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Discussion in 'All Categories' started by Mohd Khurram - Apr 5th, 2012 5:03 pm.
Mohd Khurram
Mohd Khurram
My father who is 50+ suffering from Prostate enlargement problem, sometimes he is not able to release urine. what are the test we have to get done, also suggest the doctor we should consult.

re: Prostate by Dr M. K. Gupta - Apr 5th, 2012 10:06 pm
Dr M. K. Gupta
Dr M. K. Gupta
Dear Mohd Khurram

Your father should go for Transurethral resection of prostate and you can get this surgery done even at World Laparoscopy Hospital, Gurgaon.

The prostate is really a walnut-sized gland that forms area of the male reproductive system. The gland consists of two lobes, or regions, enclosed by an surface of tissue. As the diagrams show, the prostate is found in front from the rectum and merely below the bladder, where urine is stored. The prostate also surrounds the urethra, the canal through which urine passes from the body.

Scientists don't know all the prostate's functions. One of its main roles, though, is to squeeze fluid into the urethra as sperm undertake during sexual climax. This fluid, which helps make up semen, energizes the sperm and helps make the vaginal canal less acidic.

You may first notice the signs of BPH yourself, or your doctor could find that your prostate is enlarged during a routine checkup. When BPH is suspected, you might be referred to a urologist, a doctor who focuses on problems of the urinary system and also the male reproductive system. Several tests help the doctor identify the issue and choose whether surgical treatment is needed. The tests vary from patient to patient, however the following are the most typical.
Digital Rectal Examination (DRE)

This examination is often the first test done. A doctor inserts a gloved finger in to the rectum and feels negligence the prostate near the rectum. This examination provides the doctor a general concept of the size and condition of the gland.
Prostate-Specific Antigen (PSA) Blood Test

To rule out cancer as a cause of urinary symptoms, your physician may recommend a PSA blood test. PSA, a protein made by prostate cells, is often present at elevated levels in the blood in men who've cancer of the prostate. The U.S. Fda (FDA) has approved a PSA test to be used along with an electronic rectal examination to help detect prostate cancer in males who're age 50 or older and for monitoring men with cancer of the prostate after treatment. However, much remains unknown concerning the interpretation of PSA levels, the test's ability to discriminate cancer from benign prostate conditions, and also the best course of action following a finding of elevated PSA.

When there is a suspicion of prostate cancer, your physician may recommend a test with rectal ultrasound. Within this procedure, a probe inserted in the rectum directs sound waves in the prostate. The echo patterns of the sound waves form a picture of the prostate on a screen. To find out whether an abnormal-looking area is actually a tumor, the doctor may use the probe and the ultrasound images to guide a biopsy needle towards the suspected tumor. The needle collects a few bits of prostate tissue for examination with a microscope.
The flow of urine Study

Your physician may request you to urinate into a special device that measures how fast the urine is flowing. A reduced flow often suggests BPH.

Within this examination, the doctor inserts a small tube with the opening of the urethra in the penis. This process is performed after a solution numbs the inside of your penis so all sensation sheds. The tube, called a cystoscope, includes a lens and a light system that help a doctor begin to see the inside of the urethra and also the bladder. This test allows a doctor to determine the size the gland and identify the place and degree of the obstruction.

So in summary investigations required are:

Ultrasound KUB
X-ray chest PA view
Blood Sugar Fasting/PP

Please consult your GP for a general checkup of your father.

With regards

M.K. Gupta
re: Prostate by weeerasooriya - Jan 10th, 2013 9:07 am
I had prostate enlargement since about 2 years ago On doctors advice I took urimax 0.4 for about 3 months and took urimax 0.4 , 2 tablets and a avodart tablet daily for the last 6 months.Improvement- but now a bit of dribbling in the morning .also 1 or 2 night visits to toilet. What is the best treatment now -Age 72 years

Dear Sir,

You should go for Transurethral resection of the prostate (TURP), Which is a surgical procedure that involves cutting away a section of the prostate gland.
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