Which symptoms indicate a prostate disease?
January 15, 2022 | 80,00 EUR | answered by Ben Busse
Dear Doctor,
My name is Johann Köhler and I am reaching out to you because I have some concerns regarding my health. Over the past few weeks, I have noticed increased problems with urination. There is often a weak stream of urine and I feel like my bladder is not completely emptying. Additionally, I experience a burning sensation when urinating and have frequent urges to urinate, especially at night.
These symptoms are causing me great concern and lead me to suspect that there may be a prostate condition present. I am 55 years old and I am aware that men of my age often experience such symptoms. I would like to know what other symptoms could indicate a prostate condition in order to better understand a possible diagnosis.
Could you please explain to me what other signs could point to a prostate condition? Are there specific symptoms that I should be aware of? And what tests would be advisable to obtain an accurate diagnosis? I would greatly appreciate your assessment and any potential solutions.
Thank you in advance.
Sincerely,
Johann Köhler
Dear Mr. Köhler,
Thank you for your trust and your open words regarding your health issues. The symptoms you described during urination, such as a weak urine stream, a feeling of incomplete bladder emptying, burning sensation during urination, and frequent urination, especially at night, can indeed be signs of a prostate disease.
The prostate is a gland located below the bladder and surrounds the urethra. A common prostate disease in men of a certain age is benign prostatic hyperplasia (BPH). In addition to the symptoms you mentioned, other signs of BPH may include frequent and sudden urination, a feeling of pressure in the bladder, difficulty starting urination, dribbling after urination, presence of blood in the urine, or pain in the prostate area.
It is important to understand that these symptoms can also indicate other prostate diseases, such as prostatitis (inflammation of the prostate) or even prostate cancer. Therefore, an accurate diagnosis is essential. To provide a thorough assessment of your symptoms, I strongly recommend that you see a urologist. The urologist will analyze your symptoms carefully, perform a physical examination, and may conduct further diagnostic tests such as a blood test (to determine the PSA level), a urine flow test, an ultrasound examination of the prostate, or a prostate tissue sample (biopsy).
Depending on the diagnosis, your urologist can then recommend a suitable treatment. Treatment for prostate diseases can range from medication (such as alpha-blockers, 5-alpha reductase inhibitors) to physiotherapeutic measures and even surgical interventions, depending on the severity of the disease.
I urge you to schedule an appointment with a urologist promptly to clarify your symptoms and receive appropriate treatment. Prostate-related health issues should not be taken lightly.
I wish you all the best and hope that your symptoms can be relieved soon.
Best regards,
Ben Busse, Urologist
