TODAY’S issue of polkmd deals with some of the different types of cancers below the belt — prostate, colon, ovarian and kidney. Published: Friday, October 28, 2011 at 2:12 p.m. Last Modified: Friday, October 28, 2011 at 2:27 p.m.

LAKELAND | the correlation between smoking and bladder cancer keeps getting stronger and none of it is good news.

Facts Diagnosing Bladder Cancer

Blood in the urine is the first warning sign of most bladder cancers. the urine may be a very pale yellow-red or, less often, darker red. Blood can appear one day and not the next, usually reappearing with bladder cancer. Although the blood may come from other, non-cancerous causes, it needs to be checked by a doctor.changes in bladder habits or irritative symptoms: Bladder cancer can cause changes in urination, such as needing to urinate more often than usual, feeling pain or burning during urination; and feeling as if you need to go right away even when the bladder isn’t full. Conditions like infection, bladder stones, overactive bladder or enlarged prostate can cause this too, but it needs to be checked.if the cancer is large, people may have additional symptoms such as lower back pain or being unable to urinate.Source: American Cancer SocietyFor more on cancer, as well as other health-related articles, read Polk MD in Saturday’s Ledger.

The risk of bladder cancer among smokers is four times greater than in non-smokers, according to research findings released in August. Previous studies found a three-fold risk.

Women, previously believed to have a lower rate of bladder cancer directly linked to their smoking, now appear to have gained equal footing with male smokers. Roughly half of all bladder cancer cases in men and women now appear linked to their being or having been smokers, said an article in the August Journal of the American Medical Association.

That’s not exactly the kind of equality some cigarette ads aimed at women were meant to promote.

“It’s the only cancer other than lung cancer that’s directly causally associated with smoking,” said Dr. Graham Greene, a urologic oncologist at Lakeland Regional Cancer Center. “Smoking increases the risk of acquiring it and dying from it.”

Researchers have concluded there’s a cause-and-effect relationship, not just an overall increased risk.

Yet many patients and their doctors don’t realize the link, said Dr. Jens Carlsen, a urologist at Lakeland’s Watson Clinic.

“It’s not talked about in primary care very often,” Carlsen said. “Patients are even less aware.”

He said 80 percent of all bladder cancers are caused by environmental exposure — 50 percent by tobacco and 30 percent by different chemicals, such as those used in manufacturing and fabrics.

Smoking can cause cancer in the urethra and ureters, tubes draining the kidney and the bladders, Greene said.

Earlier detection improves the likelihood of successful treatment.

“There are many great treatments out there for superficial cancers that don’t invade the walls of the bladder,” said Dr. Faiyaaz Jhaveri, urologist at Urology Healthcare of Central Florida.

Bladder cancer is more easily managed if detected before it invades the bladder wall or escapes from the bladder, but Carlsen said in about one in four cases it has invaded the muscle of the bladder prior to detection.

The American Cancer Society and others haven’t recommended general screening for people at average risk.

Smokers, however, can consider themselves higher-risk individuals. and there are warning signs that should not be ignored, the urologists said.

Urinalysis can spot tiny bits of blood before it can be seen. if visible blood appears in the urine, the urologists said people need to see a doctor whether they’re smokers or not. In younger people, the blood is more likely to be kidney stones or some benign cause, Greene said, with the likelihood of it being bladder cancer increasing with age.

Surgery, chemotherapy and radiation can all help treat bladder cancer, depending on the severity of the cancer and the health of the patient. some tumors can be removed surgically with the bladder left intact.

In some cases, medical oncologists will be called in.

“We treat them with chemotherapy and radiation so they don’t have to have their bladder removed,” said Dr. Robert Cassell, medical director of Cassidy Cancer Center at Winter Haven Hospital.

Chemotherapy before surgery improves the survival rate, he said.

For some patients whose bladder cancer has spread, surgery to remove the bladder is essential.

“Muscle invasive bladder cancer can be lethal,” Greene said.

Even in those situations, however, there are options beyond the traditional practice of removing the bladder and redirecting urine flow to a bag outside the body.

One of them is taking a piece of the intestine and creating a bladder replacement inside the body.

It often needs more treatment and attention than the real bladder did, requiring someone who is highly motivated and able to take care of it, Carlsen cautioned, adding “If they really don’t take care of it, they will die.”

[ Robin Williams Adams can be reached at or 863-802-7558. Read her blog at robinsrx.blogs.theledger.com. Follow on Twitter at ledgerROBIN. ]

Do you have BPH? Symptoms of prostate pain or do you also symptoms associated with prostate cancer and if so, this article describes some symptoms, you should definitely be checked in any condition you have.

Check this out:

there are many similarities between BPH, prostatitis pain caused by prostate and other prostate problems … and prostate cancer.

However, just because you have aenlarged prostate does not mean you have cancer.

