Caring for the Prostate: A Manual for Men and Their Partners

By Allan Russell Juriansz

The prostate is pivotal in a man’s sexual health. A prostate free of infection and other preventable problems is vital to a healthy and happy sex life. The sex life of his partner is similarly ensured to be happy and contented. It assumes that the partner takes every precaution to be healthy as well. Love is the best foundation on which to build happiness. And a love partnership is the most valuable asset in a relationship. The prostate however is only one item, perhaps the central one, in the male sexual armamentarium. It complains the most when it is not healthy. A healthy prostate will reward both partners with the greatest sexual happiness available in this mortal life.

• Language: English
• Publisher: iUniverse
• Release date: Nov 22, 2022
• ISBN: 9781663247445

Allan Russell Juriansz

ALLAN RUSSELL JURIANSZ was born in Sri Lanka. He obtained a Bachelor of Education degree from Avondale University in Australia and then earned a medical degree at Australia’s Sydney University Medical School. He is a Fellow of the Royal College of Surgeons of Canada. He is retired from surgery but continues to see consultations in urology. He was married to the late Ruth Lesley O’Halloran for 49 years, and has four children and eight grandchildren.

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ACKNOWLEDGEMENTS

I thank the iUniverse editors for helping me put this book together, and all my patients who helped me understand.

Cover Credit Shutterstock #32442337David by Michelangelo

Illustrations: Credits Shutterstock

To

My Sons, Son in Law, and Grandson

Contents

ACKNOWLEDGEMENTS

PREFACE

INTRODUCTION

1

THE CELL

2

THE BRAIN AND NERVE PATHWAYS

3

HORMONES, ENZYMES, PROSTAGLANDINS, & NEUROTRANSMITTERS AFFECTING SEXUALITY

4

THE STRUCTURE AND FUNCTION OF THE SEX ORGANS

5

THE SEXUAL MECHANISM

6

SEXUAL ANATOMY AND PHYSIOLOGY IN THE BRAIN

7

COMPONENTS OF THE SEX ACT

8

NUTRITION OF THE PROSTATE

9

THE STAGES OR AGES OF SEXUAL ACTIVITY

10

CARING FOR THE SEX ORGANS

11

SYMPTOMS OF PROSTATE INFECTION

12

INFECTIONS OF THE PROSTATE

13

THE TREATMENT OF INFECTIONS

14

SEXUALITY AND SEXUAL RELATIONSHIPS

15

SOME SEXUAL CHALLENGES IN SOCIETY

16

SEPARATION AND DIVORCE

17

SEXUAL HAPPINESS IN LIFE – THE IDEAL RELATIONSHIP

18

SEXUAL BURNOUT

19

PROSTATE ENLARGEMENT

20

CANCER OF THE PROSTATE

21

MISCELLANEOUS

22

SEX IN OLD AGE

23

CONCLUSION

BIBLIOGRAPHY

Also by Allan Russell Juriansz

1.The Fair Dinkum Jew – The Abrahamic Covenant and the Security of Israel.

2.King David’s Naked Dance – The Dreams, Doctrines, and Dilemmas of the Hebrews.

3.The Hebrew Messiah – The Glory and Triumph of Israel

4.Colonial Mixed Blood – A Story of the Burghers of Sri Lanka

5.The Spousal Relationship – To Love and be Loved are the Deepest Human Needs

6.Jesus of Bethlehem – The Davidic King of the Jews

7.O Taste and See – The Life and Theology of King David

PREFACE

Caring for your prostate is caring for your sex life. In this book I discuss several peripheral topics that are relevant to your sex life. Knowing about these and understanding how to manage them is very important.

I have now practiced as a urologist for 50 years. I performed urological surgery until 2005. Since then, I have been a non-operating consultant. While I see all referrals with urological problems, those requiring surgery I refer to my urological colleagues who are doing surgery. I care for my patients in an office practice. Many of those I see requiring surgery do see me postoperatively as well. A large part of my practice has been caring for prostate problems and I feel I have come to understand the prostate quite well and how prostate problems cause trouble. Much can be done to prevent prostate problems.

