Prostate diseases

Abstract

Prostate diseases occur with high frequency in the clinical setting and can compromise patients’ quality or extent of life. Benign prostatic hyperplasia is seen in 70-90% of men and is the cause of disturbing urinary symptoms in one third of them. In these symptomatic patients medical treatment with 5 α-redutase inhibitors or α-blockers can improve the urinary manifestations. When obstructive urinary symptoms are prominent surgical treatment can successfully improve patient’s outcome. Prostate cancer will affect 18% of adult men, familiar history and black men are more susceptible to the disease and precise detection of the tumor can be done with serum PSA measurements and digital rectal exam. Patients with confined disease are usually treated with radical surgery or radiotherapy, locally advanced tumors are best managed with externa.