May 2012 Do you have problems urinating? Maybe you need to go but can’t, or you don’t seem to be able to urinate in the company of others – i.e. in public toilets or public places. While a lot of this “bashful bladder” stuff is genuinely no more than either normal embarrassment (there’s apparently an evolutionary connection with urinary stage fright, which is linked to the business of alpha and beta males, and territorial marking), some of it can be indicative of much more serious problems – including that top 10 killer of the Western man, prostate cancer.

Here’s how. Prostate enlargement, which is a possible sign of prostate cancer, can pinch the urethra – the tube down which urine is expelled. Problems urinating can obviously arise from a pinched urethra, which means in turn that urinary difficulty could be an early sign of an enlarged prostate. QED. Effectively, urinary problems are nature’s very own early warning system, certainly where the man is concerned – if you find peeing a problem, you could have prostate cancer.

Sounds a little sensationalist – but then as far as the male of the species is concerned, sensationalism seems to be about the only thing guaranteed to get him listening. So here it is: if you have problems urinating, your body could be telling you that you have a condition that, left unchecked, will kill you. Not so much QED as end of story. Literally.

That said, an enlarged prostate does not necessarily mean the Grim Reaper is marching towards anyone’s door. There are dozens of conditions, circumstances and reasons that can cause what is known as BPH (that’s Benign Prostatic Hyperlasia, which to all us normal folk just means a swollen prostate). Extraordinary exercise, like running a marathon, for one; recent sexual activity; even, in some cases, diet. So don’t run screaming to the funeral directors if you do have problems urinating  – just get down to a doctors and ask for a prostate exam. That way, you’ll know exactly what is going on and why – and nine times out of ten it will be nothing to worry about. That tenth time, though, is definitely something to guard against – which is why men who experience problems urinating should always, and without delay, consult a healthcare professional for diagnosis and advice.

What kind of things constitute urination problems? Difficulty starting; difficulty stopping; a feeling that the bladder is not properly emptied; a need to urinate often, particularly at night. These are all common problems urinating experienced by a lot of men, particularly older men – and can be a sure sign of an enlarged prostate though not, repeat not, a definitive sign of prostate cancer. Bottom line – if you do find peeing an unpredictable experience, go get checked out.

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