Prostate Diseases Diagnosis and Treatment Center

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Despite its small size, the prostate is one of the organs that commonly cause problems in the male body. Although prostatic diseases are usually observed in mid-fifties, they may cause problems in young male adults, as well.

In our Center for Diagnosis and Treatment of Prostate Diseases, contemporary medical and surgical treatments of all prostate diseases such as Prostatitis, Benign Prostate Hyperplasia (BPH), Prostate cancer are performed.

Diagnostic and Treatment Services

 The complaints that may be related to prostate diseases are as follows:

  • Difficulty in starting and finishing urination
     
  • Weak or intermittent urinary flow
     
  • Burning sensation and pain during urination
     
  • Need for frequent urination
     
  • Feeling of incomplete emptying of the bladder
     
  • Frequent need to get up and go to the bathroom to urinate at nights
     
  • Sudden urge and urinary incontinence
     
  • Post-void drips
     
  • Inability to void
     
  • Presence of blood in urine and semen
     
  • Painful ejaculation
     
  • Inguinal, hip, waist, lower back (pelvic/perineal) pains

These complaints are usually specific to the problems of the prostate and lower urinary tract. However, the types of disease can only be determined by urological examination with the aid of specific diagnostic procedures.

Usual complaints might be absent in the initial stages of some prostatic diseases. Early diagnosis may be possible by digital examination of the prostate or by PSA (Prostate Specific Antigen) blood test, urine analysis, radiological imaging (ultrasonography, multiparametric prostate MRI) evaluations, or prostate biopsy (MRI/US Fusion Prostate Biopsy), if necessary.

Prostate diseases can be briefly classified into three groups:

I. Prostatitis

II. Benign prostate gland enlargement (Benign Prostate Hyperplasia)

III. Prostate Cancer

What is the function of the prostate?

The prostate is a secretory gland. It is an organ located just below the urinary bladder (vesica urinaria), which the urinary channel (urethra) passes through it, and where the tubes (vas deferens) that bring the sperms from the testes are connected.

The major function of the prostate gland is to secrete a portion of the fluid that forms the semen. When it is normal in size, it is about the size of a walnut.

What is prostate enlargement?

Prostate enlargement usually occurs as a benign development. This enlargement begins in the late 40’s, and continues at varying rates until the end of life. Although benign prostatic hyperplasia (BPH) is associated with increasing age, the exact etiology is yet unclear.

When enlarged, prostate gland may block the flow of urine at the bladder outlet. It may distrupt both urine storage and emptying function of the bladder.

While prostate enlargement is frequently observed in aging men, it does not cause a problem of equal severity in all or may not necessarily require treatment.  

Treatment is offered if the disease causes disturbing symptoms, severely impairs voiding function, or reaches a stage that compromises general well-being of the patient.

Recurrent urinary infections, recurrent bloody urine, formation of bladder stones, and the emergence of kidney insufficiency are significant conditions that prompt definitive treatment.

Depending of the stages of disease, there are several options of treatment which include:

1. An observation period with regular follow-up examinations and tests

2. Medication (medical therapy)

3. Surgical treatment methods (Bipolar TUR prostatectomy, Laser Greenlight prostatectomy) 

What is prostatitis?

Prostatitis indicates an inflammation of the prostate gland. In this disease, the prostate gland becomes swollen and tender. Prostatitis often causes painful or difficult urination. Other symptoms include pain in the groin, pelvic area or genitals and sometimes high fever.

Prostatitis affects men of all ages but tends to be more common in men 50 or younger. The condition has a number of causes. Sometimes the cause can not be identified.

Depending on the cause, prostatitis can come on gradually or suddenly. It might improve quickly, either on its own or with treatment.

If prostatitis is caused by a bacterial infection, it can be treated with antibiotics.

Treatment for chronic prostatitis (where symptoms may come and go over several months) usually aims to control the symptoms. Pain-killers (anti-inflammatory drugs), alpha-blockers, or occasionally antibiotics may be used in the treatment of chronic prostatitis.

What is prostate cancer?

When cells in the prostate start to grow in an uncontrolled way, this is called "prostate cancer". It is one of the most common types of cancer in western countries.  Prostate cancer often grows slowly to start with and may never cause any problems.

While it is generally detected in men over the age of 65 years, it can be suggested that the risk increases from 50 years of age. A family history of prostate cancer is considered as a higher risk of developing prostate cancer. 

Especially, the treatment outcome of “localised” or early-stage prostate cancer is quite satisfactory.

Prostate cancer shows variable behavior.  Some men have prostate cancer that is more likely to spread. This needs treatment to stop it spreading outside the prostate.

Treatment approaches may vary according to the stage of the disease. The treatment methods may be administered alone, in combination, sequential or alternatively depending on the condition of the patient or the level of the disease.

Patients are treated with one of the following methods in our Center for Diagnosis and Treatment of Prostate Diseases:

  • Surgical treatment (daVinci robotic radical prostatectomy, open radical prostatectomy),
     
  • Radiation therapy (radiotherapy, brachytherapy),
     
  • Focal therapy (HIFU, cryotherapy),
     
  • Medication (hormone therapy, chemotherapy)
     
  • Active follow-up (without or deferred treatment)
     

Prostate Diseases Diagnosis and Treatment Center in Acıbadem