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La prostate is a small gland located under the bladder and surrounding the upper part of the urethra (channel that emits urine and sperm). Typically masculine, this prostate can play them tricks. Reminder of the different Prostate disorders.


La prostatitis, or infection of the prostate, can touch men of all ages, but it affects young men more often. We distinguishacute prostatitis of the chronic prostatitis.

  • Acute prostatitis:

Most often it is linked to a bacterial infection which can be sexually transmitted. Symptoms come on suddenly: high fever, urinary disorders (burns during urination, frequent urges to urinate, urges or conversely slow, sometimes to the retention of urine) and pelvic pain. 
A cytobacteriological examination of the urine (ECBU) makes it possible to identify the presence of germs and the treatment of the prostatitis then rests on taking antibiotics.

  • Chronic prostatitis:

La prostatitis chronic is often linked to a prostatitis acuteinsufficient treatment and recidivism, but it may also be due toprostate adenoma which narrows the urethra or to the presence of stones in theprostate.

Symptoms usually progress by infectious outbreaks: pain perineal, urinary burns, urethral discharge, pain ejaculation ... The treatment is again based on antibiotics, but the treatment is undertaken over several months and requires regular monitoring.

The adenoma of the prostate

With age, the prostate tends to take volume, it's adenoma oubenign prostatic hyperplasia. At 60 years 50% of men are concerned, and 90% of more than 80 years.

But this magnification of the prostate may partially compress the bladder and urethra, and thus result in urinary disorders : frequent urges to urinate, especially at night, difficulty urinating, late drops, etc. The evolution of these disorders can lead to a handicap in the private and social life, and lead to complications (infection, retention of urine ...), hence the interest to consult to set up a treatment.

There are pharmaceuticals to reduce the Prostate volumeor improve the opening of the bladder neck. But if there is a significant impact on the quality of life, an intervention surgical is proposed in order to remove all or part of the prostate. Since some surgical procedures may decrease fertility, retrograde ejaculation or other sexual disorders, the patient should be clearly informed of the advantages and disadvantages in order to choose the most appropriate type of intervention.

Prostate cancer

Le prostate cancer is slow, but the sooner it is detected, the more effective the treatment will be, hence the value of regular screening. This is based on a rectal examination and a PSA assay (specific markers of theprostate), every year from 50 years. The confirmation of the diagnosis then goes through a biopsy of the prostate.

Otherwise, the signs setting on the path of a prostate cancer are troubles urinary (increased urination, difficulty urinating and emptying the bladder ...) and the presence of blood in the urine.

Management depends on the age of the patient and the severity of the tumorranging from surveillance to surgery (removal of the prostate) through radiotherapy, or even hormone therapy in cases of metastases, for example. Some of these interventions may expose to sexual impotence and urinary incontinence-type complications, which need to be discussed with heroncologist.

A healthy lifestyle (diet, physical activity ...) and the consultationof his doctor at the slightest doubt often avoid many complications.

Article published by  le 26/08/2011 – 09:41

Sources: French Association of Urology, www.urofrance.org, accessed August 25, 2011; Encyclopedia of health, Larousse editions.

This article is part of the file The different prostate problems


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