Stating that prostate diseases, which are among the problems faced by men of middle age and older, cause benign prostate enlargement, prostate cancer or prostate inflammation and urinary problems, both cause physical complaints and affect men psychologically and socially, Hattat Clinical Uro-Andrology Specialist Prof. Dr. Halim Hattat talked about the treatment processes and its effects on sexual problems.
Prof. Dr. Hattat said, “Many men experience sexual problems due to both prostate diseases and the treatments applied. The most common complaint in prostate diseases is urinary problems. The reason for this is the location of the prostate gland. The prostate is located just below the bladder, it surrounds the urethral canal that carries urine out of the bladder. It allows urine and semen to exit the penis. For this reason, pressure on the urethra and urinary problems are expected in prostate diseases, ”he said.
3 TYPES OF DISEASE IN THE PROSTATE GLAND
Underlining that generally three types of diseases are seen in the prostate gland, Prof. Dr. Hattat, “Prostate inflammations called prostatitis, benign enlargement of the prostate and prostate cancer. All of these diseases, which are quite different from each other, actually cause the same urinary problems. Complaints such as frequent urination, intermittent urination, the feeling of not fully emptying the bladder, getting up to urinate at night, difficulty urinating, and the need to urinate suddenly occur. Due to urinary complaints that occur in prostate diseases, many men feel great stress even while doing their daily activities. Their self-confidence decreases in work, school or family life and they start to move away from social life. This tension can also be experienced during sexual intercourse. A man who has urinary problems can get colder from sexuality and may encounter sexual desire problems by being afraid of this happening during a relationship. Men who develop performance anxiety with the worry that they will not be successful may experience erection problems. Premature ejaculation can also be seen in advanced cases, ”he said.
Prof. Dr. The calligrapher continued his words as follows:
“According to a study that followed 2 thousand chronic prostatitis cases, 49 percent of men with this problem have sexual problems. 26 percent have premature ejaculation, 15 percent have erectile dysfunction, and about 8 percent have both. Other studies have shown that up to 70 percent of men with this problem have premature ejaculation and up to 40 percent erectile dysfunction. “
IT IS A PROBLEM FOR THOSE WHO WANT TO HAVE CHILDREN
Noting that the problem of erection is common in benign prostate enlargement, Prof. Dr. Hattat, “Benign prostate enlargement also causes ejaculation problems. Premature ejaculation is a common complication of this disease. Treatment options for prostate diseases can also cause sexual problems. For example, some medications used in benign prostatic enlargement can cause back ejaculation of the semen into the bladder, which we call retrograde ejaculation in patients. This problem poses a problem especially for men who want to have children. Infertility can occur as the sperm flows into the bladder instead of flowing out of the penis. “These types of drugs can also cause erectile dysfunction, reduce sexual desire and decrease the volume of semen,” he said.
IS FREQUENTLY SEEN IN MEN OVER 55 YEARS
Stating that in prostate cancer, prostate tissues grow abnormally and uncontrolled. Dr. Calligrapher said, “It is very common especially in men over the age of 55. This cancer is a very insidious disease, especially in its early stages. If the person does not have prostate enlargement and related complaints with cancer, there may be no specific symptoms of the cancer. Sexual anorexia is also among the common sexual problems. We had many patients with prostate cancer who presented with sexual problems. We diagnosed prostate cancer while examining the factors underlying her sexual problems. For this reason, men who have sexual problems, especially after the age of 40, should definitely go through a urologist check, ”he said.
DO THES TO PROTECT THE PROSTATE
Prof. Dr. Halim Hattat made the following recommendations to protect the prostate:
“We advise men not to stay in wet swimsuits in summer, keep their waist, groin and foot areas warm and not get cold. If there are complaints such as waking up at night, frequent urination, intermittent urination, burning while urinating, pain, bleeding in the urine, slowing or thinning in the urine flow, they should consult a urologist immediately. Even if there is no complaint, they should undergo periodic checks and prostate examinations. It is beneficial for them not to be constipated, to have a diet plan based on vegetables-fruits-cereals, low in animal and trans fats, preventing constipation. Regular exercise is also very important in this respect. Taking fluids, drinking 6-8 glasses of water a day, going to the toilet without waiting when there is a feeling of urine are also protective measures. “