Prostate Disease

Prostate disease is a general term that describes a number of medical conditions that can affect the prostate gland.

The Prostate Gland

The prostate gland is a small gland that is only found in men. It is located between the penis and bladder and it surrounds the urethra (the tube that carries urine from the bladder to the penis).

The prostate gland helps with the production of semen (the fluid that transports sperm). It produces a thick, white fluid that is liquefied by a special protein called prostate-specific antigen (PSA). The fluid is mixed with sperm, produced by the testicles, to create semen.

There are a number of conditions that can affect the prostate gland. These include:

Prostate Enlargement

Prostate enlargement is a common condition associated with ageing. About a third of all men over 50 will have symptoms of prostate enlargement (see below). The urethra is a tube that runs from the bladder through the prostate to the end of the penis. Urine flows through the urethra and out of the body when a man urinates. If the prostate becomes enlarged it can place pressure on the urethra, making it more difficult for the bladder to empty. An enlarged prostate can cause symptoms that can affect the normal pattern of urination. For example, it can:

Medications such as alpha blockers are also available to help relax the prostate gland muscles or to reduce the gland, making it easier to urinate.

In severe cases that fail to respond to medication, the inner part of the prostate gland that is blocking the urethra can be surgically removed.

Prostatitis

Prostatitis is an inflammatory condition where the prostate gland becomes inflamed (red and swollen). Inflammation often occurs as a response to infection, but in many cases of prostatitis no infection can be proved. Symptoms include:

Prostatitis is thought to affect up to 3 in 20 men (15%) at some point in their lives. Although it can affect men of any age, it is more common in men between 30-50 years of age.

Prostatitis can be treated using a combination of painkillers and other medication, such as alpha-blockers, which can help relieve the symptoms.

Prostate cancer

Your chances of developing prostate cancer increase with age. Most cases occur in men who are 50 years of age or older. The causes of cancer of the prostate are unknown, but risk factors include age, ethnic origin, family history and diet and exercise. Cancer of the prostate is more common in African and Afro-Caribbean men and less common in Asian men. The reasons for this are not fully understood. Prostate cancer can be diagnosed early before it causes any symptoms. The symptoms of prostate cancer are similar to those of prostate enlargement and include:

The outlook for prostate cancer is usually good because, unlike many other types of cancer, it usually progresses very slowly. If treated early, prostate cancer can often be cured.

Treatments include:

These treatment options carry the risk of significant side effects including:

For this reason, many men choose to delay treatment until there is a significant risk of the cancer spreading. It is usually not possible to cure the cancer if it spreads from the prostate gland to other parts of the body, such as the bones (a process known as metastasis). In this case, the aim of treatment will be to relieve the symptoms and prolong life.

Appointments

Coming To The Urology Hospital

How We Are Doing Our Part In The Fight Against COVID-19

The Urology Hospital is a surgical hospital specializing in the treatment of urological and related conditions. As we are not a respiratory related facility, we will not be actively treating COVID-19 patients. This allows us to continue providing surgical treatment to all our urology related patients and we will gladly accommodate you in this regard.

The safety of our patients and colleagues is our number one priority. Your healthcare is important to us and we are actively working with and following guidance from the National Department of Health and the NICD (National Institute for Communicable Diseases).

Kindly note the hospital has set up a Covid-19 task team and contingency plan and we are preparing for all eventualities.

Please confirm with your Doctor if you are still able to come for your consultation. However, if you have any of the following signs and symptoms then please cancel your appointment, self-isolate and contact the centralised helpline on 0800 029 999:
• Fever
• Cough
• Sore Throat
• Shortness of Breath
• Headache
• Fatigue/Malaise
• Diarrhoea
• Loss of smell and taste

To support screening for COVID-19, before entering the hospital, all prospective patients will adhere to the following:
• Complete a Travel History form
• Undergo temperature screening

Should any of the following signs or symptoms be found, you will be requested to go home, self-isolate and contact the centralised helpline on 0800 029 999:
• Flu-like symptoms (sore throat, cough or chills)
• Fever of 37.7 or above

NB: Please notify the person doing your Travel History if you’re:
• Over 70
• Have any underlying health conditions
• Are pregnant

To protect our patients and staff from the potential risk of COVID-19, we are currently restricting visiting of patients to exceptional circumstances only.

In an effort to limit the number of patients visiting The Urology Hospital Pharmacy due to the COVID-19 pandemic, we will only assist our regular retail patients.  If you have a valid repeat script at The Urology Hospital Pharmacy, please call us in advance on 012 423 4036 to make arrangements to obtain your repeat prescription. We will then prepare it for you in advance. When collecting your script bring your purple script copy or previous medicine containers with you to gain access to the hospital.

Should you need to re-arrange an appointment at the Urology Hospital please call: 012 423 4000 or your Doctor’s rooms.

We appreciate your understanding and co-operation.

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