The prostate is a small organ with a big impact on men’s health. Yet many men don’t know exactly what the prostate does, what symptoms may appear, or what the consequences of surgery can be. In this blog, we answer frequently asked questions about the prostate – from the first symptoms to life expectancy after removal.

Table of contents prostate

What is the function of a prostate?

The prostate is a small gland, roughly the size of a walnut, located just below the bladder. In men, the prostate plays an important role in reproduction. It produces a fluid that protects sperm and helps them move more easily. During ejaculation, this fluid mixes with the sperm cells, increasing the chance of fertilisation. Although prostate-related problems often arise later in life, every man has to deal with the prostate at some point. Because the prostate sits so close to the urethra, enlargement or inflammation can directly affect urination. That is why it is important to be aware of both the function of the prostate and the potential issues this gland can cause.

What are the first symptoms of problems with prostate?

Prostate problems usually develop gradually. A common early sign is difficulty urinating. This may present as a weaker urine stream, dribbling after urination, or the feeling that the bladder does not empty completely. Needing to get up more often at night to urinate can also be a sign of an enlarged prostate. Some men experience a sudden, strong urge to urinate. In more severe cases, blood in the urine or pain during urination may occur. These symptoms do not always point directly to prostate cancer; they are often caused by benign prostate enlargement or inflammation. Nevertheless, it is wise to consult a doctor if symptoms persist. Early detection makes treatment simpler and increases the chance of maintaining a good quality of life.

Can a man live without a prostate?

Yes, a man can live without a prostate. The prostate may be removed in cases of prostate cancer or severe conditions such as persistent enlargement. After such an operation, also known as a prostatectomy, the body continues to function normally. However, significant changes do occur. Because the prostate plays a role in fertility, it is no longer possible to conceive children naturally after the operation. In addition, men may experience side effects such as erectile dysfunction or urinary incontinence. These effects vary from person to person and depend on factors such as the surgical technique used and individual circumstances. Despite these consequences, many men are able to maintain a good quality of life without a prostate, especially when they receive appropriate medical and psychological support.

What is the normal value of the prostate?

When doctors refer to the “value” of the prostate, they usually mean the PSA level (Prostate-Specific Antigen). This is a protein produced by the prostate that can be measured with a blood test. An elevated PSA level may indicate issues such as inflammation, enlargement or prostate cancer. What is considered normal varies by age. Younger men are expected to have lower PSA levels, while slightly higher values are more common in older men. For this reason, doctors always assess PSA in context, taking into account age, symptoms and medical history. An elevated PSA level does not automatically mean cancer, but it can be a reason for further investigation, such as an ultrasound or biopsy.

How can I keep my prostate healthy?

A healthy lifestyle has a positive effect on prostate health. Regular physical activity helps improve circulation and reduces the risk of prostate-related problems. Diet also plays an important role: eating plenty of vegetables, fruit, fish and whole grains supports overall health. Limiting red meat, saturated fats and alcohol can also be beneficial. In addition, maintaining a healthy weight and drinking enough water are important. Quitting smoking is strongly advised, as smoking increases the risk of cancer. Finally, prevention matters: if you experience symptoms, or from a certain age onwards, regular prostate checks are recommended. This allows potential issues to be detected early and helps prevent complications.

What are the consequences of removing the prostate?

Prostate removal is a major surgical procedure with several potential consequences. First of all, a man loses the ability to father children, as seminal fluid is no longer produced. In addition, temporary or permanent bladder control problems may occur, such as urine leakage during physical exertion. Erectile dysfunction is also common, as nerves around the prostate can be affected during surgery. Not every man experiences these side effects to the same extent. Some recover largely, while others may have lasting symptoms. With physiotherapy, medication or supportive aids, many of these problems can be reduced. It is therefore important that men who are considering this operation are well informed about its potential impact on daily life and relationships.

Is prostate surgery a major procedure?

Prostate surgery is a major procedure that can be physically and emotionally demanding. Recovery often takes several weeks to months, depending on the surgical technique and the patient’s overall condition. Immediately after the operation, a man may experience pain, fatigue and difficulty urinating. The psychological impact can also be significant, as the surgery affects intimacy, sexuality and self-confidence. Nevertheless, many men experience an improvement in symptoms and quality of life over time, especially when the operation was a life-saving treatment for prostate cancer. Modern surgical techniques, such as robotic surgery, often result in less tissue damage and a faster recovery.

How many men are still potent after prostate removal?

Potency after prostate surgery is an important topic. In some men, the ability to achieve erections is preserved, particularly if the nerves surrounding the prostate can be spared during surgery. However, many men experience erectile difficulties after the procedure. Research shows that a significant proportion of men regain sexual activity over time, sometimes with the help of medication or aids such as injections or vacuum devices. Factors such as age, overall health and the surgical technique used all play a role. Although fertility is lost, many men are able to rediscover a satisfying sex life. Proper guidance from a physician or sexologist can make a substantial difference in this process.

What is the life expectancy after prostate removal?

Life expectancy after prostate removal largely depends on the reason for the surgery. In men with prostate cancer, the procedure can be life-saving, especially when the disease is detected at an early stage. Many men go on to live for many years with a good quality of life. When the prostate is removed for other reasons, such as benign enlargement, this usually has little impact on life expectancy. General health factors such as age, physical condition and lifestyle also play an important role. In short, prostate removal can be a major intervention in daily life, but it does not necessarily shorten life expectancy. Early diagnosis and good follow-up care remain crucial.