All three prostate diseases — prostate cancer, BPH and
prostatitis — tend to cause a greater impact on a sufferer’s
quality of life than is, in fact, necessary. That the
conditions often reach a relatively advanced stage before men seek
medical help is often the result of men’s laissez-faire attitude
to lower urinary tract symptoms, embarrassment about discussing
this area of their anatomy with their doctor, and their general
reluctance to undergo regular health checks.
In fact, most prostate diseases
eloquently illustrate the ‘stitch in time’ principle. A
‘window of curability’ exists for prostate cancer, but once
this is closed, neither surgery nor radiotherapy is likely,
ultimately, to be successful. With BPH, several studies have
confirmed that there is a level of secondary damage to the
bladder, caused by the obstruction, after which complete recovery
becomes less likely. And if prostatitis becomes chronic,
then repeated and prolonged courses of treatment are often needed.
Men’s attitude towards their
health has traditionally been ‘if it ain’t broke, don’t fix
it’. These days, the thinking should be more along the
lines of ‘if you look after your body (and particularly your
prostate), it has less of a tendency to go wrong’. In
prostate health, regular checks allow disease to be detected at a
stage when it can generally be resolved, while preventative
strategies may reduce some of the risks of disease developing in
the first place. It makes good sense to combine these with
regular, more general health checks to exclude conditions such as
high blood pressure and diabetes, and to encourage a healthier
lifestyle, particularly with respect to exercise and diet.