Tag: Prostate Health

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Enlarged Prostate

The Connection Between Prostate Health and Sexual Pleasure

When it comes to prostate surgery, any error or adverse reaction could have dire consequences when it comes to fertility and sexual health.

It’s safe to say that every type of surgery comes with its own set of possible side effects and risks. However, when it comes to prostate surgery, any error or adverse reaction could have dire consequences when it comes to fertility and sexual health.

Though the primary function of the prostate is that it produces some of the seminal fluid that transports sperm, that is not all it does.

The prostate contains nerves, blood vessels, and muscles that not only help push semen through the urethra during ejaculation but are also a critical part of getting and maintaining an erection.

The nerves and blood vessels that run along each side of the prostate are called the neurovascular bundle. The neurovascular bundle also plays an important role in controlling urine flow, and as a result, it can help protect against urinary tract infections.

Of course, the prostate is of significant importance in order to have a healthy functioning reproductive system, bladder, urinary tract, and so forth. But it’s also a very important part of a healthy and enjoyable sex life.

Given the many nerve endings in the prostate, the prostate is a rather sensitive area- a sensitivity that greatly lends itself to increased sexual satisfaction.

Due to its sensitivity, this area of the male body can be a sexual pleasure center, commonly referred to as the “G-spot.”

The G-spot, the sensitivity of the prostate, and its role in sexual pleasure have, in recent years, led to the sale of sexual aids such as prostate massagers. Sales of which, have been on the rise.

According to data from the pleasure product company HealthyAndActive, prostate massager sales have increased by 56% over the past five years, particularly among straight men over the age of 45.

However, when it comes to treating benign prostate hyperplasia, also known as an enlarged prostate, some of the treatment methods available come with an increased risk of damaging this sensitive area of the male sex organs.

This potential nerve damage can greatly reduce the sensitivity of the prostate, as well as deter it from functioning properly.

Therefore, in order to protect the functionality of the prostate, it’s important to consider all of the treatment methods available for BPH, as some procedures come with higher risks of adverse effects than others.

In our next article, we will look at the possible adverse effects associated with one of the most common prostate surgeries transurethral resection of the prostate (TURP), and compare them to the risks of a non-invasive procedure like prostate artery embolization.

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Enlarged Prostate

Treating BPH with Prostate Artery Embolization

From minimally invasive to more extensive surgeries, there are several procedures that can treat benign prostate hyperplasia.

From minimally invasive to more extensive surgeries, there are several procedures that can treat benign prostate hyperplasia.

In recent years many men suffering from the uncomfortable and disruptive symptoms of an enlarged prostate, have been finding relief through a non-invasive procedure called Prostate Artery Embolization.

Prostate Artery Embolization is a procedure performed here at MidAtlantic Vascular and Interventional by our Interventional Radiologist.

The procedure begins with a small incision in the wrist or groin, followed by the insertion of a tiny catheter.

Using advanced X-Ray technology, the doctor will then guide the catheter through the blood vessels until it reaches the arteries that are feeding blood to the prostate gland.

Once the catheter has reached the proper location, it releases tiny microscopic beads. These beads then travel to the prostatic arteries, where they create a blockage, which blocks the blood flow that is causing the prostate gland’s enlargement.

Maybe this sounds a little like science fiction, or even too good to be true- but rest assured, it’s not.

Though Prostate Artery Embolization is a relatively new outpatient procedure, it’s nothing to be afraid of.

In fact, PAE has one of the highest rates of success. Not only do over 90% of men treated with PAE experience relief from their symptoms in the first year, but relief can continue on for years after that.

This means relief from BPH symptoms like:

  • Dribbling when you finish
  • A hard time getting started
  • A weak stream or you pee in stops and starts
  • Feeling like you still have to pee even after you just went
  • Having to go too often — eight or more times a day
  • Incontinence (when you don’t have control over when you pee)
  • An urgent need to pee, all of a sudden
  • You wake up several times a night to pee
  • Urinary tract infections, bleeding, bladder damage, and bladder stones

It is estimated that about 8 out of 10 men will eventually experience some or all of the above symptoms caused by an enlarged prostate.

Unfortunately, it is also estimated that only around 30% will actually seek medical treatment for BPH. This is highly problematic, especially for men over 40 because although BPH is quite common and usually not life-threatening, if left untreated it can get worse.

Untreated BPH can cause a slew of health problems such as frequent urinary tract infections, bleeding, bladder stones, and potential bladder and/or kidney damage.

The good news is, you can avoid experiencing these more severe issues that can come from untreated BPH by making an appointment with your doctor, or calling us here at MidAtlantic Vascular and Interventional.

Together, we can determine the right course of action, which could be taking medicine, PAE, making lifestyle changes, or a combination of these.

Treatment is available, so please call us and set up a consultation today.