And just because you lack the symptoms of BPH does not mean you have cancer.

What should you be looking for?

Well, to make something of prostate cancer does not always have symptoms in its early stages. And that's why you should not panic if you experience symptoms of prostate cancer or symptoms of prostatitis.

But to be sure, if you have prostate problemsYou should consult your doctor.

It should be done especially if you experience:

Blood in urine Pain in bones Difficulty urinating Pain during sex LBP Swollen legs Blood in the semen weak flow of urine

There's more to look at, but they must certainly be controlled.

I do not want to waste your time with cancer, particularly because it can move from your prostate to other parts of the body (including the spine)quite easily once it starts to develop.

So the message is clear:

if you have BPH, prostate pain, symptoms of prostatitis or above, examined by a urologist to make sure you do not have prostate cancer. It may or may not have, but always better than cure.

this entry was posted on Sunday, May 1st, 2011 at 4:00 am and is filed under Treatments for Prostate Cancer Articles. you can follow any responses to this entry through the RSS 2.0 feed. you can leave a response, or trackback from your own site.

Prostate enlargement, or benign prostate hyperplasia (BPH), is a common, non-cancerous condition affecting nearly 14 million men over the age of 50.

The symptoms of prostate gland enlargement include a decrease in the force and caliber of the urinary stream, frequency of urination, urgency, a feeling of not emptying the bladder despite urination and nocturia, or the need to get up at night to urinate. Although lifestyle changes will not cure the problem, they can alleviate some of the symptoms.

Making some lifestyle changes can often help you control the symptoms of an enlarged prostate and prevent your condition from worsening.

Remember what goes in must come out. Therefore, don’t drink anything several hours before you go to sleep. Especially avoid caffeinated beverages such as coffee (which also causes insomnia) and tea,as the caffeine acts as a diuretic and causes increased urine output that may result in getting up at night to empty your bladder.

Limit your alcohol consumption, especially at the dinner meal. again, alcohol acts as a diuretic, causing increased production of urine and causing your bladder to fill up sooner than you would like.Avoid spicy foods. these appear to irritate the bladder and can result in urinary frequency and nighttime voiding.

Check your medications. some medications like Lasix and hydrochlorothiazide are diuretics and increase urine production. It’s best to take those medications early in the day when going to the bathroom to urinate is not such an inconvenience. you may also speak with your doctor about lowering the dosage of the diuretic, especially the evening dose if you are bothered by nighttime urination.

Avoid antihistamines and decongestants, as these cause the bladder to decrease the force of contraction and result in the bladder not emptying as well. If you have to take antihistamines, use them earlier in the day.

Don’t hold off going to the restroom. this habit distends the bladder and can result in a weaker muscle to expel the urine from the bladder.

Use the clock to help with urination. If you find that you are going to the bathroom infrequently and then more at night, make an effort to urinate every 3-4 hours. Putting your bladder on a schedule is very helpful and a good habit to have.

Go and then go again. Double voiding is a technique to ensure adequate emptying of the bladder. If you stand at the toilet and empty your bladder, walk away from the toilet for a minute or two and then return and try emptying the bladder again. this helps to expel more urine from your bladder than just standing there one time and voiding.

Avoid cold seats, such as those at football games in the winter. The cold temperature seems to cause the muscles around the prostate gland to contract and makes urination difficult. instead, take a blanket or a cushion. your prostate gland will be glad that you did.

If you bike ride, especially for long distances, stand on the pedals every 10 or 15 minutes to take the pressure off of your prostate gland. Also consider using a seat that has a groove down the middle which alleviates the pressure on your prostate gland.

Bottom Line: these steps won’t cure the enlarged prostate but they will lessen the symptoms. If they don’t help, see your doctor for medication or one of the treatments that reduces the obstruction of your prostate gland.

Neil Baum is a urologist at Touro Infirmary and can be reached at his self-titled site, Neil Baum, MD, or on Facebook and Twitter.

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CHICAGO, Ill. (March 29, 2011)—A new interventional radiology treatment that blocks blood supply to men’s enlarged prostate glands shows comparable clinical results to transurethral resection of the prostate (or TURP), considered the gold standard (or most common) treatment. However, this minimally invasive treatment—prostatic artery embolization—has none of the risks associated with TURP, such as sexual dysfunction, urinary incontinence, blood loss and retrograde ejaculation, noted researchers at the Society of Interventional Radiology’s 36th Annual Scientific Meeting in Chicago.

