Job29Man wrote:What is the best way for a 50 something man to keep his prostate in good shape long into his later years?
Other than getting PSA tests, what are the signs that the prostate is not doing so good?
What is the benefit to health and to sex, of having good prostate health?
If your prostate has declined in health, how do you reverse it?
What is the significance of a diminishing force of a urination stream?
This week I had my 6 month prostate check-up with my urologist. Due to an enlarged prostate condition that I waited too long to address over the years, he performed a TUMT (transurethral microwave therapy) procedure on my prostate about three years ago. The benefits of the procedure were significant, but due to the neglect and as time goes on enlargement continues to increase and my prostate health needs constant attention. BTW, my PSA score is rock solid low.
When he administered the IPSS (International Prostate Symptom Score) http://www.urospec.com/uro/Forms/ipss.pdf
recommended to urologists for their patients, he was surprised with my very low good scores (nearly all 0) on every measure except for the last question on 'quality of life' where I scored an unhappy 5.
He asked me 'why' and my response was "due to my chronic 'situational incontinence'." He knew of this problem and had recommended that I cut out all caffeine and alcohol. Yet, over the past 6 months, whenever I get out of my car I experience a slight leakage. This situational incontinence requires me to wear a light shield pad - not something to be happy about for the rest of my life.
My doctor (a highly respected Christ-follower in our community) then engaged with me in a thoughtful and specific discussion about prostate health. Here's what he prescribed for me.
1. No caffeine or alcohol (continue with my abstinence).
2. Urinate immediately upon getting up in the morning and urinate a second time, soon thereafter. This is to practice 'double voiding.'
3. Urinate every 3 hours. He explained to me that as we age, the brain impulse to give us the urge to urinate is impaired (the S.O.S electrical circuit is less effective over time). By urinating regularly, the bladder muscles are not impaired by a constant state of bladder pressure. Thus, the wisdom of 'never pass a bathroom' for we older men makes sense.
4. Do not over hydrate. This surprised me as I've always heard that drinking plenty of water was healthful. My urologist said that unless you are a 'stone maker' (you need to move plenty of fluids through your kidneys) or you are not active in the heat of the day (golf or yard work) keep hydration to 4 X 16 oz. per day, and don't drink fluids (other than a sip) for a few hours before bed. In my case, I probably have been consuming 6 to 8 16oz. amounts of fluid per day.
Number 5 surprised me! After I joked that I'd like a prescription for more sex as I wondered if better prostate health could be achieved with prostate exercise
he said the following, "You should have an orgasm about three (3) times per week. What we have learned is that the male body sets a thermostat for prostate evacuation at an early age - around 20. Most people assume that as men age that the need for the prostate to be relieved of fluid diminishes; that is not so. In fact, the biological fact is that the prostate needs to be evacuated regularly. As men age, their drive diminishes and they think that it parallels the biological health needs of their prostate. So, you ought to ejaculate three times per week." He then added, "I've encouraged my patients to share this fact with their wives although they probably won't believe you! Nonetheless it's the healthy thing to do and important to prostate health."
After this conversation he told me that if I follow these 5 pieces of advice my situational incontinence would most likely go away and further need to address my enlargement issue would be unnecessary.
When I returned home from my appointment, Mrs. Oldbear was waiting to hear how it went, hoping that I didn't need a follow-up prostate procedure. I shared 'prescription' points 1 through 4 in a matter of fact way, and then enjoyed sharing number 5. She did a kiddingly
How am I doing? I'm disciplining myself on 1 - 4 and Mrs. Oldbear is game on number 5. Just yesterday, she said, "It's been a day or two, you need some medicinal help.'