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Enlarged Prostate

Prostate Artery Embolization for an Enlarged Prostate

Here at MidAtlantic Vascular and Interventional, we are proud to offer a non-invasive state-of-the-art treatment for men that are experiencing symptoms due to an enlarged prostate. The treatment is Prostate Artery Embolization, and it is an outpatient procedure that has over a 90% success rate for patients with a symptomatic enlarged prostate.

Though it is normal for the prostate to continue to grow as a man ages, for some it can develop into Benign Prostatic Hyperplasia (BPH). BPH, also known as an enlarged prostate, occurs when the prostate grows large enough that it begins to pinch the urethra, causing troubling symptoms that affect the ability to urinate, such as:

  • Dribbling when you finish
  • A hard time getting started
  • A weak stream or you pee in stops and starts

The prostate’s squeezing of the urethra also causes the bladder to have to work even harder to pass urine. This over time, can cause the bladder muscles to become weak, making it harder for it to be emptied. This can lead to:

  • Feeling like you still have to pee even after you just went
  • Having to go too often — eight or more times a day
  • Incontinence (when you don’t have control over when you pee)
  • An urgent need to pee, all of a sudden
  • You wake up several times a night to pee

  • Urinary tract infections, bleeding, bladder damage, and bladder stones

Fortunately, many patients are finding relief from these symptoms through the work of our Interventional Radiologist Dr. Rishi R. Sood, who is an expert in performing Prostate Artery Embolization.

The procedure begins with a small incision in the wrist or groin, followed by the insertion of a tiny catheter. Using advanced X-Ray technology, the doctor will then guide the catheter through the blood vessels until it reaches the arteries that are feeding blood to the prostate gland. Once the catheter has reached the proper location, it releases tiny microscopic beads. These beads then travel to the prostatic arteries, where they create a blockage, which blocks the blood flow that is causing the prostate gland’s enlargement.

Maybe this sounds a little like science fiction, or even too good to be true- but rest assured, it’s not.

Though Prostate Artery Embolization is a relatively new outpatient procedure, it’s nothing to be afraid of. In fact, PAE has one of the highest rates of success. Not only do over 90% of men treated with PAE experience relief from their symptoms in the first year, but relief can continue on for years after that.

In our next article, we will take a look at some of the research backing the use of Prostate Artery Embolization as an effective treatment for BPH. In the meantime, please feel free to call us with any questions about PAE, or to set up a consultation to see if PAE is right for you.

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Enlarged Prostate

When Fear Affects Your Health

In today’s world, at least in the United States, awareness is everywhere, about everything. No longer are personal struggles hidden behind closed doors. People are speaking out, writing books, going on talk shows, and starting ad campaigns about everything from recovering from addiction, abuse, cancer, erectile dysfunction, and prostate conditions.

So why is it that so many men still avoid speaking with their doctor about their prostate issues?

For men who experience symptoms associated with an enlarged prostate or other prostate conditions- there are two major impediments to seeking treatment.

The first one is embarrassment. Many men were raised to “be a man” and not ask for help- which is a terrible way to be and can cause a lot of unnecessary stress, and pain, and can even lead to a death that could have been prevented.

The other big issue that often leads to avoiding seeking treatment is fear. This is especially true when it comes to prostate issues, as men are wired to be instinctively protective when it comes to their reproductive parts. Fear about what the diagnosis may be, and the treatment that will be necessary, can often stand in the way of seeking the help that is needed.

Rather than risk finding out that the issue is something more serious like the big “C” diagnosis- cancer, or if it will require surgery, medications, etc.- some will try and ignore the problem altogether- practicing the old “ignorance is bliss” idea.

But ignorance is not bliss. In fact, by avoiding addressing prostate issues head-on with your doctor, BPH symptoms can become painful, disruptive, and interfere with everyday activities and enjoyment. They can affect relationships, stress levels, and mental health problems, and- without proper treatment, the symptoms only become worse.

So what’s the solution? First of all, it’s important to know that you are not alone.

As many as 14 million men in the United States have symptoms of BPH, and worldwide, it is estimated that 30 million men have symptoms. The prevalence of BPH is so frequent, that in some regards, it’s become normal and even at times inevitable. Given that the prostate grows as a man ages, many older men start to experience the symptoms of this around 60. In fact, by age 60, half of all men will have an enlarged prostate, and by age 85, it is estimated that 90%. of all men will have BPH.

Next, knowledge is key- and learning about treatment options can actually put your worried mind at ease.

Some common treatment methods are using medications such as alpha-blockers and 5-alpha-reductase inhibitors (5-ARIs). Your doctor may prescribe one or both types, depending on your symptoms and the size of your prostate gland.

