"Prolonging Our Existence"

In the realm of health, understanding urological issues is crucial for maintaining one's wellbeing. This article provides an overview of common urological diseases, focusing on prostate and testicular cancers, and sheds light on the importance of regular screenings.

Palliative care plays a significant role when a cure for prostate cancer is no longer possible. The aim is to maintain the patient's quality of life, symbolised by the Latin term "pallium" which means cloak. Progress in the field of prostate cancer treatment is such that people may live with the disease and reach their normal life expectancy.

Testicular cancer, while less common, is a serious concern, particularly among younger men. Unlike testicular cancer, there is no comprehensive screening program for men aged 16 to 40. Self-examination and seeking medical help if any abnormalities are noticed is the recommended approach. Fortunately, testicular cancer has a high cure rate, with an overall rate of over 90%.

The PSA test, a blood test used as a tumour marker, can indicate issues with the prostate, including cancer or inflammatory diseases. However, the use of the PSA test as a prevention method was not included in prevention programs in 2016 due to doubts about its effectiveness. Currently, the PSA test is an additional service not covered by health insurance, which might prevent many people from getting screened.

Urological diseases are not gender-exclusive. Common issues in men include kidney stones and prostate problems, while women often experience pelvic floor weakness, urinary incontinence, and frequent urination. Urologists do not exclusively treat men, as they also perform interventions in both sexes, such as kidney stone disease.

The future prognosis in the field of urology is not specified, but advancements are being made. Clinics that offer a complete spectrum of urology services and work with new early detection techniques, like fusion biopsy, are regaining ground in the competition with large high-quality treatment centers.

Regular screenings are essential for early detection and effective treatment. The law requires men aged 45 and above to visit their GP or urologist annually for prostate screening. Many men might not be aware of the annual prostate screening recommendation, and family history of the disease might be a trigger for them to get checked.

In 2012, the Robert Koch Institute recorded 15,000 new cases of kidney tumours in Germany, while the number of prostate cancer cases was significantly higher. It's important to remember that regular screenings and early detection can make a significant difference in the fight against these diseases.

Urological issues can also affect children, including undescended testicles and foreskin tightness. In the 1980s and 1990s, HIV was a death sentence, but now it's considered a chronic illness manageable for long-term survival. This progress serves as a reminder of the potential for advancements in urology.

In conclusion, understanding urological health is vital for maintaining one's wellbeing. Regular screenings, self-examinations, and prompt medical attention can significantly improve the chances of early detection and effective treatment. With advancements in early detection techniques and treatment methods, the future of urology looks promising.