PROSTATE CANCER SUPPORT SCOTLAND
Formerly the Scottish Association of Prostate Cancer Support Groups

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Anaesthesia
to be given drugs in order to relieve pain and feeling during surgery. Anaesthetic — certain type of medication used to relieve pain or feeling during surgery. An anaesthetic can be:
* local, when you lose feeling to that part of your body into which the medication was injected, eg a needle prior to having a tooth pulled or drilled while you are fully awake;
* spinal, when anaesthetic medication is injected into the spinal canal and you lose all feeling from your waist down; or
* general, when administered for more major procedures where you lose consciousness and wake up when the procedure is over.

Benign
non-cancerous/non-malignant.

Benign Prostatic Enlargement
non-cancerous enlargement/growth of the prostate gland. This is caused by a type of tissue growth called benign prostatic hyperplasia (BPH).

Benign Prostatic Hyperplasia
A type of tissue growth that is associated with the prostate gland, is non-cancerous and is an abnormal increase in the number of cells in a tissue.

Biopsy
removal of tiny pieces of tissue. The cells are then analysed under a microscope to confirm or exclude the diagnosis of cancer.

Bulbourethral Glands (or Cowper’s glands)
two pea sized glands on each side of the prostate gland situated below it, forming part of the male reproductive organs and serve to secrete a mucous fluid which is added to semen.

Cancer
a general term used to describe abnormal cells, which multiply without control. Cancer cells can spread through the blood-stream and lymphatic circulation to other parts of the body.

CAT (CT) Scan
a series of detailed pictures of areas inside the body produced by a computer linked to an X-ray machine. Also called computerised axial tomography.

Chemotherapy
refers to treatment of any disease by chemical medication. Commonly it is loosely used as an expression when anti-cancer (cytotoxic) medications are used.

Cystitis
infection/inflammation of the bladder.

Cystoscope
an instrument used to look at the inside of the bladder.

Cystoscopy
a procedure in which an instrument is introduced into the urethra under local anaesthetic, to view the bladder and prostate.

Cytotoxic
any substance which affects cells in a negative way. This term is commonly used to describe special medications that are used to kill cancerous cells in the body.

Digital Rectal Examination
a simple test performed by a doctor, who inserts a gloved, lubricated finger into the rectum to examine the back passage and feel the prostate gland.

Epididymis
a long tube which lies atop each testicle and functions as a reservoir of sperm produced by the testes.

Hormone
a chemical substance that is formed in one part of the body, travels through the blood, and affects the function of cells elsewhere in the body.

Hyperplasia
an abnormal increase in the number of cells in a tissue

Immune System
the system that protects the body against an attack of any infective or allergic disease.

Impotence
inability to achieve erection of the penis, sufficient to engage in sexual intercourse.

Incontinence
inability to control urine discharge. Incontinence may be due to a wide range of medical conditions.

Inflammation
redness, heat, swelling and pain, in a tissue caused by physical or chemical injury or bacterial invasion.

Luteinizing Hormone Releasing Hormone (LHRH) Agonist
a substance that resembles LHRH which controls the production of sex hormones. The LHRH agonists keep the testicles from producing hormone (testosterone).

Lymph Nodes (GLANDS)
small oval shaped nodes situated along the course of blood vessels. They prevent entrance of infections and other noxious material entering the bloodstream.

Male Reproductive Organs
consist of the scrotum, testes, penis, spermatic cord, seminal vesicles, prostate/bulbourethral glands.

Metastasis
the spread of cancer from one part of the body to another.

Milking (urethral)
the small amount of urine not expelled after passing urine, which is expressed or “milked” by placing fingers of one hand several centimetres behind the scrotum and bringing them upward and forward towards the base of the penis. This action empties the resevoir of urine not passed.

MRI
Magnetic Resonance Imaging. A magnet is linked to a computer used to create pictures of areas inside the body.

Oestrogen
a sex hormone produced by the ovaries.

Oncologist
a doctor specialising in the diagnosis, treatment and management of cancers.

Orchidectomy
surgical removal of the testicle(s).

Palliative Care
care of persons whose disease is not responsive to curative treatment. The goal of palliative care is achievement of the best possible quality of life for the person and their family.

Pelvic
meaning the area of the body located below the waist and surrounded by the hip and pubic bones.

Penis
male reproductive organ consisting of a body or shaft which starts deep inside the body and extends externally to the end of the penis at the glans.

Perineal (perineum)
area of body between the anus and the scrotum.

Post Micturition Dribbling
dribbling after urination.

