100 questions and answers about men's health

Title......Page 2
Copyright......Page 3
Contents......Page 6
Part One: Prostate Cancer......Page 8
1. What is the prostate gland and what does it do?......Page 9
2. What are the signs and symptoms of an enlarged prostate (either cancer related or benign)?......Page 11
3. What is PSA? What is the normal PSA value? What is free total PSA?......Page 12
4. What causes the PSA to rise?......Page 14
5. Are there medications that may affect the PSA? Does testosterone therapy cause the PSA to increase?......Page 15
7. What is prostate cancer?......Page 16
8. How common is prostate cancer?......Page 17
9. What are the risk factors for prostate cancer, and who is at risk? Is there anything that decreases the risk of developing prostate cancer?......Page 18
10. What are the warning signs of prostate cancer?......Page 24
11. What causes prostate cancer? What causes prostate cancer to grow?......Page 26
12. Where does prostate cancer spread?......Page 28
13. What is prostate cancer screening?......Page 29
14. What does a TRUS guided prostate biopsy involve?......Page 32
15. Are all prostate cancers the same? Are there different grades?......Page 34
16. What is prostate cancer staging?......Page 37
17. What is a pelvic lymph node dissection and what are the risks?......Page 46
18. What options do I have for treatment of my prostate cancer?......Page 48
19. How do I decide which treatment is best for me?......Page 59
20. What is a radical prostatectomy? Are there different types?......Page 62
21. What are the risks of surgery? How are they treated?......Page 68
22. What is brachytherapy/interstitial seed therapy? Who is a candidate? What are the risks?......Page 73
23. What are external-beam and conformal external-beam radiation therapies? What are the side effects of EBRT?......Page 79
24. What if I am incontinent after radical prostatectomy or radiation therapy? What if I have erectile dysfunction after radical prostatectomy or EBRT or brachytherapy?......Page 83
25. What is cryotherapy/cryosurgery? Who is a candidate? What is the success rate? What are the risks?......Page 95
26. Are there different types of hormone therapy? Do I need to have my testicles removed?......Page 100
27. What are some of the side effects of hormonal therapy and how are they treated?......Page 109
28. What happens when hormone therapy fails?......Page 116
29. What happens if my PSA rises after radical prostatectomy? After external beam radiation therapy (EBRT)? After interstitial seed therapy?......Page 119
30. What happens if I develop bone pain?......Page 125
Part Two: Benign Prostatic Hyperplasia (BPH)......Page 128
33. What are the symptoms of BPH?......Page 129
34. How is BPH diagnosed?......Page 130
35. What other disorders can mimic BPH?......Page 137
36. What damage can BPH cause?......Page 138
37. When does BPH need to be treated?......Page 139
38. What are the alpha-blockers?......Page 140
39. What are the 5-alpha reductase inhibitors?......Page 144
40. Can alpha-blocker drugs and 5-alpha reductase drugs be used together?......Page 147
41. What are LUTs?......Page 148
42. What happens if storage (overactive bladder) symptoms persist after successful treatment of the voiding symptoms?......Page 149
43. What is the role of herbal therapy in BPH treatment?......Page 151
45. What is an open prostatectomy?......Page 152
46. What is a transurethral prostatectomy (TURP)?......Page 154
47. What is a transurethral incision of the prostate (TUIP)?......Page 155
49. What are the side effects of surgical treatment (TURP) of BPH?......Page 156
51. What is minimally invasive surgical treatment of BPH?......Page 158
53. What types of laser therapy are available?......Page 159
55. What is microwave therapy of the prostate?......Page 162
57. What is radiofrequency therapy of the prostate and the results of radiofrequency therapy?......Page 163
58. What are prostatic stents? What are the results with prostatic stents?......Page 165
60. What is the role of a clean intermittent catheterization in the treatment of BPH?......Page 167
61. What is prostatitis?......Page 168
62. How is prostatitis diagnosed?......Page 169
63. How is prostatitis treated?......Page 170
Part Three: Erectile Dysfunction (ED)......Page 172
64. How do erections normally occur?......Page 173
65. What is erectile dysfunction (ED) and how common is it?......Page 176
66. What causes ED?......Page 178
67. Is ED a normal process of aging? Is ED preventable? Is it curable?......Page 188
68. What is sexual dysfunction?......Page 191
69. How does one diagnose and evaluate ED?......Page 193
70. What happens if my sex drive (libido) is low? What causes it, can it be treated?......Page 203
71. Are there different types of problems with ejaculation? What causes them and how are they treated?......Page 205
72. What is anorgasmia and how is it treated?......Page 210
73. What is Peyronie’s disease and what causes it?......Page 211
74. How is Peyronie’s disease treated?......Page 212
76. What if my testosterone level is low? What are the risks and benefits of testosterone therapy?......Page 214
77. Are there different types of testosterone therapy?......Page 221
78. Do I need to be monitored while on testosterone therapy?......Page 225
79. What is priapism and what causes it?......Page 226
80. What are oral therapies for ED—specifically, the phosphodiesterase type 5 (PDE-5) inhibitors?......Page 228
81. Who is a candidate for oral therapy with a PDE-5 inhibitor?......Page 230
82. What is the success rate for PDE-5 inhibitors?......Page 233
83. What are the side effects of PDE-5 inhibitors?......Page 234
84. What is intraurethral alprostadil (MUSE) and how do I use it?......Page 237
86. What is the success rate of MUSE?......Page 239
88. What is penile injection therapy?......Page 240
89. Who is a candidate for penile injection therapy?......Page 245
91. What are the risks of penile injection therapy?......Page 247
92. What is the vacuum device?......Page 248
93. Who is a candidate for the vacuum device?......Page 250
94. What are the success and satisfaction rates for the vacuum device?......Page 251
95. What are the side effects of the vacuum device?......Page 252
96. What is a penile prosthesis?......Page 253
97. Who is a candidate for a penile prosthesis?......Page 255
98. How do I use the penile prosthesis, and how is it placed?......Page 256
99. What are the risks of a penile prosthesis?......Page 259
100. Is there a role for sex therapy in the treatment of ED?......Page 265
Appendix A: International Index of Erectile Function (IIEF)......Page 266
Appendix B......Page 274
Glossary......Page 296
 Index......Page 320