Hello My Dad's Prostrate Is Enlarged In Dimension And Weight

Posted on Thu, 15 Nov 2018

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 15 Nov 2018 Answered on

Last reviewed on

Question : Hello
My Dad's prostrate is enlarged in dimension and weight as per the given USG report. Kindly suggest any medicines for this condition which he can take. His age is 71 years.

Answered by Dr. Remy Koshy (-4 hours later)

Brief Answer:
Need more info

Detailed Answer:
Hello and welcome to "Ask A Doctor"

I have gone through the query and the attached report.

Before I can guide you any further, kindly provide me with the following details:
- Does he have any associated chronic illnesses?
- Does he have associated incomplete evacuation of urine, difficulty in passing urine, lower abdominal pain etc?
- Have you done a urine flow test If so pls upload the report.

Awaiting your reply,
regards

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Remy Koshy (24 minutes later)

Hello Doc
1. No chronic illnesses
2. There is no present urine issue. Urine flow is fine.
3. we havent done the urine test yet.

Follow up: Dr. Remy Koshy (2 hours later)

But physically checking, there is no issues in Urine flow and he doesnt have any present difficulty. He had a mild difficulty once 1.5 years back but it eased on its own.

Answered by Dr. Remy Koshy (17 hours later)

Brief Answer:
Explained below

Detailed Answer:
Hello again,
Thanks for writing back,

Sorry for the long delay in replying back,

Since your father does not seem to have any bothersome symptoms, I would suggest it best to watch and wait for now, rather than taking any medications. This is a normal condition that arises in almost all men in their older age. At this point, there is no need for an urine flow cytometry, as he is not symptomatic.

I would suggest him to do the following:
- Making necessary lifestyle changes like:
* Avoid drinking too much water or beverages before going to bed.
* Avoid tea or coffee and alcohol
* Urinate when the urge arises, do not wait.
* Avoid decongestants and antihistamines.
* Watch for signs and symptoms

You may consider using TAMSULOSIN 0.4mg once daily if he has any symptoms like not able to control urine, incomplete evacuation of urine, difficulty in passing urine etc.

I hope this helps,

Please feel free to discuss further,
Regards

Above answer was peer-reviewed by : Dr. Remy Koshy