“Benign prostatic hyperplasia or BPH is so common that it’s been said that all men will have an enlarged prostate if they live long enough. I believe that a minimally invasive interventional radiology treatment—prostatic artery embolization or PAE—will be the future treatment for benign prostatic hyperplasia or men’s noncancerous enlarged prostates,” noted João Martins Pisco, M.D., chief radiologist at Hospital Pulido Valente and director of interventional radiology at St. Louis Hospital, both in Lisbon, Portugal. “Prostatic artery embolization blocks blood supply to treat noncancerous benign prostatic hyperplasia. this study is significant because it shows comparable clinical results to transurethral resection of the prostate or TURP—without the risks of surgery, such as sexual dysfunction, urinary incontinence, blood loss and retrograde ejaculation (or entry of semen into the bladder),” added Pisco, who is a professor at the Faculty of Medical Sciences, New University of Lisbon. “While the gold standard treatment for enlarged prostates has been TURP, minimally invasive prostatic artery embolization is safe, performed under local anesthesia and has comparable clinical results—without TURP’s limitations and risks,” said Pisco. The interventional radiologist indicated that PAE patients experienced symptom improvement comparable to TURP; however, certain urodynamic results (such as flow rate of the urinary stream) did not improve as much as with TURP.

TURP can be performed only on prostates smaller than 60󈞼 cubic centimeters (cc); there is no size limitation for PAE treatment, said Pisco. “The best results are obtained on patients with prostates larger than 60 cubic centimeters and with very severe symptoms,” he added. “Pelvic arterial embolization may be the only feasible and effective treatment for benign prostatic hyperplasia in those men who cannot have TURP due to the size of their prostate (80+ cubic centimeters) or because it is inadvisable for them to undergo general anaesthesia,” said Pisco.

BPH is not cancer; it is a condition that affects a man’s prostate, a gland found between the bladder and the urethra. as a man ages, the prostate gland slowly grows bigger (or enlarges) and may press on the urethra and cause the flow of urine to be slower and less forceful. BPH is characterized by urinary frequency, urgency, passing urine more often (particularly at night), weakened stream and incomplete bladder emptying. “Such symptoms can have significant negative impact in quality of life, leading many men to seek treatment,” said Pisco. “We need innovative technologies, such as prostatic artery embolization, to continue to improve outcomes and minimize patient discomfort and morbidity when managing enlarged prostates,” he added.

An estimated 19 million men in this country have symptomatic BPH, (14 million undiagnosed; 2 million diagnosed but untreated). Statistics show that a small amount of prostate enlargement is present in many men over age 40, as many as 50 percent experience symptoms of an enlarged prostate by age 60 and more than 90 percent of men over the age of 85 will report symptoms.

João Martins Pisco, M.D., is the chief radiologist at Hospital Pulido Valente and director of interventional radiology at St. Louis Hospital, both in Lisbon, Portugal.

(Photo Credit: Society of Interventional Radiology, sirweb.org)

“The men who were treated with prostatic artery embolization showed significant clinical improvement,” said Pisco. In this study, 84 men (ranging in ages from 52 to 85) with symptomatic BPH underwent prostatic artery embolization after failing other medical treatments for at least six months, said Pisco. The men were followed for more than nine months (on average), and PAE was found to be technically successful in 98.5 percent of the patients—with 77 men showing “excellent” improvement, six men “slight improvement” (but needing no medications) and one experiencing no improvement (due to receiving an incomplete embolization), he added. two hours after PAE, most men were passing urine less frequently. It was impossible to embolize both prostate arteries in the men showing “slight improvement” due to advanced atherosclerosis, said Pisco. according to Pisco, he used angiography (by pelvic magnetic resonance and computed tomography) to evaluate the possibility of embolizing prostatic blood vessels.

Prostatic artery embolization is performed by an interventional radiologist, a physician who is trained to perform this and other types of embolization and minimally invasive procedures. an interventional radiologist makes a tiny nick in the skin in the groin and inserts a microcatheter into the femoral artery. Using real-time imaging, the physician guides the catheter through the artery and then releases tiny particles, the size of grains of sand, into the prostatic arteries that supply blood to the tumor. these tiny particles block blood flow to the tumor, causing it to shrink. following PAE treatment, most men experience no pain to light pain and leave the hospital four to eight hours after intervention. “There is no sexual dysfunction following prostatic artery embolization, and a quarter of our patients report that sexual function improved after the procedure,” added Pisco.

BPH can be treated by TURP, a procedure in which a scope is inserted through the penis and the prostate is removed piece by piece, or surgery through an abdomen incision (prostatectomy). During surgery, a man generally undergoes general anaesthesia and needs to spend several days in a hospital. Major complications are frequent, such as blood loss, severe pain, sexual dysfunction, impotence, retrograde ejaculation, urinary incontinence, pain, infections and urethral stricture, said Pisco.