Another great treatment option is Prostate Artery Embolization, which is a non-invasive procedure. PAE is performed through a small catheter inserted by your interventional radiologist into the artery in your wrist or groin. The interventional radiologist will then guide the catheter into the vessels that supply blood to your prostate, using tiny round microspheres (particles) that are injected through the catheter and into the blood vessels that feed your prostate to reduce its blood supply. Following this procedure, the prostate will begin to shrink, which will relieve and improve symptoms within days of the procedure.

So don’t let fear or embarrassment keep you from seeking the help you need. Talk to your doctor about any prostate symptoms that you are experiencing, and find out what treatment options are best for you. You may be pleasantly surprised to find a solution that is much simpler and more effective than you may have thought.

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Enlarged Prostate

Spin Classes and Prostate Health

High energy, motivational, and fun, are just some of the words people use to describe attending an exercise bike class, or “Spin Class” as it’s often called. In fact, the influence that uplifting and encouraging spin classes have had has led to a whole slew of Soul Cycle gyms, that offer these classes exclusively. And, during the height of the pandemic, when we were sheltering in place, the company Peloton, made a fortune selling exercise bikes with a screen attached, that allowed people to attend spin classes at home.

But what effect, if any, does all this intense cycling have when it comes to prostate health?

First of all, it’s no secret that a man’s private parts are what make contact with a bike seat. Putting pressure on the area known as the perineum. Located between the pubic bone and the coccyx is the perineum, and just below the skin are nerves and blood vessels that supply the scrotum and penis with blood as well as the prostate gland.

So what, if anything does this pressure from the bike seat, do?

Well, this is highly debatable. Yes, there are studies, such as one published in the Journal of Men’s Health, that found a correlation between hours spent cycling, and the incidence of prostate cancer. The results suggest, that in men over 50, the more hours they spend on the bike, the higher the rates of prostate cancer. However, these results are debatable, given that studies have shown that cycling can increase a man’s PSA level ( prostate-specific antigen), which is often used as an indicator of potential prostate problems, such as cancer. Therefore, in order to avoid a false reading, men should avoid cycling before getting this test.

There is also some evidence that suggests that bike riding, especially rigorous bike riding, can irritate the prostate and could potentially exacerbate and even lead to prostatitis and pelvic pain. This repetitive compression to the perineum from the bicycle seat can also at times, though rarely, cause inflammation of the prostate, and chronic inflammation is known to be a risk factor for cancer and other problems.

So what can be done about this? The solution is rather simple:

  1. If you have prostate problems and you cycle frequently you may find it helpful to discuss the potential impact with your doctor, particularly if you are going to have a PSA blood test.
  2. It’s best to avoid cycling during episodes of prostatitis or chronic pelvic pain syndrome.
  3. Find ways to reduce putting pressure on the perineum and in doing so, the prostate, by wearing padded shorts, standing on the pedals more, and adjusting the bike seat.

The bottom line, biking and spin classes are excellent forms of cardio and have many health benefits, however, using caution and common sense when it comes to biking and prostate health should always be a priority.

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Enlarged Prostate

Drinking Green Tea for Prostate Health

Chances are by now, you’ve heard about the many health benefits associated with drinking green tea. But did you know that drinking green tea is beneficial for your prostate?

Green tea has long been associated with powerful antioxidants called polyphenols, which are believed to positively affect skin health, and weight loss, and can potentially reduce the risk of some cancers and cardiovascular diseases. And, according to several studies, there is also a link between green tea and prostate health.

So what is Green Tea? And where did it come from?

Green tea is believed to have originated in China, and based on a popular legend, it is suggested that Shennong, an Emperor of China, discovered green tea had medicinal benefits as far back as 2737 BC. The legend suggests that he discovered the tea when tea leaves from a nearby tree fell into his cup of freshly boiled water. As the legend goes, he then drank the tea and found that it eliminated toxins from his body and bought about tremendous improvements in his health.

Though it is unlikely that a bunch of green tea leaves magically fell into a cup of boiling water, what is likely, is that the ancient Emperor, who was also a renowned Chinese medicine man, discovered the health benefits of this rather common tea and spread that knowledge to others. Thus making it a cultural staple in China, as well as Japan, and now, many other regions of the world.

Most studies regarding green tea and its effect on overall cancer prevention have been somewhat inconclusive, however, there have been some studies that concluded that consuming this popular tea, can help in the prevention of prostate cancer.

At the City of Hope Comprehensive Cancer Center, physician Sumanta Pal, MD reviewed the results of an Italian study that found that men who had a precursor to prostate cancer and drank green tea daily, were less likely to get prostate cancer.

Commenting on these results, Dr. Pal, said “Studies such as this are critical to confirm or support a plausible explanation for how green tea may work,” however, he like many other researchers, believes that more studies are needed before making any diet recommendations for the use of green tea in the prevention in certain types of cancer.

