Dear Dr. Motoloa,
Can anal intercourse harm an enlarged prostate ?
The physical act of anal intercourse should not theoretically have any harm on the prostate. The act of anal intercourse can cause some minor trauma to the prostate that could result in hematospermia ( blood in the semen ). However this is usually self limited and should be of no concern.
We have heard so much lately about prostate cancer that perhaps it is time to turn back to the basics, and look at BPH (benign prostatic hyperplasia) , a condition that affects far more men than prostate cancer. Recently, the prostate is a source of much controversy including the significance of PSA testing , the possible development of high grade prostate cancer with the use of medications that are commonly used to shrink prostate cancer and the need to treat prostate cancer. However despite all the controversies surrounding prostate malignancy, the symptoms that occur as a result of BPH are undeniably a continuing source of ongoing concern amongst most middle aged men.
As the prostate grows, the nodules that arise and progress in size, eventually compressing the urethra. The result is symptoms of either obstruction or irritability of the lower urinary tract. Patients may experience a decrease in their force of stream, waking up at night to urinate, frequency of urina...
Diagnosis A doctor makes a diagnosis of BPH based on description of symptoms, medical history, physical examination, and various blood and urine tests. The doctor may recommend that the patient sees a urologist for complex test procedures. Some diagnostic tests are used to rule out cancers of the prostate or bladder as the cause of symptoms. In some cases, symptoms of prostate cancer can be similar to those of BPH. Tests may also be performed to see if BPH has caused any kidney damage. Medical History The doctor will ask about the patients personal and family medical history, including past and present medical conditions. The doctor will also ask about any medications the patient may be taking that could cause urinary problems Physical Examination Digital Rectal Exam. The digital rectal exam is used to detect an enlarged prostate. The doctor inserts a gloved and lubricated finger into the patient's rectum and feels the prostate to estimate its size and to detect nodules or tenderness. The e...
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