problems are common after age 50. The good news is there are many things you can do.

What Is the Prostate?

The prostate is a small gland in men that helps make semen. Located just below the bladder in front of the rectum, it wraps around the tube that carries urine and semen out of the body. It tends to grow larger as you get older. If your prostate gets too large, it can cause a number of health issues.Older man reading about prostate problems

Common Problems

Here are some examples of non-cancer prostate problems:

Benign prostatic hyperplasia, or BPH, is very common in older men. It means your prostate is enlarged but not cancerous. Treatments for BPH include:

  • Watchful waiting, also called active surveillance. If your symptoms are not too bad, your doctor may tell you to wait to see if they get worse before starting treatment. Your doctor will tell you how often to return for checkups.
  • Medications. Medicines can help shrink the prostate or relax muscles near your prostate to ease symptoms.
  • Surgery. If nothing else has worked, your doctor may suggest surgery to help urine flow.
  • Other treatments. Sometimes radio waves, microwaves, or lasers are used to treat urinary problems caused by BPH. These methods use different kinds of heat to reduce extra prostate tissue.

Acute bacterial prostatitis usually starts suddenly from a bacterial infection. See your doctor right away if you have fever, chills, or pain in addition to prostate symptoms. Most cases can be cured with antibiotics. You also may need medication to help with pain or discomfort.

Chronic bacterial prostatitis is an infection that comes back again and again. This rare problem can be hard to treat. Sometimes, taking antibiotics for a long time may work. Talk with your doctor about other things you can do to help you feel better.

Chronic prostatitis, also called chronic pelvic pain syndrome, is a common prostate problem. It can cause pain in the lower back, in the groin, or at the tip of the penis. Treatment may require a combination of medicines, surgery, and lifestyle changes.

Be sure to talk with your doctor about the possible side effects of treatment.

Prostate Cancer

Prostate cancer is common among American men. Your chance of getting prostate cancer may be affected by your:

  • Age. Men age 50 and older run a greater risk.
  • Race. Prostate cancer is most common among African-American men, followed by Hispanic and Native-American men. Asian-American men have the lowest rates of prostate cancer.
  • Family history. If your father or brother had prostate cancer, you are more likely to have it, too.
  • Diet. The risk of prostate cancer may be higher for men who eat high-fat diets.

Diagnosing Prostate Cancer

To find out if prostate symptoms are caused by cancer, your doctor will ask about your past medical problems and your family’s medical history. Your doctor also will perform a physical exam. During the exam, your doctor will put a gloved finger into your rectum to examine your prostate to check for:

  • The size, firmness, and texture of the prostate
  • Any hard areas, lumps, or growth spreading beyond the prostate
  • Any pain caused by touching or pressing on the prostate

You may be asked to give a urine sample for testing. Your doctor also may do a blood test to check the prostate-specific antigen (PSA) level. PSA levels can be high in men with an enlarged prostate gland or with prostate cancer. You may also need an ultrasound exam that takes computer pictures of the prostate.

If tests show that you might have cancer, your doctor will refer you to a specialist (a urologist) for a prostate biopsy. The doctor will take small tissue samples from several areas of the prostate gland to look for cancer cells.

Treating Prostate Cancer

Treatment for prostate cancer depends on whether cancer is in part or all of the prostate, or if it has spread to other parts of the body. It also depends on your age and overall health. Talk with your doctor about the best treatment choice for you and the possible side effects of treatment. You may want to ask another doctor for a second opinion.

Treatment for prostate cancer may be:

  • Watchful waiting, also called active surveillance. If the cancer is not causing problems, you may decide not to get treated right away. Instead, your doctor will check regularly for changes in your condition. Treatment will start if the cancer begins to grow.
  • Surgery. The most common type of surgery removes the whole prostate and some nearby tissue.
  • Radiation therapy. This treatment uses radiation to kill cancer cells and shrink tumors. The radiation may come from an x-ray machine or from tiny radioactive pellets placed inside or near the tumor.
  • Hormone therapy. Men having other treatments, like radiation therapy, also may be treated with drugs to stop the body from making testosterone. This is done if it seems likely that the cancer will come back. Hormone therapy also can be used for prostate cancer that has spread beyond the prostate.

For more details on treatment choices for prostate cancer, call the National Cancer Institute’s Cancer Information Service at 1-800-422-6237 or visit their website.

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For More Information About Prostate Cancer and Other Prostate Problems

National Cancer Institute
Cancer Information Service
1-800-422-6237 (1-800-4-CANCER/ toll-free)
cancergovstaff@mail.nih.gov
www.cancer.gov/prostate

National Urologic Disease Information Clearinghouse
1-800-860-8747 (toll-free)
1-866-569-1162 (TTY/toll-free)
healthinfo@niddk.nih.gov
urologic.niddk.nih.gov

Medline Plus
National Library of Medicine      
www.medlineplus.gov