Sexual Medicine, Fertility, Urology and Andrology in Seville and Canary Isl.


What major problems can affect the prostate?

There are basically three major conditions that can affect the prostate:

Prostatitis, the acute or chronic infection of this gland,
– Benign Prostatic Hyperplasia (BPH), a progressive pathology caused by the increase of prostate size, and
– Prostate Cancer, the malignant transformation of prostate cells.

What symptoms are usually present?

Most of these patients have symptoms associated with urination, such as the urgency to urinate, painful urination, increased frequency, frequent nighttime urination, difficulty urinating (especially in the mornings), decrease in the size of the jet, dripping, etc . Nowadays we also know that problems of erection or impotence are more likely to be present in these patients.

How is diagnosis made?

The clinical history, physical examination of the prostate and a blood test will be the main basic points in diagnosis. Flowmetry, microbiological cultures of urine, ultrasound and other imaging tests may be needed in some cases.

Can these conditions be treated?

Treatments for prostatitis will be related to antibiotics and antiinflammatory medication. Benign conditions can be treated medically or surgically (endoscopic, laser or conventional surgery following diagnosis). Prostate cancer treatment depends on when it is diagnosed. Open, conventional or laparoscopic  surgery (prostatectomy) may be considered. It can also be treated with radiotherapy or brachytherapy, or androgen blockade with testosterone.

Are there any therapeutic innovations?

The main innovation in benign pathology has been the application of laser in prostate surgery (making it possible to operate the prostate with only one day of hospitalization and fewer complications involving incontinence and impotence), combined medical treatment and continued treatment with cialis 5 mg, especially in patients with simultaneous problems related to prostate and erection.

Dr. Natalio CruzJefe del servicio de Andrología
El Dr. Cruz, con 25 años de experiencia médica, ha sido hasta 2016 Jefe de la Unidad de Andrología en el Servicio de Urología del Hospital Virgen del Rocío de Sevilla, Coordinador Nacional de Andrología de la Asociación Española de Urología (AEU) y Secretario General de la ESSM, cargos que ha delgado para centrarse de lleno en el ilusionante proyecto de ofrecer una consulta médica privada de alto nivel en Sevilla.

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2 Responses to Prostate

  • Dino Camacho Australia says:

    Dear Sir/Madam

    Recently I have been advised that I have Benign Prostatic Hyperplasia (prostatomegaly) for which I am having continuous pain which annoying and frightening me lots. I am taking a medication prescribed by my doctor. please can you advise me any comments about this health condition? I would be very grateful to you.

    With kind regards

    Dino Camacho

    • Clínica Urología y Andrología Andromedi Spain says:

      Hello Dino. If you are under tratment, the you should ask your doctor, as he is the on who have all the info and minor details about your condition. In general, we have to tell you that, if you don´t find cure in medication, then the surgery is the only way to end with pain, unfortunatelly.