Prostatic Disorders

The prostate gland is about the size of a walnut and surrounds the neck of a man’s bladder and urethra - the tube that carries urine from the bladder. It is partly muscular and partly glandular, with ducts opening into the prostatic portion of the urethra. It is made up of three lobes: a center lobe with one lobe on each side.

As part of the male reproductive system, the prostate gland’s primary function is to secrete a slightly alkaline fluid that forms part of the seminal fluid, a fluid that carries sperm. During male climax (orgasm), the muscular glands of the prostate help to propel the prostate fluid, in addition to sperm that was produced in the testicles, into the urethra. The semen then leaves the body out through the tip of the penis during ejaculation.

Masculine hormones stimulate the prostatic gland from the very development of the fetus. The prostate continues to grow until the person reaches adulthood and retain its size while masculine hormones are produced. If the hormones disappear, the prostatic gland cannot continue to develop and begins to reduce its size, sometimes to the point that it nearly disappears.

The most frequent problem of the prostate in men younger than forty (40) years old is the Prostatitis.
In men over forty (40) years old, the most frequent prostatic problem in the swelling of the prostate. This condition is known in medical terms as Benign Prostatic Hyperplasia, or BPH. Men in more advanced ages also run the risk of developing prostate cancer, although this disease is less frequent than the swelling of the prostate.

Early detection is key!

When prostatic cancer is at its earliest stages, it is common to be completely asymptomatic, and usually detected through a routine check-up performed by your doctor. When symptoms related to the cancer do appear, such as difficulty to pass urine, slight pain and general discomfort, the probabilities that the cancer has reached an advanced stage are very high.

Although there is no possible way to avoid the development of cancer, it is possible to detect it on time, which considerably increases the possibilities to eradicate it. Early detection can be made measuring a tumor antigen in blood called Prostate-specific Antigen, commonly referred to as PSA, as well as a prostatic exploration performed by an urologist during a routine check-up. In case there is high presence of the prostatic antigen in blood and/or alterations during the prostatic exploration, then it is highly advisable to perform a biopsy of the prostate for immediate analysis under a microscope.

Some prostate cancers can grow and spread quickly, but most grow slowly, that is why it is so important to get checked-up by a urologist at least once a year after reaching the age of 45.

Prostate Cancer CAN be found early. Don't be afraid to get tested!

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Prostatic Hyperplasia

Benign swelling of the Prostate

Benign prostatic hyperplasia consists of a non-cancerous swelling in the prostate. This is produced by the effects of testosterone, a condition that takes place as men approach older ages.

The prostate, as it grows, begins to progressively compress the urethra, which therefore leads to difficulties to urinate, since this compression impedes the flow of urine from the bladder to the urethra and finally out of the body.

This is a very common condition in men; it generally starts when the person reaches 30 years of age and it is very rare to manifest before reaching the forties (40s). At the age of 60 and above, more than 50% of men will suffer it, and between the 70 and 80 years of age up to 90% of the males will show some symptom.

In case surgery is required, our Urology Center offers an endoscopic intervention that is highly secure and advanced, consisting on plasma irrigation. The procedure, apart from being non-invasive, is highly effective. Only local anesthesia is required and the procedure's duration is a lot less than the traditional procedure, some cases taking as little as 10 minutes. It should be pointed out that not all cases are the same.

Prostate Cancer

Cancerous swelling of the Prostate

Prostate cancer is produced when some of the prostatic cells mutate and begin to reproduce in an uncontrollable way. This affliction can cause pain, difficulty to urinate and erectile dysfunction, among others.
The disease develops more frequently in individuals older than 50 years old, and it is the second most common cancer suffered by men.

Treatment may include surgery, radiotherapy, chemotherapy, or a combination of all. Determining the best therapeutic approach and its overall result is not easy. The doctor(s) take into account several factors, like age, physical state of the patient, the appearance of the collected tissue in the microscope, the reach of the spreading and the cancer's response to the initial treatment.

Our Clinic is equipped with the most advanced method for the surgical intervention of the prostate cancer, the High-Intensity Focus Ultrasound, also known as HIFU. In these moments, it represents the less invasive method in the treatment of prostatic cancer. Perhaps its most important feature lies in the fact that it avoids all the risks associated with a conventional surgical procedure, and its ambulatory nature is a plus to most of the patients treated using this method.

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