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The prostate gland is an organ that is located at the base or outlet (neck) of the urinary bladder. (See the diagram that follows.) The gland surrounds the first part of the urethra. The urethra is the passage through which urine drains from the bladder to exit from the penis. One function of the prostate gland is to help control urination by pressing directly against the part of the urethra that it surrounds. The main function of the prostate gland is to produce some of the substances that are found in normal semen, such as minerals and sugar. Semen is the fluid that transports the sperm to assist with reproduction. A man can manage quite well, however, without his prostate gland. (See the section on surgical treatment for prostate cancer.)
In a young man, the normal prostate gland is the size of a walnut (<30g). During normal aging, however, the gland usually grows larger. This hormone-related enlargement with aging is called b...30g).
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In a randomized, double-blind trial comparing therapy with EMCYT (estramustine) Capsules in 93 patients (11.5 to 15.9 mg/kg/day) or diethylstilbestrol (DES) in 93 patients (3.0 mg/day), the following adverse effects were reported:
| EMCYT n=93 |
DES n=93 |
|
| CARDIOVASCULAR-RESPIRATORY | ||
| Cardiac Arrest | 0 | 2 |
| Cerebrovascular Accident | 2 | 0 |
| Myocardial Infarction | 3 | 1 |
| Thrombophlebitis | 3 | 7 |
| Pulmonary Emboli | 2 | 5 |
| Congestive Heart Failure | 3 | 2 |
| Edema | 19 | 17 |
| Dyspnea | 11 | 3 |
| Leg Cramps | 8 | 11 |
| Upper Respiratory Discharge | 1 | 1 |
| Hoarseness | 1 | 0 |
| GASTROINTESTINAL | ||
| Nausea | 15 | 8 |
| Diarrhea | 12 | 11 |
| Minor Gastrointestinal Upset | 11 | 6 |
| Anorexia | 4 | 3 |
| Flatulence | 2 | 0 |
| Vomiting | 1 | 1 |
| Gastrointestinal Bleeding | 1 | 0 |
| Burning Throat | 1 | 0 |
| Thirst | 1 | 0 |
| INTEGUMENTARY | ||
| Rash | 1 | 4 |
| Pruritus | 2 | 2 |
| Dry Skin | 2 | 0 |
| Pigment Changes | 0 | 3 |
| Easy Bruising | 3 | 0 |
| Flushing | 1 | 0 |
| Night Sweats | 0 | 1 |
| Fingertip-Peeling Skin | 1 | 0 |
| Thinning Hair | 1 | 1 |
| BREAST CHANGES | ||
| Tenderness | 66 | 64 |
| Enlargement | ||
| Mild | 60 | 54 |
| Moderate | 10 | 16 |
| Marked | 0 | 5 |
| MISCELLANEOUS | ||
| Lethargy Alone | 4 | 3 |
| Depression | 0 | 2 |
| Emotional Lability | 2 | 0 |
| Insomnia | 3 | 0 |
| Headache | 1 | 1 |
| Anxiety | 1 | 0 |
| Chest Pain | 1 | 1 |
| Hot Flashes | 0 | 1 |
| Pain in Eyes | 0 | 1 |
| Tearing of Eyes | 1 | 1 |
| Tinnitus | 0 | 1 |
| LABORATORY ABNORMALITIES | ||
| Hematologic | ||
| Leukopenia | 4 | 2 |
| Thrombopenia | 1 | 2 |
| Hepatic | ||
| Bilirubin Alone | 1 | 5 |
| Bilirubin and LDH | 0 | 1 |
| Bilirubin and SGOT | 2 | 1 |
| Bilirubin, LDH and SGOT | 2 | 0 |
| LDH and/or SGOT | 31 | 28 |
| Miscellaneous | ||
| Hypercalcemia-Transient | 0 | 1 |
Milk, milk products, and calcium-rich foods or drugs may impair the absorption of EMCYT (estramustine) .
Last reviewed on RxList: 8/6/2008
This monograph has been modified to include the generic and brand name in many instances.
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