Prostate Diseases Specialist

Foothill Urogenital Health

Urologist located in Arcadia, CA

The prostate, or the walnut-sized gland that produces the fluid that mixes with sperm to make semen, can be affected by a few different conditions. Prostate problems are relatively common in men of all ages: Younger men are more likely to develop prostatitis, or prostate inflammation, while older men are more likely to be affected by prostate enlargement. Board-certified urologist Dr. Alan Yamada in Arcadia, California, specializes in the diagnosis and treatment of prostate diseases. If you’re in the San Gabriel Valley or surrounding Los Angeles County area, and you’d like to learn more, call Foothill Urogenital Health to schedule your appointment today.

Prostate Diseases Q & A

What is the prostate?

Your prostate is a small gland in your reproductive system that’s situated at the neck of your bladder, where it surrounds your urethra, or the tube that carries urine from your bladder out through your penis. The urethra is also what carries semen out through your penis during sexual climax, or ejaculation.

What is prostatitis?

Prostatitis is the term used for a prostate that has become swollen or inflamed. It’s the most common reproductive/urinary tract problem for men younger than 50. There are two main types of inflammation that affect the prostate gland:  

Chronic prostatitis

Also known as chronic pelvic pain syndrome, the exact cause of persistent prostatitis syndrome is unknown. It’s believed that a microorganism, but not a bacterial infection, may cause the problem.

The main symptom of chronic prostatitis is persistent pain in your pelvis, genitals, lower back, and buttocks.

Other symptoms include:

  • Pain when urinating
  • Frequent urge to urinate
  • Difficulty urinating
  • Pain when ejaculating

Bacterial prostatitis

Bacterial prostatitis is the result of a bacterial infection of the prostate, which is usually caused by bacteria that travels from the urethra and into your prostate. Acute bacterial prostatitis happens suddenly and is short-lived; chronic bacterial prostatitis develops slowly and persists for a long time.

Common symptoms of bacterial prostatitis include:

  • Frequent urge to urinate
  • Burning sensation or pain when urinating
  • Fever, chills, and body aches
  • Pelvic and genital pain
  • Urinary tract infection (UTI)

What is prostate enlargement?

Also called benign prostatic hyperplasia (BPH), prostate gland enlargement is most common in men over the age of 50. In fact, more than a third of all older men experience symptoms of prostate enlargement at some point.

Researchers don’t know why the prostate becomes larger with age, but they do know that it isn’t caused by cancer, and it doesn’t increase your risk of developing prostate cancer.

What an enlarged prostate does do, however, is put pressure on your urethra and affect how you urinate. Common signs of an enlarged prostate include:

  • Difficulty starting or stopping urination
  • Feeling as if you can’t empty your bladder completely
  • Straining to urinate, or a weak flow of urine
  • Prolonged dribbling after urination
  • Getting the urge to urinate more frequently or suddenly

Why should I see a urologist?

As a board-certified urologist, Dr. Yamada is specially trained in every aspect of the urinary tract and all parts of the male reproductive system.

Given that different prostate conditions share many of the same symptoms, Dr. Yamada has the expertise and experience to reach the correct diagnosis quickly and offer the best treatment options.   

If you have any of the symptoms associated with common prostate problems, make an appointment with Dr. Yamada today.

BPH: Enlarged Prostate

When a prostate enlarges and squeezes down on the urethra; bladder wall becomes thicker and bladder may weaken and lose its ability to empty completely.

Prostatitis

Inflammation or swelling of the prostate gland and is usually not life-threatening. 

  • Symptoms:
    • Urinary problems (pain while urinating, urgency, increased frequency, difficult start, weak stream, difficulty completely emptying, blood in urine, interrupted flow, burning/itching sensation)
    • Pain/ache/discomfort (mainly in the perineum – area between anus and base of penis; testicles, scrotum, lower stomach, lower back, while sitting, riding a bike, etc.)
    • Sexual problems
    • Fertility problems
    • Psychological problems – stemming from frustration of being told that it is all in your head
    • Misc. Symptoms: Strong smelling urine, discoloration of penis, semen smells bad
    • Chills and fever (acute form)
  • Treatment
    • Antibiotics
    • Anti-inflammatory steroid drugs
    • Antifungals (Diflucan)
    • Zinc supplements
    • Alpha Blockers (Hytrin)
    • Surgery – in extreme cases where prostate would need to be removed
  • How to alleviate symptoms
    • Drinking lots of water
    • Prostate drainage
    • Dietary changes
      • Avoid caffeine, alcohol, spicy foods, and acidic foods as they may irritate the prostate
      • Avoid acidic foods such as citrus fruits and tomatoes
    • Avoid decongestants and antihistamines
    • Exercise
    • Frequent ejaculation
    • Hot sitz baths
    • Avoid foods that cause constipation
  • FAQs

Pelvic Floor Dysfunction

When you are unable to control the muscles in your pelvic floor to have a bowel movement; people with this dysfunction contract these muscles rather than relax them.

  • Symptoms:
    • Feeling of having several bowel movements during a short period of time
    • Feeling of not being able to complete a bowel movement
    • Frequent need to urinate
    • Painful urination
    • Constipation
    • Pain in lower back not explained by other causes
    • Pain for women during intercourse
  • Treatment:
    • Medicine: diazepam
    • Physical Therapy: learn to relax and coordinate movement of pelvic floor muscles
    • Behavior changes – learning to relax muscles in pelvic floor area
      • Yoga
      • Warm baths
      • Avoiding pushing and straining when urinating/having bowel movements