What Does The Following Ultrasound Report Indicate?

Posted on Mon, 7 Nov 2016

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

Mon, 7 Nov 2016 Answered on

Mon, 28 Nov 2016 Last reviewed on

Question : Dear Sir,
Recently i closed conversation with Dr. T Chandrakant who is at your panel. After seeing my USG reports as well as Blood and urine report he advised me to consult a Urologist , hence i am here conversing with you.
I am enclosing conversation with Dr. Chandrakant and my USG report of May 2016 plus Nov 2016 along with blood/urine report.

Answered by Dr. Dr. P. T. Patil (54 minutes later)

Brief Answer:
You need to get your prostate removed by endoscopic surgery (TURP)

Detailed Answer:
Hello
enlarged prostate
Thanks for query and uploading reports of blood, urine and Ultrasound Scanning of abdomen which reveals that you have obstructive voiding symptoms due to enlarged prostate more specifically due to median lobe projecting in to bladder and causing significant post void residue which is the cause for infection and developing secondary urinary stones in the middle calyx .

In view of the isolated enlarged median lobe which does not respond to medical line of treatment I would suggest you to consult qualified Urologist to resect enlarged prostate by an endoscopic surgery of Trans Urethral Resection of Prostate (TURP).

This is a gold standard surgery for removal of prostate practiced world wide and offers permanent cure .

Please consult qualified Physician for proper management of your Diabetes and abnormal liver functions detected on blood test and USG.

Hope I have answered your query .Please feel free to ask if you have more questions

Thanks and regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Dr. P. T. Patil (1 hour later)

Kindly suggest an Urologist

Answered by Dr. Dr. P. T. Patil (4 hours later)

Brief Answer:
You can consult any Urologist in XXXXXXX or XXXXXXX

Detailed Answer:
Hello
Thanks for follow up .

You can find out Urologist from local directory in XXXXXXX or through your family Physician .

Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (12 hours later)

dear Sir,

Apart from surgery could you suggest medications since i haven't taken any medicines for this ailment. Precisely i have taken medical advice first time for this problem. Moreover i am scare of surgery.

If there is no allopathic medication can you suggest alternative therepy.

Regards

Answered by Dr. Dr. P. T. Patil (3 hours later)

Brief Answer:
Medicine will not help to satisfactory extent in your case

Detailed Answer:
Hello
Thanks for follow up .

You have obstructive voiding symptoms due to mechanical obstruction at bladder outlet due to median lobe enlargement protruding in bladder .

I have observed closely over 43 years of practice that obstructive voiding symptoms due to isolated median lobe enlargement of prostate do not respond to medical line of treatment.More over medicines help only to improve urine flow but does not relieve primary cause that is Enlarged Median lobe .

You may take Tomsulosin (Urimax) once daily .

There s nothing to be worried about surgery .It will offer you permanent cure and will help to improve quality of life .

Thanks and Regards.
Dr.Patil.

Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar