# Prostate ## TLDR - do the following - Pelvic Physiotherapy (a good first step, can help you learn) - [[kegal]] exercises (improves prostate, bladder issues, ) - prostate massage (it improves prostate function) - ejaculate regularly (it reduces prostate cancer risk) - focus on being thankful for [[placebo|the health you have]] - Generally [[improve the quality of you life]] - eat healthy - [[enjoy the process]] - [[exercise]] - [[play]] - practice [[mindfulness]] - meditate - pray - Specifically eat... - ## Some general rules - If it is good for the prostate chances are it is good for the [[bladder]], [[penis]], [[testicles]]. - If it is good for your heart it is good for pretty much everythign. ## Prostatitis - ## Prostate Cancer Q. So you have, might have, or might get prostate cancer... What should you do? Aim for quality of life [[improve quality of life]] - ## Prevention Ejaculating more lowers risk of prostate cancer ([source](https://sci-hub.se/https://www.sciencedirect.com/science/article/abs/pii/S0302283816003778)) Aim for ~21/month. ### Questions Any new medicine? Apparently there are urine tests that can detect cancer cells after prostate massage ([source](https://onlinelibrary.wiley.com/doi/full/10.1111/iju.13734)) How do you know you have it? PSA (Prostate specific antigen blood), DRE (direct rectal exam), MRI, and biopsy (only conclusive way) #### survivability... Very high (like 98% at 5 and 10 years) #### Q1. Can biopsy spread cancer? Apparently with biopsies there is a low (<1%) chance and when it happens it is called "needle track seeding". https://bjui-journals.onlinelibrary.wiley.com/doi/abs/10.1111/bju.12849 Based on the reviewed series the incidence of seeding appears to be <1%. The increase in the number of biopsies and cores taken at each biopsy over the years has not resulted in an increase in the reported cases of seeding. In conclusion, seeding along the needle track is a rare complication after prostate biopsy. Its actual incidence is presently difficult to quantify. It is reasonable to advise appropriate counselling and take measures to reduce this event where possible; however, we do not advocate avoidance of biopsies as the benefits of appropriate cancer diagnosis and management outweigh any potential risks from seeding. ## Related - [[kegal]] - [[bladder]], [[testicles]] - [[sex]] - [[urination]] - #Physiology - #KnowYourself