Other treatments for enlarged prostrates—besides prostatic artery embolization, TURP and prostatectomy—include watchful waiting, drugs (to relax muscles near prostate to ease symptoms or help shrink the prostate) and other minimally invasive therapies (such as transurethral needle ablation and laser surgery), which have major disadvantages, such as providing less effective improvement in symptoms, poorer durability of symptomatic benefit, and greater risk of continued catheterization and reoperation. “Additional research is needed to explain why some patients improve better than others,” said Pisco.

avoid certain foods can reduce the symptoms of BPH

When dealing with problems and symptoms of an enlarged prostate or benign prostatic hyperplasia (BPH), it seems that everyone is ready to propose something new for you to take. Add this supplement to your diet. try this new drug. That’s all for adding

there is another option. Eliminate certain foods from your diet. although a healthy diet can not cure an enlarged prostate, the right balance of foods can reduce outbreaks of BPH symptoms.during his own struggle with the symptoms of an enlarged prostate, R. Rosenthal began to follow his diet. through this process, he discovered a pattern of symptom outbreaks following consumption of certain foods. Rosenthal began looking for these foods and found that tyramine and other vasoactive amines triggered its vasoactive amines symptoms.because occur naturally in foods, Rosenthal found that the best way to reduce symptoms was reduce its consumption of foods with amines. he also discovered that monosodium glutamate, commonly known as MSG, is added to many foods during the manufacturing process, could trigger the symptoms of BPH.

Rosenthal then compiled a list of foods to avoid to reduce symptoms of outbreaks of BPH symptoms. he was able to break these foods into different categories, including dairy products, fruits, vegetables, protein, fermented foods, drinks, soups, sauces and

After learning that the food was not the only trigger for her. symptoms of BPH, Rosenthal sought other environmental factors that could initiate an outbreak of symptoms. Surprisingly, he found a common ingredient in many household cleaners.

Once removed Rosenthal specific foods from your diet and avoid environmental factors, it has succeeded in containing the outbreak of symptoms. As mentioned previously, a change in diet can not cure an enlarged prostate, but it can make life with an enlarged prostate more bearable.

I was diagnosed with prostatitis 3 months ago, with symptoms of rectal and perineum pain, urinary frequency, and dribbling. After 8 weeks of antibiotics, I was left with only pain. This is my only symptom, just pain. Is this still likely prostatitis, with only the one symptom? I've read a lot and it seems that guys consistently have urinary issues along with pain, but I only have pain. very confusing and distressing, since it just wont go away.

Yes, you should go back to the Dr., or best yet to an Urologist. I had an enlarged prostate and needed operation. it was not cancerous, but it never hurt either. If you have pain you not wait longer because prostate cancer is very prevalent and if it is diagnosed early can be cure.

I've heard that prostate infections can be difficult to cure, they can be very persistant.

I would suggest that you see the doctor again.

The prostate is a walnut-sized gland which is part of the male reproductive system, located just below the bladder. the gland helps make semen, the milky fluid seen in ejaculate.

The prostate gland wraps around the urethra, the tube that transfers urine from the bladder through the penis.

Normally, the prostate tends to enlarge with age or, abnormally, a tumor can make the prostate bigger and put pressure on the urethra. Infection of the prostate is called prostatitis; an enlarged prostate is called benign (non-cancerous) prostatic hyperplasia (overgrowth) (BPH).

In acute prostatitis (about 10% of cases), symptoms occur suddenly, are severe, and may include fever and chills. Chronic bacterial prostatitis (about 90%) may be milder and can occur quickly or gradually. it can last for weeks or months, with symptoms subsiding and recurring.

*A strong, frequent urge to urinate; may pass only a small amount of urine with a burning sensation; urination seems incomplete, as though the bladder was not emptied * Difficulty starting urination; interrupted flow; weak stream with dribbling at the end * Frequent nighttime urination * Pain or discomfort in lower back, belly, upper thighs, above the pubic area, or behind the scrotum, body aches * Pain may worsen during a bowel movement, and there may be a urethral discharge * Pain or discomfort during or after ejaculation; sexual problems or loss of sex drive * Pain in tip of penis; genital and rectal throbbing * Blocked urine

Prostatitis is not contagious and does not lead to cancer.

Causes are often unknown, but factors that may contribute to chronic cases include blocked urine flow, abnormal flow of urine and prostate secretions into the prostate, an autoimmune disease, and abnormal nerve or muscle function.

Risk may increase 1) after a urinary tract infection, 2) after insertion of a catheter, 3) from sexually transmitted diseases, or 4) from a groin injury as one might get from riding a bicycle or a horse.

Diagnosis: Prostatitis is diagnosed from a digital rectal exam (DRE) and, possibly, a blood test for prostate-specific antigen (PSA) and urine tests to determine the type. it affects about 50% of men at some time in their lives.

Look at Prostatitis Symptoms letting in 34 medical signs and symptoms of Prostatitis. Acute Prostatitis website gives you collection of useful articles & updated news.

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BPH (benign prostate hypertrophy) or enlarged prostate affects about 50% of all men after age 50. the symptoms are frequent urination, usually in small amounts and urgency to urinate.

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