Thursday, January 17, 2019

Prostate Cancer and Prostate Massage

Prostate Cancer and Prostate Massage
Prostate cancer is like any cancer a change in the nature of the cells of the prostate gland leading to aggressive growth and invasion at the expense of the organ and the body. Cancer is basically cells have gone crazy. Prostate cancer leads to enlargement of the prostate, possible blockage of the urine passway and may cause damage to remote body organs when the distant spread of the disease and metastasis occur. 


There are numerous causes and risk factors leading to prostate cancer, some are avoidable and some are not. Simply, just the advance of a male’s age is associated with an increased incidence of prostate cancer. About 90% of men over 90 have a form of prostate cancer but mostly slow and non-aggressive cancer, so the patients usually die from natural causes other than cancer. The patients who have a family history of prostate cancer may carry a cancer gene and may have a higher possibility of cancer. Doctors have also found that Black and Hispanic races are more prone to Prostate Cancer than Caucasians. There is an increase in prostate cancer in patients who eat more animal fat, dairy products, and red meat. Interestingly doctors found an increase in prostate cancer with the intake of some vitamins and supplements such as Omega 3, Calcium, Vitamine D, Vitamin E, Vitamin B12, Folic acid, Zinc, and Insulin. Smoking, Obesity, sedentary lifestyle, previous prostate infections, and depression also increase the incidence of prostate cancer. Doctors have found that there is a decrease in prostate cancer incidence with the consumption of coffee, tomatoes, soy, and vegetables. There was a detected decrease in prostate cancer in men with a higher frequency of ejaculation. Doctors found no correlation between alcohol intake and prostate cancer. The use of 5 alpha reductase reduced prostate cancer in general but was associated with some increase of high-grade cancer.


Prostate cancer leads to enlargement of the prostate gland hence narrowing in the urine pathway. It usually starts by frequency in urination, slow urine stream, and or urinating small amounts at a time. Cancer may spread to vital organs like the liver, bone or brain. Symptoms of metastatic late-stage prostate cancer depend on the location and organ. If the disease spread to the liver, the patients may have Jaundice, liver disease or failure. If the disease spread to the bones, the patient may have bone pain and spontaneous pathological fractures. If the disease spread to the brain, the patient may have seizures, loss of consciousness, confusion, or coma.


Doctors screen prostate cancer in males regularly among other cancers. The digital rectal exam of the prostate is the standard of screening. Also, checking on the levels of the Serum Prostatic Specific Antigen (PSA) is a gold standard, however, it has been controversial. When screening have detected abnormal exam or results further evaluation is done like rectal prostatic biopsy and MRI imaging to evaluate the type of cancer and its spread. Other biomarkers are measured to evaluate the prognosis of the disease such as Ki67 immunohistochemistry test, a nuclear protein that is associated with ribosomal RNA synthesis and may be necessary for cell cycle proliferation. Cell Cycle Prognosis Score CCP is a molecular analysis of small amounts of fresh-frozen FFPE tissue from a biopsy. CCP score is independently associated with biochemical PSA recurrence and metastasis. 


Prostate cancer treatment depends on its grade, score, and aggressiveness. It varies from observing and do nothing, radiation therapy, radical prostatectomy, hormonal and chemotherapy, to radical invasive surgical intervention depending on metastasis. 


Preventing prostatic cancer is not a clear cut process. Like any cancer, you can not prevent it but you may reduce the chance of having it. You may do everything right and contract prostate cancer by your genetic predisposition or do everything wrong and never get it. From the search, we conducted above and the information we collected, it is recommended to lead a healthy lifestyle, be active, eat less fat and red meat, eat more vegetables soy and tomatoes, drink coffee, avoid smoking, get screened by your doctor, and avoid infections by practicing safe sex. It is also important not to take unnecessary supplements and vitamins since it has been proven they may cause harm and cancer. Increase your ejaculation frequency by having sex, masturbation and or prostatic massage. Lastly, hope for the best.


Many articles discussed the benefits of prostate massage. The prostate gland represents a pleasure spot in the male genitalia similar to the G spot in the female vagina. Prostate stimulation can be performed by applying pressure massage to the perineal area between the anus and the scrotum or by messaging the prostate through the anal orifice. Prostate massage can produce intense ejaculation, improve erectile dysfunction, and reduce the risk of prostate cancer. Dr. Dan Sperling at Sperling Prostate Center recommends a prostate massage once a month for healthy individuals and once a week for men with prostatic problems like enlargement. Prostate massage reduces prostate swelling and circulation. It improves urinary function, erection, and intensity of ejaculation. Massage can be achieved using a prostate vibrator or manually by the partner or the male himself. 


