Aa
Aa
A
A
A
Close
Avatar universal

Enlarged Prostate

Dear Sir,
I am treated since oct.-12 for enlarged prostate,using drugs.The status is as under:
voiding vol:522/394/343ml,peak flow:14.6/9.3/11ml/s,Post void vol:115/130/49ml,PSA:8.78/6.0/3.59ng/ml.with respective dares:2nd Oct./25th Dec.and 22nd Mar2013.Now urologist wants to operate as medicines didn't help.If this situation is prolonged without drugs,what is the risk?what is benefit/v/s risk of surgery at 75?
What are the parameters to be monitored to assess the deterioration?I don't see any symptoms,as my urination frequency has reduced to half.
What are the target values of Uroflowmetry?
My prostate vol has changed from 55.7gms to 64 and then to 77gms on different machines.
Please advise as I don't have any other health issue.
Warm regards,
Best Answer
1711789 tn?1361308007
MEDICAL PROFESSIONAL
Hi there!

At the age of 75 these would be normal/ near normal flow rates and the post void volume and PSA levels have shown improvement over time. Though the post void volume is slightly higher than normal, it would not be considered particularly abnormal at the age of 75 years. If there are no specific symptoms such as recurrent UTI or urinary issues, I do not see a clear benefit in undergoing the surgery. Continuing the medication and regular monitoring of prostate size and PSA would be advised at this time. I would suggest discussing the situation and the suggested management plan in detail with your treating urologist.
Hope this is helpful.

Take care!
2 Responses
Sort by: Helpful Oldest Newest
Avatar universal
Thank you very much for your response.Unfortunately my Urologist has stopped drugs & advised only to go for Surgery,even though urgency is not envisaged.
I consulted my physician who in turn prescribed Veltam tablet-one at night & Himplasia one tablet in the morning,to continue for a month & then stop to assess any improvement.
I have no choice but to wait & watch.My enlargement is external and don't expect sudden problem.
As a matter of fact,if PSA wouldn't have been checked in Oct.2012,as 8.78,which is below 10,nothing serious,beyond, with 4/5times urination at night.With treatment I am alarmed of infection,possibility of cancer and what not.Sometimes no knowledge is blessing!
Since PSA is 3.6now and postviod vol is fairly ok with lower frequency of 2/3times,i must thank the physician/urologist,as cancer possibility is ruled out.
I am only concern as Duprost side reaction indicates induced cancer(Drugs.com),low bp & blurred vision.
If you can review and advise only for Flomax/Urimax instead of VELTAM,it may help me to discuss with my physician who started treatment once again after a month break.
I wish you would appreciate my anxiety, having read about Prostate on Internet,generated psychological impact.
Thanks once again.
with warm regards,
Helpful - 0
Have an Answer?

You are reading content posted in the Urology Community

Top Urology Answerers
Avatar universal
Southwest , MI
Learn About Top Answerers
Didn't find the answer you were looking for?
Ask a question
Popular Resources
Discharge often isn't normal, and could mean an infection or an STD.
Dr. Jose Gonzalez-Garcia provides insight to the most commonly asked question about the transfer of HIV between partners.
A list of national and international resources and hotlines to help connect you to needed health and medical services.
Herpes sores blister, then burst, scab and heal.
Herpes spreads by oral, vaginal and anal sex.
STIs are the most common cause of genital sores.