The prostate gland, a small but essential organ found only in men, plays a key role in reproductive health. It produces fluid that nourishes, protects, and transports sperm, yet many focus only on its connection to prostate cancer.

Location & Function

• Situated between the bladder and penis, with the rectum behind it.
• The urethra passes through the prostate, carrying urine and semen.

Common Prostate Conditions

1. Prostatitis – Infection of the prostate:

• Symptoms: chills, fever, pus-like urethral discharge, painful urination, groin/testicular pain, painful orgasms, erectile dysfunction.
• Advice: Seek professional help; do not self-medicate.

2. Benign Prostatic Hyperplasia (BPH) – Non-cancerous enlargement of the prostate:

• Symptoms: frequent urination (especially at night), urge incontinence, difficulty starting urination, weak stream, painful urination, blood in urine, terminal dribbling, and in severe cases, inability to urinate.
• BPH can be extremely painful, sometimes compared to labor pains.

3. Prostate Cancer – Common among men, especially black men, often aggressive and with earlier onset:

• Risk Factors: older age, African descent, family history, obesity.
• Symptoms: frequent urination, straining, blood in urine/semen, weak urine flow, new erectile dysfunction; advanced stages may include fatigue, weight loss, and bone pain.

Diagnosis

• Digital rectal examination – checks for irregular or hard areas.
• PSA test, biopsy, ultrasound, CT/MRI/PET scans, bone scan.

Management

• Holistic approaches include watchful waiting, medication, surgery, and radiation (external & brachytherapy).
• Always discuss all options with your healthcare provider.

Risk Reduction Tips

• Regular screening
• Healthy, varied diet rich in fruits and vegetables (carrots, tomatoes, broccoli, kale, cauliflower)
• Maintain a healthy weight
• Exercise at least 5 days a week

Final Advice

• Share this information – the prostate needs support!
• Maintain good hygiene, walk and exercise daily, pray, and know your numbers (blood sugar, blood pressure, cholesterol, BMI).

Thought for the Week:

“There is no magic formula to being happy but making a conscious effort to be happy goes a long way.” – Dr. Kojo Cobba Essel

Dr. Essel invites readers to the La Palm Royal Beach Hotel Wellness Festival on Saturday, November 29, 2025, at 6 a.m., to walk, exercise, network, and share ideas to stay healthy.

Contact: dressel@healthessentialsgh.com

By Dr. Kojo Cobba Essel

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Every week in Ghana, a life is cut short, some­times in the middle of traffic, sometimes at a desk, sometimes in the quiet of sleep. A father doesn’t come home. A sister doesn’t wake up.

A colleague slumps at work and never gets back up. Families are left asking why and you will hear statements like what happened? Was he sick? I just saw him, he has not shown signs of ailment, what a shock and so on.

Behind many of these sudden tragedies is a quiet, invisible force: high blood pressure, or hypertension. It doesn’t scream for atten­tion. It doesn’t always show symptoms. But it tightens its grip silently on hearts, on brains, on lives.

This is not just a medical issue. It is a human one, it is about behaviour, it is about ignorance and it is about lifestyle. It is the grandmother who never got her blood pressure checked because she felt “fine.”

It is the taxi driver, the statistician, the nurse who ignored his pounding head­aches, thinking it was just stress. It is the young lady who was so vibrant at church and no one suspected she could fall and die. Because it shows no symptoms.

The alarming numbers we cannot ignore

The Ghana’s 2023 STEPS Survey on Non-Communica­ble Diseases conducted by The World Health Organisa­tion, Ghana Health Service and Ghana Statistical Service has revealed findings that should push for action.

According to the report, 21.7 per cent of adults aged 18 to 69 in Ghana are living with high blood pressure. Even more alarming is that 51.1 per cent of those with hypertension are not aware of their condition.

This means that more than half of the people with dan­gerously high blood pressure are walking around without knowing it until tragedy strikes. That is the real dan­ger of this silent killer.

Literature has shown that hypertension is prevent­able and manageable. But only if we treat it like the threat, it is. That means regular checkups; that means understanding the risks and that means talking about it openly, urgently, and with compassion.

The deadly power of myths

Why are so many Ghana­ians untested or untreated? Is it out of ignorance, or the pervasive myths about hyper­tension and its treatment?

• Some believe blood pressure medicine “weakens the body” or “shortens life.”

• Some believe blood pressure medicine “weakens the penis and kills sexual drive”

• Others think once you start taking medication, you are “dependent for life.”

• Many say, “I feel fine, so I must be fine.”

These beliefs are not only false, but they are also deadly. The truth, according to the World Health Organ­isation, is that effective treatment can reduce the risk of stroke by up to 40 per cent and heart attack by 25 per cent. Avoiding treatment does not prevent depen­dence rather, it accelerates death.

As Dr Patrick Kuma-Aboag­ye, former Director-General of the Ghana Health Service, has noted, “Hypertension is preventable and treat­able, but our biggest battle is misinformation and late detection.”

A national conversation we must have

This is not just a health issue it is a national emer­gency. Sudden deaths rob families of breadwinners, communities of leaders, and the country of its productiv­ity. In every obituary notice caused by hypertension, there is a story of loss that could have been prevented with a simple blood pressure check and treatment.

Behind every life saved is a moment of awareness, a decision to act, therefore, the media must rise to the challenge.

Radio and television pro­grammes should dedi­cate regular airtime to demystify hyper­tension. Newspapers should carry survivor stories, expert inter­views, and practical lifestyle advice.

Social media influ­encers should spread awareness in local languages, reaching young people who assume they are safe.

Public health experts also have a responsibility. Screen­ing must move beyond hospi­tals into churches, mosques, markets, schools, and workplaces. People should not have to wait for illness to know their BP status.

What we can do together

To stop the silent killer, we need a collective response:

• Check your blood pressure regularly, even if you feel healthy.

• Follow medical advice faithfully if diagnosed because treatment saves lives.

• For healthy life­style, eat less salt, reduce alcohol, reduce starchy, fat and oil intake, avoid smok­ing, and exercise at least 30 minutes daily.

• Encourage one another talk about blood pressure in families, commu­nities, and workplaces.

Conclusion: Silence is killing us

What kills is not just the disease, but the silence, fear, and myths that sur­round it. The STEPS 2023 re­port has sound­ed the alarm: nearly one in five Ghanaian adults has high blood pres­sure, and more than half don’t even know it.

This is the time for bold conversation, public educa­tion, and decisive action. The media, health profes­sionals, policymakers, and ordinary citizens must join forces to expose the myths, spread the facts, and save lives. Let us not wait for another headline.

Let us make blood pres­sure a national conversation before it becomes a personal tragedy. With awareness, treatment, and collective will, Ghana can stop the silence and stop the sudden deaths from the silent killer.

Written by: Ansah Moses Teye-Akam – Senior Statis­tician, Sociologist/Scientific Research Organisational Expert.

Email: moses.ansah@ statsghana.gov.gh/an­sahmosesteyeakam@ gmail.com.gh Contact: 0244539034 / 0204359034

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