A research study about the relationship between the frequency of ejaculation and the prevalence of prostate cancer in men was performed over 8 years from 1992 to 2000. A very large number of men were divided into 2 groups according to age, 20 to 29 and 40 to 49 years old. They were questioned about the frequency of ejaculation per month whether ejaculation was by sexual intercourse of masturbation. Data collected and they were followed up for years. The study concluded men who had ejaculations of 21 times or more per month have been associated with lower incidence and risk of prostate cancer. Men who had less than 21 ejaculations per month had a higher incidence of prostate cancer. However, the study could not conclude if the low frequency of ejaculation may cause prostate cancer. Some argue if a high frequency of ejaculation has a negative correlation to prostate cancer, then a low number of ejaculation per year has a positive correlation to prostate cancer. However, this hypothesis lacked evidence. 


The study was followed up by a 10-year data collection from the same groups. The results preclude ejaculation frequency decreases in the older age group since libido and activity is reduced by old age. The study results suggested high ejaculation frequency is not positively correlated with prostate cancer. On the contrary, it confirmed the initial conclusion and added the higher frequency of ejaculation by intercourse or masturbation is associated with a lower occurrence of prostate cancer. The study did not consider the lifetime frequency, impact of a history of STDs, family history, race, diet, or smoking. Based on the results, we may assume prostate cancer increases in old age since libido and the frequency of ejaculation decrease significantly in older age. However, cancer in general increases by age due to higher mutations during cell multiplication and aging. Some may conclude if high ejaculation frequency reduces prostate cancer, abstinence must cause prostate cancer. Again, this argument was not proven because it was not supported by evidence. 


Some researchers claim frequent ejaculation help the prostatic cells get rid of carcinogenic toxins. Prostatic massage as a mean for intense ejaculation help reduce the accumulation of carcinogens in the prostate and subsequently reduce prostate cancer. In conclusion, ejaculation through sex, masturbation and prostatic massage is good for men’s health and the more the better. So simply for all the men out there, “keep doing it” 


Prostate massage is performed by the person or the partner massaging the perineum or the prostate through the anal canal. It can be done digitally or by the use of a vibrator. I would like to include how to perform prostate massage in sex education courses. It is an educational and a normal method to experience sexual pleasure which most people do not know about. It will reduce the abnormal phobia about the human body parts like the genitalia and anal or rectal area. It is a fun method for reducing the risk of prostate cancer. Many factors may lead to prostate cancer, some are avoidable and some are not. It is great to avoid the factors that can lead to prostate cancer like smoking, fatty food, sedentary life, infections and so on. However, it is fun and more motivating to reduce the risk of prostate cancer by having pleasure. 

References


Cuzick, J., & Thorat, M. A., & Andriole, G., & Brawley, O. W, & Brown, P. H., & Culig, Z., & Eeles, R. A., & Ford, L. G., & Hamdy, F. C., & Holmberg, L., & Ilic, D., & Key, T. J., & Vecchia, C. L., & Lilja, H., & Marberger, M., & Meyskens, F. L., & Minasian, L. M., & Parker, C., & Parnes, H. L., & Perner, S., & Rittenhouse, H., & Schalken, J., & Schmid, H. P,& Schmitz-Dräger, B. J., & Schröder, F. H., & Stenzl, A., & Tombal, B., & Wilt, T. J., & Wolk, A. (2014). Prevention and Early Detection of Prostate Cancer. Lancet Oncol, 15(11), 484-492. doi: 10.1016/S1470-2045(14)70211-6. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4203149


Kantoff, P. W., & Taplin, M.E., & Smith, J. A. (2017). Clinical presentation and diagnosis of prostate cancer. UpToDate Inc. Retrieved from https://www.uptodate.com/contents/clinical-presentation-and-diagnosis-of-prostate-cancer?search=prostate%20cancer&source=search_result&selectedTitle=2~150&usage_type=default&display_rank=2


Prostate Health (2014). Reduce Your Risk for Prostate Cancer with Prostate Massage. Sperling Radiology / Sperling Medical Group. Retrieved from https://sperlingprostatecenter.com/massage-prostate-health-makes-great-combo/


Rider, J. R., & Wilson, K. M., & Sinnott, J. A., & Kelly, R. S., & Mucci, L. A., & Giovannucci, E. L. (2016). Ejaculation Frequency and Risk of Prostate Cancer: Updated Results with an Additional Decade of Follow-up. European Association of Urology, 70, 974-982. doi: https://doi.org/10.1016/j.eururo.2016.03.027





Sartor, O. A. (2017). Risk factors of prostate cancer. UpToDate Inc. Retrieved from https://www.uptodate.com/contents/risk-factors-for-prostate-cancer?search=prostate%20cancer%20risk%20factors&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1