Prostate Health Awareness Lecture
by Kate Charles-Ngbor
Full text of prostate health awareness lecture presented at meeting of FGBMFI
(North-Gate Chapter)MEN - My Childhood; My Manhood; My Prostate:
Ladies and Gentlemen, I am here to speak with you on Prostate. The topic is misleading. Is Prostate strictly for Men?
Yes, ONLY men have prostate and ONLY men over 40
years but the healthcare enlightenment is for everyone. There is NO woman who does not know a man 40
years and above - Father, Uncle, Brother, Son, Friend, Neighbor, Colleague …
Essentially what I will be doing today is health promotion. Responsible health promotion must provide three things:1. Information2. Reassurance3. A Plan of ActionLet me start with a background on Prostate Health:Everyone has a pair of kidneys
. The job of the kidney is to remove waste. It is the LAWMA
(waste management company) of your body. Everyday your blood passes
through the kidney several times to be filtered. As the blood is
filtered, urine is formed and stored in a temporary storage tank called
the urinary bladder.
If there were to be no urinary bladder, as a man walks on the road, urine will be dropping.
think of the plumbing work in your house. Think of the urinary bladder
as the overhead storage tank. From the storage tank, a good plumber
will run pipes to other parts of the house, including the kitchen. God
in His wisdom ran pipes from our urinary bladder to the tip of the
penis. The pipe is called the urethra. Just below the bladder and
surrounding the urethra is a little organ called the prostate gland.
The prostate gland is the size of a walnut and weighs about 20
grams. Its job is to make the seminal fluid which is stored in the
seminal vesicle. During sexual intercourse, seminal fluid comes down
the urethra and mixes with the sperms produced in the testicles to form
the semen. So semen technically is not sperm. It is sperm + seminal
fluid. The seminal fluid lubricates the sperm.
After age 40
, for reasons that may be hormonal, the prostate gland begins to enlarge. From 20
grams it may grow to almost 100
grams. As it enlarges, it squeezes the urethra and the man begins to notice changes in the way he urinate.
If you have a son under 10
if he has a little mischief like we all did at that age, when he comes
out to urinate, he can target the ceiling and the jet will hit target.
Call his father to do same, wahala dey. His urine stream is weak,
cannot travel a long distance and sometimes may come straight down on
his legs. So he may need to stand in awkward position to urinate.
many men will be worried their urine stream cannot hit the ceiling.
Toilets are on the floor and not on the ceiling. But other symptoms
begin to show.TERMINAL DRIPPLING:
man begins to notice that after urinating and repacking, urine still
drops on his pants. This is the reason why after an older man urinates,
he has to ring bell. A younger man simply delivers to the last drop and
walks away. Just see an older man coming from the bathroom. Sometimes
he may clutch the newspaper closely to hide the urine stains,
particularly on plain colored trousers.HESISTANCY:
At this point you wait longer for the urine flow to start. There are 2
valves that must open for you to urinate - the internal and external
sphincters. Both open but because of obstructions in the urethra, you
wait long for the flow to start.INCOMPLETE EMPTYING:
You have this feeling immediately after urinating that there is still something left.
all these things happen, the bladder begins to work harder to
compensate for the obstruction in the urethra. The frequency of
urination goes up. Urgency sets in. sometimes you have to practically
run into the toilet. Nocturia also becomes common. You wake up more
times at night to urinate. Your wife begins to complain.
Men being men may not talk to anyone even at this point. Then the more serious complications start.
Stored urine gets infected and there may be burning sensation when urinating.
urine forms crystals. Crystals come together to form stone either in
the bladder or in the kidney. Stones may block the urethra.
Chronic urinary retention sets in. The bladder stores more and more urine. The size of the bladder is 40
cl. A bottle of coke is 50
cl. As the bladder stores more urine it can enlarge up to 300
cl. An overfilled bladder may leak and this leads to wetting / urinary
incontinence. Also the volume may put pressure on the kidney and may
lead to kidney damage.
What may likely bring the man to hospital is acute urinary retention. He wakes up one day and he is not able to pass urine.
Everything I have described above is associated with prostate enlargement, technically called benign prostate hyperplasia.There are other diseases of the prostate like:1. Prostatitis - inflammation of the prostate2. Prostate cancer - cancer of the prostate
discussion is on prostate enlargement. I have bad news and good news.
The bad news is that every man will have prostate enlargement if he
lives long enough. The good news is that there are life style changes
that can help the man after 40 to maintain optimum prostate health.Nutrition:
Look at what you eat. 33%
of all cancers, according to the US National Cancer Institute is related to what we eat.
meat everyday triples your chances of prostate disease. Milk everyday
doubles your risk. Not taking fruits / vegetables daily quadruples your
Tomatoes are very good for men. If that is the only thing
your wife can present in the evening, eat it with joy. It has loads of
lycopene. Lycopene is the most potent natural antioxidant.
Foods that are rich in zinc are also good for men. We recommend pumpkin seeds (ugbogulu).
Zinc is about the most essential element for male sexuality and fertility.
Men need more zinc than women. Every time a man ejaculates he loses 15
mg of zinc. Zinc is also important for alcohol metabolism. Your liver needs zinc to metabolize alcohol.ALCOHOL CONSUMPTION:
men begin to have urinary symptoms associated with prostate
enlargement, it is important they look at alcohol consumption, more
fluid in means more fluid out. Drink less - Drink slowly.EXERCISE:
Exercise helps build the muscle tone. Every man should exercise. Men over 40
should avoid high impact exercise like jogging. It puts pressure on the
knees. Cycling is bad news for the prostate. We recommend brisk walking.SITTING:
we sit, two-third of our weight rests on the pelvic bones. Men who sit
longer are more prone to prostate symptoms. Do not sit for long hours.
Walk around as often as you can. Sit on comfortable chairs. We
recommend a divided saddle chair if you must sit long hours.DRESSING:
should avoid tight underwear. It impacts circulation around the groin
and heats it up a bit. While the physiological temperature is 37
degrees, the groin has an optimal temperature of about 33
degrees. Pant is a no - no for men. Wear boxers. Wear breathable clothing.SMOKING:
Avoid smoking. It affects blood vessels and impact circulation around the groin.SEX:
sex is good for the prostate. Celibates are more prone to prostate
illness. While celibacy is a moral decision, it is not a biological
adaptation. Your prostate gland is designed to empty its contents
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------As per Quraan Alcohol/Drug Intoxicants is forbidden:
you who believe! Intoxicants (Alcohol) and gambling, (dedication of)
stones, and (divination by) arrows, are an abomination, - of Satan's
handwork: avoid such (abomination) that you may prosper