So the jury is still out regarding the impact that green tea has on cancer prevention, however, there is evidence to suggest that drinking green tea can contribute to prostate health. Studies have found that regularly consuming green tea, helps to reduce inflammation of the prostate, so as to reduce the pressure it can put on the urethra.

Green tea has also been discovered to have anti-bacterial and anti-viral properties, which can help protect the bladder from infections. This is especially important for men who have an enlarged prostate, as the impact it can have on emptying the bladder completely, can leave excess urine to grow stagnant and increase the likelihood of a bacterial infection.

The bottom line, adding green tea to a diet and lifestyle, can benefit a man’s overall health. With its potent antioxidants, regular consumption of green tea can contribute beneficially to prostate health by boosting the immune system and reducing inflammation. And, though more studies are needed, there is some evidence out there that suggests that drinking green tea can help slow the growth of prostate cancer, and in some cases, potentially prevent it from forming.

As more research continues to be done regarding the cancer-fighting benefits of green tea, one thing is for sure- when it comes to reaching for a healthy beverage, a soothing cup of green tea is an excellent choice.

DISCLAIMER: When consumed in moderation, green tea is safe for most people. However, please check with your doctor before consuming it, if you have an iron deficiency, or are on medications, especially those for anxiety disorders or heart conditions.

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Enlarged Prostate

Underwear…To Wear, or Not To Wear

What kind of underwear is best for your prostate health? Or is no underwear at all best?

When it comes to maintaining a healthy prostate, does it matter if you wear boxers or briefs, or no underwear at all?

It is estimated that 5-7% of men, do not wear underwear. Many do this because they think it’s more comfortable, but is it also better for your prostate health?

Not necessarily, but there is some research to show that tight-fitting underwear could have adverse effects.

In 2018, the medical journal, Human Reproduction, published the results of a study on the impact that tight underwear has on male fertility. Though more research on the topic is needed, researchers found that there was a 25% higher sperm concentration in men who were boxer briefs, as opposed to men that wore tighter-fitting underwear. Scientists believe this is due to the fact that tight underwear increases the temperature of the scrotum, which affects the body’s production of sperm. 

Though there is some evidence to suggest that tight underwear can affect sperm count, there is also evidence to suggest that going without underwear, or “going commando” as it’s often called, could have its own issues as well.

These issues can range from hygienic issues due to easy exposure to bacteria, chafing from being without a layer of added protection, and a higher risk of injury without the barrier of some type of underwear. However, most experts agree, that it all comes down to personal preference.

Will tighter underwear or boxer briefs cause prostate issues?

Not necessarily. But anything that restricts blood flow to your groin area can be potentially problematic. So the better choice overall is wearing slightly looser-fitting cotton boxers or boxer briefs. This is especially true when experiencing the effects of an enlarged prostate, be it something that’s just a normal product of aging, or something that needs to be treated.

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Enlarged Prostate

Prostate Cancer: The Warning Signs

The Warning Signs of Prostate Cancer

When it comes to prostate health, it’s important to be aware of the warning signs that could signal prostate cancer.

Chances are if you’re over 50, you’re familiar with this health issue that affects so many men each year.  

Second, only to skin cancer, prostate cancer is the most common cancer among American Men.

In fact, the American Cancer Society’s estimate for the number of prostate cancer cases in the United States this year is about 268,490.

Their statistics also show that one out of eight men will be diagnosed with prostate cancer during their lifetime. And in roughly six out of 10 cases, the diagnosis is in men that are over 65.

So what are the early signs and symptoms of prostate cancer?

Early symptoms of prostate cancer can mirror those of an enlarged prostate which is typically benign and treatable. Often patients with both will experience:

Difficulty Urinating
Loss of Bladder Control
Decreased flow of urine stream
Frequent Urination
Inability to empty bladder completely

However, signs of prostate cancer will usually include: Some early prostate cancer signs include:

Burning or pain during urination
Blood in urine 
Blood in semen
Erectile dysfunction
Painful ejaculation

Warning signs that are specific to prostate cancer will usually include: 

Burning or pain during urination
Blood in urine
Blood in semen
Erectile dysfunction
Painful ejaculation

If the cancer is left untreated and becomes more advanced, some of the symptoms related to that are:

Swelling in legs or pelvic area Numbness or pain in the hips, legs, or feet Bone pain that persists or leads to fractures

All of this is to say that if you are experiencing one or more of the warning signs of prostate cancer, it is highly recommended that you consult a qualified physician immediately.

Though prostate cancer is extremely common, there is a chance that your symptoms may be indicative of another, less serious condition. Either way, getting more information is always the best approach- and if it is prostate cancer, it is much easier and more successfully treated when detected early on.

For more information on prostate cancer and how it is diagnosed, check out the Center for Disease Control and Prevention’s page on prostate cancer.