Are you having back pain with any of the following?

  • Severe pain, weakness or tingling in your leg(s).
  • Difficulty stopping urination or loss of control of bladder or bowels.
  • Unexplained fever, nausea or vomiting.
  • A history of cancer or unexplained weight loss.

We understand that you are experiencing one or more of the health issues that might be impacting your back pain.

We recommend that you discuss these health issues with your doctor before proceeding with this program.

Once you are cleared by your doctor to do this program, we hope it helps you find relief from your back pain.

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Focusing on key health issues that men face, we give you the tools to figure out your risk factors, recognize early warning signs, and take the right steps to ensure a long, healthy life.


The prostate is part of the male reproductive system.

  • It is a walnut-sized gland located in front of the rectum and below the bladder.
  • It produces most of the fluid in semen.

Your risk of prostate problems increases with age.

  • Like most organs, the prostate gland continuously grows new cells to replace old or injured cells.
  • Normally, new cells grow at the same rate that old cells die.
  • As you grow older, your prostate gland tends to grow larger.

Benign Prostatic Hyperplasia (BPH)

The most common prostate problem is benign prostatic hyperplasia (BPH). BPH is also known as an enlarged prostate. BPH may cause:

  • Narrowing or blockage of the urethra.
  • Problems with urination. 

In most cases, prostate enlargement is not cancerous. We recommend watchful waiting when symptoms are mild and not affecting your quality of life.


Prostatitis is inflammation of the prostate gland. Most of the time this is caused by a bacterial infection. Bacteria from the urine can infect the prostate. This may happen after a urinary tract infection.

There are two types of prostate infection, acute and chronic.

Acute infections develop suddenly. Symptoms include:

  • Fever and chills
  • Pain and burning during urination and ejaculation
  • Strong and frequent urge to urinate while passing only small amounts
  • Lower back pain
  • Abdominal pain
  • Blood in the urine (rare)

Prostate infections usually respond well to home care and antibiotic treatment. It’s also important to drink plenty of water.

Chronic infections cause milder symptoms. They don’t usually include a fever and chills. An infection can become chronic if antibiotics don’t work.

Non-infectious causes
Some men develop painful urinary symptoms without infection. This condition may be called prostatodynia. It is often related to stress or anxiety.

Prostate Cancer

Sometimes, cells in the prostate gland can grow abnormally at an uncontrolled rate. This can lead to cancer. A cancerous growth may:

  • Damage the normal tissue where it is growing.
  • Enter the bloodstream and/or the lymph system and spread elsewhere. 

Prostate cancer is the second most common cancer in men. Normally, it grows very slowly. Most men with prostate cancer will die from an unrelated cause.

Additional References:

Preventing Prostate Problems

The good news is that there are a number of steps you can take to reduce your risk of prostate problems. They include:

  • Regular physical activity
  • Staying trim and avoiding "belly fat"
  • Eating a low-fat diet
  • Eating at least 5 servings of vegetables each day

Learning how to manage the stress in your life may also keep your prostate healthy. Being sexually active is good for your prostate and can reduce stress, too. 

Additional References:

Screening for Prostate Cancer

In general, it’s important to get your prostate checked regularly between the ages of 50 and 69. When you start screening will depend on your:

  • Age
  • Health issues
  • Family history

If you have a strong family history of prostate cancer we may recommend that screening begin at age 45. This may be the case if:

  • Your father or brother has the disease
  • You are of African American descent

 For men age 70 and older, we don’t recommend routine prostate cancer screening. The risks of evaluation and treatment may outweigh the benefits of finding the cancer. Talk to your doctor about whether screening is right for you.

There is some controversy about screening and treating prostate cancer. We do know that:

  • The prostate-specific antigen (PSA) test helps save lives.
  • This test is not 100 percent accurate.
  • An enlarged or infected prostate can cause abnormal results.

If your test results are not normal, we may refer you to a urologist for more tests.

Additional References:

Related Health Tools:


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If you have an emergency medical condition, call 911 or go to the nearest hospital. An emergency medical condition is any of the following: (1) a medical condition that manifests itself by acute symptoms of sufficient severity (including severe pain) such that you could reasonably expect the absence of immediate medical attention to result in serious jeopardy to your health or body functions or organs; (2) active labor when there isn't enough time for safe transfer to a Plan hospital (or designated hospital) before delivery, or if transfer poses a threat to your (or your unborn child's) health and safety, or (3) a mental disorder that manifests itself by acute symptoms of sufficient severity such that either you are an immediate danger to yourself or others, or you are not immediately able to provide for, or use, food, shelter, or clothing, due to the mental disorder. This information is not intended to diagnose health problems or to take the place of specific medical advice or care you receive from your physician or other health care professional. If you have persistent health problems, or if you have additional questions, please consult with your doctor. If you have questions or need more information about your medication, please speak to your pharmacist. Kaiser Permanente does not endorse the medications or products mentioned. Any trade names listed are for easy identification only.

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