Prostate problems

What is the prostate?

The prostate is a gland found only in males. The main function of your prostate is to produce the major fluids that make up semen.

The prostate sits in your pelvis, between your bladder and penis.

The urethra, the tube which carries urine from your bladder to your penis, also runs through your prostate. This means that any prostate swelling or enlargement can affect your ability to pass urine.

Prostate issues can affect any person with a prostate, including:

• men
• transgender women
• intersex people

What types of prostate problems are there?

There are 3 main conditions that can affect your prostate. They are:

1. prostate enlargement
2. prostate cancer
3. prostatitis (inflammation of your prostate gland)

Prostate enlargement and prostate cancer are common in older people. About 1 in 2 people aged over 50 years will have some prostate enlargement.

Prostatitis is when your prostate is inflamed. It can be either acute or chronic. Prostatitis is usually caused by a bacterial infection that can happen at any age. Another form of chronic prostatitis, also known as chronic pelvic pain syndrome, is not caused by infection.

It’s important for people with a prostate, to discuss prostate health with their doctor. You can ask questions about your prostate no matter what the reason for your visit to the doctor is.

What are the symptoms of prostate problems?

Trouble passing urine (weeing) is common in older people. It’s also one of the most common signs that there may be a problem with your prostate. You may:

• have difficulty urinating, such as dribbling
• frequently urinate
• wake at night to urinate

Other symptoms of prostate disease include:

• blood in your urine
• erectile dysfunction
• pain or burning when urinating or ejaculating
• pain in your scrotum, penis, testicles, rectum or pelvis

When should I see my doctor?

If you have any symptoms, it’s important to see your doctor.

Your doctor can:

• check for prostate problems
• offer treatment
• manage your symptoms

They can also rule out other conditions, such as:

• Parkinson’s disease
• multiple sclerosis

How are prostate problems diagnosed?

Your doctor may ask you questions about your symptoms and how they affect your life.

To diagnose prostate problems they may:

• take a urine sample to check for infection
• rectally examine your prostate
• do a prostate specific antigen (PSA) blood test
• arrange an ultrasound or an MRI scan
• take a biopsy to test for prostate cancer

How are prostate problems treated?

Treatment for prostate disease depends on the condition and how bad your symptoms are. Sometimes, no treatment is required.

If you have an enlarged prostate that is causing you problems, you can have treatment, such as:

• medication
• surgery
• lifestyle changes

If you have prostatitis, antibiotics and anti-inflammatory medications can help.

If you are diagnosed with prostate cancer you will need further tests. This will help your doctor decide which treatments you need. Treatments can include:

• surgery
• chemotherapy
• radiotherapy

Talk to your doctor about your options.

Looking after yourself

You may be able to reduce the symptoms of prostate problems by:

• drinking plenty of water to flush bacteria from your bladder
• increasing your fruit and fibre intake to avoid constipation, which can put pressure on your prostate
• having warm baths to ease your symptoms

You should avoid:

• alcohol and caffeine, which can cause you to urinate more
• spicy or acidic foods, which can irritate your bladder

• drinking late in the evening to prevent the need to urinate during the night

Can prostate problems be prevented?

You can help prevent prostate cancer by keeping healthy. Be sure to:

• keep active
• eat healthily
• avoid smoking

Complications of prostate problems

Prostate cancer can spread to other parts of the body. If you have any symptoms of prostate problems, see your doctor.