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3525 Prytania St, Suite 614 - New Orleans, LA 70115 - 504-891-8454

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"You have turned my life around"
 

I am 87 years old, with a problem of the prostate gland. Before I met Dr. Baum, I went to the bathroom every 30-60 minutes. After Dr. Baum's treatment on my prostate, I go only 5 times per day and only 1 time at night! You turned my life around. I am so very grateful!

-Sidney Daigle


I want to thank you for your due diligence. You saved my life. I highly recommend you!

-Dwight Bastian


Thank you Dr. Baum! Because of you I'm back in the "rodeo"!

-Gerald Wallace

 


A Source of Pain and Pleasure

For younger man, the prostate gland is a source of pleasure and fertility. However, for a man over the age of 50, the prostate gland can cause much suffering, and even death. Fortunately, if diagnosed early, prostate problems can be treated effectively. The prostate gland is a walnut-sized organ located at the opening of the bladder and contains a hole through which the urethra passes. Urine flows through the urethra to the outside of the body. The prostate gland produces the nutrient fluid that is added to the sperm at the time of ejaculation.
There are 3 common conditions that can affect the prostate: prostate infections, benign enlargement of the prostate and cancer of the prostate
Prostatitis, an infection of the prostate, most often occurs in men between the ages of 20 and 45. It is usually not a sexually transmitted disease. Most causes of prostatitis are the result of bacterial infections, although viral organisms have been implicated. Prostatitis can be acute or chronic. Symptoms of prostatitis include painful urination, frequency of urination, and pain at the base of the penis. Fever, chills, and lethargy often accompany urinary symptoms. If a physical examination reveals an enlarged prostate gland, diagnosis is confirmed by an abnormal urinalysis and a urine culture. Most patients respond positively to antibiotics, bed rest and warm baths (sitz baths) several times a day. Chronic prostatitis is a recurring low-grade inflammation associated with difficulty urinating, low back pain and discomfort at the base of the penis. It is usually not associated with fever and chills, and often no bacteria can be isolated in the urine or the urine culture. A chronic infection is more difficult to treat than an acute infection and does not often respond to antibiotics.
Patients with chronic prostatitis are advised to avoid alcohol, caffeine, chocolate and spicy foods. Some physicians also recommend oral vitamin E and zinc supplements. Another recommendation for patients with prostatitis is to ejaculate by intercourse or masturbation at least twice a week. If a man is incapable of ejaculation, then prostate massage may accomplish the same affect. It is important to note that there is no evidence that relates prostate infections to the development of prostate cancer.
Benign enlargement of the prostate is inevitable consequences of aging which half of men over the age of 50 develop. Though it is not known what causes this condition, most experts believe that it is related to an increase in the by-product, dihydrotestosterone, of the male hormone, testosterone.
As the prostate gland enlarges, it constricts the flow of urine from the bladder. Consequently, typical symptoms of benign enlargement of the prostate include problems with urination, difficulty starting urine stream, dribbling after urination, frequency of urination and getting up at night to urinate. Severe or neglected cases may cause complete blockage of urination, or urinary retention. Diagnosis is confirmed by a painless rectal examination.
Conventional treatment of benign enlargement of the prostate gland is surgical removal or transurethral resection of the prostate (TURP). This procedure involves hospital admission, a spinal or general anesthetic, and several days of hospitalization. A new procedure involves the delivery of microwaves to the prostate which ultimately shrink the size of the prostate gland. This procedure can be done in the office under a local anesthetic and usually does not require a catheter after the procedure. The success rate of microwave therapy is very similar to that of TURP.
Also, medications that relax the muscles in the prostate gland and improve the flow of urine are now available. These drugs are referred to as alpha-blockers with Flomax, Rapaflow and Uroxatral as examples. Other drugs, Proscar and Avodart, decrease the size of the prostate gland and improve urination. These two drugs must be taken for several weeks or months before improvement occurs. Following the treatment of prostate gland obstruction, there is significant improvement in the man's quality of life, the most notable being the ability to get a complete night's rest.
Cancer of the prostate affects nearly 100,000 men each year and is the cause of 26, 000 deaths. It is the leading cause of cancer in older American men. The cause of prostate cancer is not known, but it appears to be affected by testosterone. Cancer of the prostate is a potentially curable disease if it is confined to the prostate gland.
Until recently, a rectal exam was the only technique available for early diagnosis of cancer of the prostate. Now a blood test, prostate specific antigen (PSA), is available to detect early prostate cancer. However, this test has not replaced a rectal examination but rather is used in addition to the rectal exam to detect early prostate cancer. Most physicians recommend an annual rectal exam and a PSA test after age 50 for all man, and after age 40 if they have an immediate family member who has prostate cancer or are of African-American descent.
The diagnosis of prostate cancer is confirmed by biopsy that can be performed in the doctor's office or as an outpatient basis.
If the cancer is confined to the prostate gland, treatment choices include surgical removal (radical prostatectomy) or radiation therapy. The radical prostatectomy is now accomplished by means of a laparoscopy or robotic surgery either of which makes us of several small pencil-sized openings in the abdomen that will allow accurate removal of the prostate gland and avoid injury to the nerves and blood supply that are responsible for erection. A small percentage of men will develop urinary leakage or incontinence after the operation. However, this usually subsides several weeks after surgery.
Nearly all men will experience prostate problems at some time during their lives. Although these problems can significantly impact a man's quality of life, as well as that of his partner, an annual examination and blood tests are the best protection of your prostate gland the gland of pleasure.