Women do not have prostates. The Glands of Skene are thought to be the equivalent of the prostate in women. Problems with these glands are usually cared for by gynecologists. But I do see women regarding many urological problems and the occasional woman with problems with the Glands of Skene. But this is not the subject of this book.

I have come to believe that good care of the prostate can obviate most of the problems encountered, except for age related enlargement and prostate cancer, which are no respecters of men, and can attack any man, irrespective of good care. Prostate cancer can run in the family besides being sporadic. Generally, urologists quote a familial incidence to be 30% higher. Recent research estimates genetic factors to have a 40-50% penetrance (see Giri et al (2016) in Bibliography).

While I intend to pay major attention in this book to the health of the prostate, I realize that it has to be within the context of the urogenital system and sexuality. Therefore, since the prostate is one unit of the sexual chain there will be significant attention paid to the whole sexual unit. The prostate is the most symptomatic and disease prone item in the sexual chain. There is no sexual enjoyment when the prostate is sick. A healthy prostate is pivotal to an enjoyable sex life.

I want to avoid medical jargon in this brief book. This will help the nonmedical person to understand the subject. There will be unavoidable use of some terms which are cumbersome, but which I will do my best to explain. Generally, doctors are prone to have difficulty communicating well with their patients, and surgeons are prone to spend less than optimal time talking to their patients. I have been guilty of this in times past, but since I no longer perform surgical procedures, I have more time to converse with my patients. This I have come to enjoy greatly. I still miss the stress and satisfaction which surgery gave me.

I have read many medical books written about the prostate by experts in my field, many of which are outstanding. I will append a bibliography at the end of this book. But I am still to come across a down to earth book of advice in lay language which covers the scope of caring for the prostate as a part of sexual life. I hope this book fills that gap.

I will mention my general and medical training. I obtained a Bachelor of Education degree from Avondale University in Australia. My MD medical degree was from Sydney University Medical School also in Australia. This was granted as MB, BS but is the equivalent to the North American MD degree. In Canada for registration to practice I had to pass the final year examinations, the same as all Canadian final year medical students. My entire urological training was within the University of Toronto Teaching Hospitals. I qualified for the CRCSC (Certification) in specialist urological surgery, and FRCSC (Fellowship) in academic urological surgery, both degrees granted by examination with The Royal College of Physicians and Surgeons of Canada. I have practiced urology in Toronto except for a five-year hiatus after retiring from surgery, when I practiced as a consultant in urology in New South Wales in Australia. I am back in Toronto since 2011. My pediatric urology training was at the Toronto Hospital for Sick Children, where I spent two years. The first year was as Research Fellow in Urology, then six months as Chief Resident in Urology. Finally six months as staff urological surgeon. Subsequently my wife and I went on Mission Service to the Far East for three years. This we enjoyed tremendously.

On return I attended at the North York Branson Hospital, the Humber River Regional Hospital, and latterly at North York General Hospital. At Branson and Humber Hospitals I was Chief of Urology, and for a five-year term Chief of Surgery at Branson. During the Branson tenure I was also Chairman of the Intern Training Committee for fourteen years, serving concurrently as Tutor in Surgery at the University of Toronto. Along the way I served three years as President of Medical Staff which included serving on the Branson and North York General Hospital Boards.

I write also on spiritual subjects, a very enjoyable part of my life. And I have written my ancestral family history.

Allan Russell Juriansz

INTRODUCTION

Caring for your prostate is caring for your sex life. And your sex life functions in your whole body. With most men their sex lives are central to their existence.

The human body is the most intricate and wondrous machine in existence. Every day I marvel at its complexity and function. Today much more is known about it than when I was a medical student. It was built to last forever. But the ravaging influences in our environment eventually destroy us. The conviction that we could last forever came from Australian Elizabeth Blackburn, Nobel Laureate. Her book THE TELOMERE EFFECT explains this possibility. I had the fortune of attending her honored lecture at Sydney University in Australia, days after she received the Nobel Prize. Blackburn and her associates discovered telomeres and have shown that the health of the telomeres is vital in living longer. The telomeres are the guardians of our chromosomes