Doctor and Prostate Visual

Function, Location and Purpose

Located between the bladder and penis is a walnut-shaped gland that the urethra runs through. This gland is the prostate. Fluid is also released from the body through this gland, including urine and sperm.

Diseases and Treatments

You will work with your provider to determine the best method of treatment. Aside from your primary care provider, you can also speak with your urologist if you have concerns or questions.

  • Benign Prostatic Hypertrophy (BPH): a non-cancerous condition where there is an overgrowth in prostate tissue that can press against the bladder and urethra. This can block urine from flowing properly and cause a weak, sometimes interrupted urine stream. Men may also experience sensations of needing to urinate frequently and urgently during the daytime and at night.
    • Treatments may include medications to help relax the urethra or shrink the prostate, as well as many different procedures to reduce the blockage caused by the prostate.
  • Prostatitis: inflammation and swelling of the prostate which can cause symptoms such as pain in the pelvis or with urination.
    • There are multiple treatment options. Your provider may prescribe an antibiotic medication (ABX) if infected or with acute bacterial prostatitis. If the symptoms have been going on for a long time, other management options such as pelvic floor therapy, nerve blocks or anti-inflammatory medications may be recommended. Patients should be mindful of certain activities which may put excessive or continuous pressure on the perineum/prostate region which potentially contribute to chronic prostatitis symptoms. Some patients may need to modify certain activities like using a special “noseless” bike seat for intensive cycling.
  • Prostate Cancer: the most common type of cancer found among men in the United States with more than 192,000 cases diagnosed yearly. Almost all prostate cancers begin in the gland cells of the prostate and are known as adenocarcinomas. Although typically identified in men >50 years old in America, higher stages of prostate cancer may be found in Hispanic, Black and Native American men. Additionally, men with a family history of prostate cancer or certain genetic mutations also have a higher risk.
    • The most common treatment options are to surgery to remove the prostate or radiation. A less common treatment involves freezing the prostate and an emerging treatment is a hi-frequency ultrasound (HIFU). There are measures you can take to monitor your risk of prostate cancer. Keep healthy by screening for prostate cancer by having a routine prostate-specific antigen (PSA) or digital rectal exam (DRE) checks beginning at ages 55-69. If you have any concerns or questions about possibly being at risk, you should discuss with your health care provider or urologist about getting routinely screened.

UofL Physicians – Urology offers a full range of urological care for adult patients. Surgery and medical management of cancer of the bladder, kidney, urethra, prostate and testicles are available at UofL Health – Brown Cancer Center with a urologic oncologist as part of a multidisciplinary team ready to treat you.

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Article by: Uzoma Anele, M.D.

Uzoma Anele, M.D., is a urologist with UofL Health that specializes in urology, oncology, cancer care and genitourinary cancer. His areas of interest also include male genitourinary reconstruction and prosthetics, male urinary incontinence, robotic surgery, urethral stricture disease and urinary fistulas. Dr. Anele earned his medical degree at the University of Maryland after completing his undergrad career at the University of Maryland Baltimore County. He went on to complete an internship in General Surgery at Virginia Commonwealth University, where he also completed his urology residency. Dr. Anele went on to complete two fellowships in genitourinary reconstructive surgery and prosthetic surgery fellowship at Glickman Urological & Kidney Institute, Cleveland Clinic Foundation and at James Buchanan Brady Urological Institute, Johns Hopkins Medical Institutions in NIH-funded urologic research. At the University of Louisville, he is an assistant professor in the Department of Urology and the director of Genitourinary Reconstructive Surgery. "I strive to ensure that patients are well-informed in making individualized medical decisions. I believe in utilizing the latest technologies and techniques to promote the best outcomes and patient satisfaction."

All posts by Uzoma Anele, M.D.
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