Prostate Gland
forms part of the male reproductive organs and lies under the bladder and surrounds the urethra at that junction. It secretes a milky fluid which is added to semen during ejaculation.

Prostate Specific Antigen (PSA) Blood Test
a test which examines a protein in the blood. The level of PSA rises in men who have benign enlargement of the prostate gland, an infection of the prostate gland or cancer of the prostate.

Prostatectomy
removal of all or part of the prostate gland. There are two main types: * Trans-Urethral Prostatectomy (TURP) - removes part of the tissue surrounding the urethra which may be blocking the flow of urine.
* Radical Prostatectomy - removes all of the prostate, and the seminal vesicles.

Prostatitis
infection/inflammation of the prostate gland, usually caused by bacteria.
Radiation Therapy
treatment with energy rays from X-rays or other sources to damage cancer cells.

Radical Prostatectomy
surgical removal of the entire prostate gland including the capsule, and the seminal vesicles.

Radiotherapist
a specialist doctor who uses X-rays and radioactive substances to diagnose and treat diseases.

Rectum
the last part of the large intestine leading to the outside of the body (anus).

Resectoscope
an instrument designed to remove tissue from the prostate gland or bladder, via the urethra to undertake a biopsy.

Retrograde Ejaculation
semen is passed back into the bladder.

Scrotum
is a pouch of skin forming part of the male reproductive organ that contains the testes, spermatic cords and epididymis.

Semen
fluid produced by the male reproductive system and consists of sperm, fluid from the seminal vesicles and prostate/bulbourethral glands.

Seminal Vesicles
two highly coiled glands attached to the bladder and prostate gland forming part of the male reproductive organs which secrete a mucous fluid that is added to the semen during ejaculation.

Staging
tests or examinations to determine the extent of a cancer, especially whether it has spread from its original site to other parts of the body. The most common staging system is the TNM system.

Stress Incontinence
uncontrolled loss of a small amount of urine as a result of any strenuous activity, laughing, coughing, sneezing or lifting heavy objects.

Testicles
part of the male reproductive organs consisting of two oval shaped glands in the scrotum which produce sperm and the male hormone testosterone. Prior to ejaculation sperm is released from the epididymis which acts as a reservoir of sperm and is added to it to form part of the semen.

Testosterone
male hormone produced by the testes.

Trans Rectal Ultrasound
an examination where a small ultrasound instrument is inserted into the persons back passage (rectum) and images of the prostate gland are produced on screen and film.

Transurethral Resection of the Prostate (TURP)
a surgical procedure that uses a special instrument inserted into the urethra which is capable of removing part or all of the prostate gland.

Tumour
an abnormal mass of tissue.

Ultrasound
an examination where sound waves are transmitted into the body and the echos received are used to produce images on screen and film.

Urethra
tube running along the length of the penis from the bladder through which urine and semen exit.

Urethral Milking
refer to MILKING (urethral).

Urethritis
inflammation of the urethra.

Urethroplasty
dilation of the prostatic urethra using a special catheter with an in-built balloon which is inflated at the correct site to re-establish a more open urethra by squeezing the prostate gland.

Urodynamics
tests in which the bladder is filled with fluid, and pressures in the bladder and urethra are measured during filling and emptying. It is an important means of finding out why a person is incontinent.

Urologist
a specialist medical doctor who diagnoses, manages and treats diseases of the urinary tract in men and women.

Vasectomy
an operation which cuts or ties off the two tubes (known as vas deferens) that carry sperm out of the testicles.

Watchful Waiting (Active Monitoring- Active Surveillance or Deferred Treatment)
A decision to wait and monitor progress of mild symptoms of prostate disease.

Acronym Descriptions

BNI Bladder Neck Incision (also known as TUIP)
BPE Benign Prostatic Enlargement
BPH Benign Prostatic Hyperplasia
EBR External Beam Radiotherapy
GP General Practitioner (Doctor)
LHRH Luteinizing Hormone Releasing Agonist
LUTS Lower Urinary Tract Symptoms
PSA Prostate Specific Antigen
TNM Tumour Node Metastasis
TUIP Transurethral Incision of Prostate (also known as BNI)
TUMT Microwave Therapy
TUNA Radiofrequency Needle Ablation
TURP Transurethral Resection of the Prostate
TVP Electrovaporisation

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PROSTATE CANCER SUPPORT SCOTLAND
Formerly the Scottish Association of Prostate Cancer Support Groups
President: John Duncan
Scottish Charity No. SC 029158