The Prostate and related Problems
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The Prostate and related Problems
The prostate is a gland that is part of the male reproductive system. It produces substances that are part of the ejaculate (sperm). Normally, the prostate is chestnut-sized and shaped with an average size of 20 to 25 cmᶟ and a weight range of between 16 to 22 grams.
It is divided into zones-front, peripheral, central and transitional. Each zone has its own characteristics and different significance in terms of function and disease.
It is located deep in the pelvis, below the bladder.
Through the prostate passes the urethra which transports urine from the bladder to the opening at the top of the penis. The prostate is composed of glandular, muscular and connective tissue. The secretion of the prostate also contains substances that protect reproductive and urinary tract from infection, and fluids having various biological activities: prostaglandins, immunoglobulins, spermine, fructose, citric acid, various enzymes and so on.
Prostaglandins are important for processes like erection, ejaculation, sperm motility.
Because it surrounds part of the urethra, the enlarged prostate can squeeze that tube. This causes problems when you try to pee. Typically, these problems do not start until you’re 50 or older, but they can start earlier.
Statistics have shown that of all the internal organs of man, the prostate often suffers the most.
Causes of Prostate issues a Traditional Medicine Understanding
When the Kidney is weak with blood stasis, is one of the main reasons that prostate problems occurs, this could be relating with the person's age.
While Zafin (hot temperamental level of) kidney (also called yang) is in deficiency, the spleen because of this imbalance fail in its smooth function of transmission. Thus body fluid, blood and energy (qi) cannot be distributed evenly, this leads to the formation of blood stasis.
On the other hand while Sanyin (cold temperamental level of) Kidney (also called yin) is in deficiency, the Zafin Hanta (liver fire in TCM) acts in random, herby drying up the body fluid and gathers a mucous membrane in the lower abdomen also called Mara or Jiao.
Symptoms
When you notice you are have trouble while starting to urinate or are going a lot, especially at night, or dripping before you are set, or feeling like there is still more, these could be signals that you have an enlarged prostate, others signs include:
Your bladder doesn’t empty completely after you pee
The need to wee-wee out of the blue with no feeling sensation of build-up
You stop and start several times before it ends
You strain to get the flow going
Note that, an enlarged prostate doesn’t mean you’ll have more or worse symptoms. Symptoms and how it affects is different for each person.
In fact, some men with very large prostates have few, if any, issues.
It’s important to see your doctor if you have early symptoms of BPH, in some cases it can lead to serious problems such as kidney or bladder damage or even Chiwon Daji (cancer).
Prostatitis
Is an infection or inflammation of the prostate, this is not the same thing as BPH, though some of the symptoms are similar.
It can affect men from their late teens well into old age and has Symptoms include:
Trouble passing urine
Chills and fever
Sexual problems
Treatment
How your TMP handles your condition would depend on the details of your case -- your age, how much trouble it’s causing and comorbid conditions.
You could be put on watchful Waiting. Where you have an enlarged prostate but are without symptoms, with advised to monitor and possibly get regular checkup that could include a variety of tests.
Lifestyle changes. This includes cutting back on how much you drink at night and before bedtime, especially drinks with alcohol or caffeine.
Medicine. Common Traditional medicine treatments for BPH and Prostatitis are herbal blends, some TMPs could add in Hijama (cupping), Dry needling, Acupuncture or Acupressure.
With Traditional Medicine Practice in treatment, we focus amongst others in bringing balance to the kidney temperament, activating blood and transforming blood stasis. We also look fortifying spleen, increasing qi, removing dampness.
Surgery. As a possible and rare last option (when treated with herbal blends), men with severe symptoms who haven't been helped by other treatments might have to turn to surgery.
Duration of treatment could last from 4 weeks upwards and in stages, taking into consideration start size and other comorbid conditions.
Cost depends on individual case bases
Walid Shawkey Moukarim
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