Showing posts with label prostate. Show all posts
Showing posts with label prostate. Show all posts

risk of inherited prostate cancer



Question

I AM 31 years old and will be married in the middle of next year. However, recently, my father was diagnosed with prostate cancer a chronic rather serious level. In fact, he is still undergoing treatment at a private hospital at the moment. My question is, what is my true also at risk of the same disease? Is there any way to avoid it? Can the doctor explains the symptoms of prostate cancer and how treatment?



Answer

Relative risk, relative to prostate cancer is twice as high compared to other men. This is due to prostate cancer have a close genetic relationship. In fact, not only brothers, but brother and my uncle's brother also has the same risk.

Prostate cancer can be detected early by screening blood test PSA (prostate spesific antigen). Because your father is suffering from prostate cancer, you need to undergo PSA testing when reaching the age of 45 years.
For men who do not belong to the high-risk group, they can begin to undergo PSA testing after the age of 50 years and this test must be passed every year.

Normal PSA levels generally less than 4 ng / dl. If someone is found to have a PSA level greater than 4 ng / dl, a urologist will recommend to test trans rectal prostate biopsy (TRUS) is operated. This test is performed through the anus in which the prostate gland tissue will be taken with the help of ultra sound. This test is important to confirm the presence of cancer and stage of prostate cancer.

About the signs of this disease, there is no specific indication for prostate cancer. It's just like a sign of a urinary tract blockage due to an enlarged prostate gland. These include problems such as:

* Slow urinary stream
* Urine is a trickle after urination
* Had to wait long for urine out
* It should be straining to produce urine
* Often the toilet at night.

At a later stage, the patient will experience pain in the bones, especially the spine. Physical examination can also detect prostate cancer.

Through this examination, the doctor will insert a finger into the anus to examine the shape and hardness of the prostate gland. However, if the cancer can be detected with the fingers, most likely it has reached a late stage.

There are various ways to treat prostate cancer. If detected at an early stage, prostatectony radical surgery can be done. This surgery involves the removal of the prostate gland.

Apart from that, the cancer in the early stages can be treated in a way bracytherapy. In this way, radioactive items will be added to the prostate gland and through this treatment, the prostate gland is not removed.

Prostate cancer at a later stage were treated by hormonal manipulation. This is because cancer of the prostate gland hormone testostorone need to spread. Thus, the so-called anti-androgen drugs are given to lower testostorone levels in the body and to control this spread from the prostate gland. This medication is available in tablet or injection form.

Testostorone hormone levels can also be reduced by means of surgery. This surgery involves the removal of both testicles.

reference Bharian ask doctor segmen with Dr Zulkifli

Urinating Difficulty : one of prostate enlargement symptom


Image from wikipedia


More than 45 million of men around the world expected will have prostate enlargement problem, known as Benign Prostatic Hyperplasi or BPH by 2020. However Benign Prostatic Hyperplasi is nothing to do with prostate cancer. It's only refers to the increase in size of the prostate and squeeze the uretha.

What is Benign Prostatic Hyperplasi (BPH) ?

Benign prostatic hyperplasia (BPH) also known as benign prostatic hypertrophy (technically a misnomer), benign enlargement of the prostate (BEP), and adenofibromyomatous hyperplasia, refers to the increase in size of the prostate in middle-age and elderly men.

The original size of prostate is only as big as walnut, sits under bladder and in front of rectum. If prostate getting bigger, it will narrow and stop the urine flows.


Benign Prostatic Hyperplasi symtoms :
  • difficulty to urinate
  • frequent of urinating
  • don't feel release of urinate


Complication Benign Prostatic Hyperplasi:

  • Erektil Disfunction (ED)
  • Ejaculation disfunction (EJD) -
  • Those will effect sexual relation, depression and lose self confident.
  • Hydroureter dan hydronephrosis
  • Urethra infections
  • Stone


Without proper prostate treatments, the problem will become worse and the kidneys will get effected as well. Based on statistic, 1 out of 10 men (age 70 above), are expose to the risk, while it is 1 out of 3 for men of 80 above!


Prostate treatments for Benign Prostatic Hyperplasi

Apha blockers method used to relaxing the small muscles component in the prostate and uretha,
which helps for smoother during urinate. However, this method is limited as for some patient,
threre are complication with high blood pressure and dizzy.

Now, there is new treatment method using Harnal Ocas (tamsulosin hydrochloride), a pill in 400mg with controlled absorbence. tamsulosin hydrochloride will reduce the BPH with more effective. This is because of selective prosess to prostate receptor which minimize the side effects of dizzy, fast heart beat, and fainted which normally happen to Alpha Blockers medicine.

How to treat BHP?

  • Medical:
  • Alpha Blockers
  • 5 Alpha Reductase Inhibitor
  • Teraphy combination
  • Alternative theraphy

  • Operation:
  • TURP
  • Laser Prostatectomy (but majority treated with pills).

Reference : Berita Harian
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