Which symptoms indicate a prostate disease?
October 16, 2023 | 85,00 EUR | answered by Otto Wolf
Dear Doctor,
My name is Lucas Weber and I am reaching out to you because I have noticed some symptoms that have been concerning me for some time. I am 45 years old and have been experiencing increased difficulty with urination lately. It feels like my urine stream is getting weaker and I have to go to the bathroom more often than before. Additionally, I sometimes experience pain in the lower abdomen and in the prostate area. These symptoms are worrying me and I am wondering if they could be signs of a prostate condition.
I have also noticed that my ejaculate is sometimes bloody. This has really alarmed me and I have read online that this could also indicate issues with the prostate. I am very concerned about my health and I am wondering what these symptoms could mean and if they point to a serious prostate condition.
Therefore, I am requesting an assessment of my symptoms and possible solutions from you. Could these symptoms indeed indicate a prostate condition and what further tests or treatments would you recommend? I would greatly appreciate your expertise and support in this matter.
Thank you in advance for your help.
Sincerely,
Lucas Weber
Dear Mr. Weber,
Thank you for your message and your trust in my expertise as a urologist. The symptoms you have described are indeed signs that could indicate a prostate disease. It is important that you take these complaints seriously and seek medical advice to obtain an accurate diagnosis.
Issues with urination, such as a weaker urine stream and increased frequency, may be indicative of an enlarged prostate (benign prostatic hyperplasia). This benign enlargement of the prostate is common in older men and can lead to similar symptoms. Pain in the lower abdomen and in the prostate area may also indicate a prostate disease.
The presence of blood in your ejaculate is another alarming symptom that could indicate various prostate conditions, including prostate cancer. It is important that you have this evaluated by a doctor promptly to determine the cause of the bloody ejaculate.
To make an accurate diagnosis, a thorough examination and further testing will be necessary. This may include a physical examination, an ultrasound of the prostate, and possibly a blood test to determine the PSA level. In cases of suspected prostate cancer, a tissue biopsy may also be necessary.
Treatment will depend on the specific diagnosis and may vary depending on the condition. For benign prostatic hyperplasia, medication or surgical removal of the enlarged prostate may be considered. For prostate cancer, therapy will depend on many factors and may include surgery, radiation therapy, or active surveillance.
I strongly recommend that you schedule an appointment with a urologist promptly to have your symptoms evaluated. The earlier a prostate disease is diagnosed, the better the chances of a successful outcome. Do not hesitate and take your health seriously.
I am here to answer any questions you may have and to support you on your path to diagnosis and treatment.
Best regards,
Otto Wolf
