The three most common prostate problems are inflammation (prostatitis), enlarged prostate (BPH, or benign prostatic hyperplasia), and prostate cancer.
We understand that men struggling with prostate symptoms, such as urinary incontinence, may find it hard to access the support they need. So we’ve put together a handy guide to all things prostate so you can feel empowered to put your prostate health first.
What is your prostate?
The prostate is a small gland, just below the bladder in front of the rectum in men. This gland helps to make semen and wraps around the tube that carries urine out of the body.
It tends to grow larger as you get older. If your prostate gets too large, it can cause several health issues.
What conditions can affect your prostate?
Prostatitis
This more commonly affects men under the age of 50 and is inflammation (swelling and pain) in the prostate gland. Chronic prostatitis is the most common type of prostatitis and is also called chronic pelvic pain syndrome.
Prostate cancer
Although we do not treat prostate cancer at Benenden Hospital, we can help you to receive a diagnosis and help you to manage any post-cancer side effects.
Prostate enlargement
BPH or benign prostate enlargement is an extremely common problem in men over the age of 50 and affects many men over 60. As a prostate enlarges, it can block the bladder and slow the flow or urine in men.
I have a question about prostate enlargement
Mr Steve Garnett, Consultant Urologist, talks about prostate enlargement (4 videos)
What is an enlarged prostate?
Enlargement of the prostate is a very common problem affecting the vast majority of men, in fact, as we get older. So, from about the age of 50 - sometimes even a bit before - the prostate tends to enlarge. And that's called benign prostate enlargement. By the age of 80, nearly all men will have a degree of prostate enlargement.
What are the symptoms of enlarged prostate?
An enlarged prostate causes symptoms in men, which can be thought of really in two ways. Firstly, to the blockage of the flow of the urine coming out. So that might be a reduced urinary flow rate - the stream is weaker and not so strong and often can be a bit stop-start or interrupted. Occasionally, it can even be a bit uncomfortable to pass urine and you may not fully empty your bladder.
But then there's also what we think of as storage symptoms or symptoms because the blockage has affected the bladder. So that's a feeling of wanting to go more often, maybe having to rush to the toilet and often getting up at night.
What causes enlarged prostate?
Benign prostate enlargement is caused due to the effect of the male hormone testosterone on the prostate itself. So nearly all men will have prostate enlargement as they get older.
How common is an enlarged prostate?
Benign prostate enlargement is extremely common. So, most men from the age of 50 will have a degree of prostate enlargement. And by the age of 80 about 80% or more of men will have benign prostate enlargement.
What are the symptoms of prostate issues?
The symptoms of prostate issues depend on the severity of your condition, but below are a few of the most common:
- Frequently needing to urinate
- A weakened stream of urine
- Leaking urine or dribbling urine
- Urge to rush to the toilet but not being able to urinate when there
- Getting up at night to use the toilet
- Recurrent urinary tract infections
If you’ve received treatment for prostate cancer such as radiotherapy, you may experience some of the most common side effects, such as urinary incontinence or erectile dysfunction, which we can help you with.
Why have I got pain in my pelvis?
If you’re struggling with prostatitis - inflammation (swelling) of the prostate gland - you may experience pain varying in severity around your groin, genitals or pelvic area. Pain in your pelvis should be discussed with your doctor as soon as possible.
Prostate cancer
You may not notice symptoms of prostate cancer in the early stages, as they usually appear when the prostate enlarges. Although we don’t treat cancer at our hospital, we do offer blood tests, physical examinations of your prostate, MRI scans and biopsies to begin your diagnostic journey.
Our Consultant Urological Surgeon, Mr Steve Garnett, explains:
"Men can start to worry about prostate cancer if they have an increased need to urinate, if they strain while urinating or feel that their bladder hasn't fully emptied after each visit to the toilet. These symptoms should not be ignored, but they don't mean that someone definitely has prostate cancer. It's more likely that they are caused by something else, such as benign prostate enlargement which can be treated at Benenden Hospital."
If you’re over 50 and concerned about prostate cancer, it’s important you speak to your GP. We also offer PSA (prostate-specific antigen) blood test, which measures the level of PSA and can detect early prostate cancer.
Who is most likely to suffer from prostate symptoms?
If you’ve been under lots of emotional stress, you’ve had nerve damage in your lower urinary tract or you’ve had a UTI (a urinary tract infection), you may be more likely to develop prostatitis.
If you’re over the age of 40, have health conditions such as obesity, heart disease or type 2 diabetes, have a family history of prostate problems or don’t do much physical activity, you may be more likely to develop an enlarged prostate.
How are prostate issues like an enlarged prostate diagnosed?
If you’re experiencing any of the symptoms mentioned, you should contact your GP about a further assessment or request to see an expert Urologist at our hospital. Once approved, you'll have a full assessment to check on your prostate size and urinary flow rate. The results will indicate whether you’re suitable for treatment here.
Assessments for prostate problems are straightforward and can easily be performed at Benenden Hospital in the Outpatient department.
What are the treatment options for prostate problems?
We offer a range of treatment options for prostate problems. Depending on the severity of your symptoms, our Urologists will either prescribe you with drugs or you may be required to have a minimally invasive surgical procedure.
The three procedures listed below are for BPH, although it’s important to note that we do also offer management of post-prostate cancer and prostatitis.
- Trans-urethral resection of prostate (TURP) is a surgical procedure that reduces the size of an enlarged prostate gland
- Aquablation® is minimally invasive robotic-assisted treatment for enlarged prostate
- UroLift® is a low-risk day case procedure
Put your prostate health first
If you're experiencing prostate symptoms, put your prostate health first and book an appointment with our private GP service or with one of our Consultant Urologists. We also offer PSA tests, which is a blood test to screen for prostate cancer.
To find out more or to book, complete our online enquiry form or contact our Private Patient Team by phone on 01580 363158 or via Livechat.
Published on 02 August 2024