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What Does This Ultrasound Report Of Prostate Indicate?

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Posted on Sat, 4 Jul 2015
Question: I'm a 62 year old male and recently did an ultrasound of my prostate :
Following are the results:
1. Prostate
The prostate measured 20cc in whole gland volume, with a median lobe volume of 5cc.
The size of the prostate is 3.4cm LS, x 4.7cm TS x 2.3cm AP.
The overall glandular echotexture appeared grosly normal.
The peripheral zones appeared symmetrical in size and echotexture.
Normal seminal vesicles.

2. Kidney
Right kidney measured 10.8cm LS. Left kidney measured 10.6cm LS
Both kidneys demonstrated diffuse increase in cortical echogenicity consistent with chronic parenchymal disease.
There is no evidence of calculi, unirary tract dilation or gross mass lesion.

3. Urinary Bladder
The Urinary bladder measured 135cc with a post-micturition residual volume of 5cc.
Normal bladder morphology.

What does this mean for me?
doctor
Answered by Dr. Anshul Varshney (10 minutes later)
Brief Answer:
Grossly normal.

Detailed Answer:
Welcome To HCM. I am Dr Anshul Varshney. I understand your concern.
Your Ultrasound report is grossly normal. However it needs to correlated with the clinical symptoms.
So please Mention for what symptoms your Ultrasound was performed.
This Is my opinion based on available details.
Revert with the asked details for a better help.
Stay Healthy.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Anshul Varshney (3 days later)
Dear Dr. XXXXXXX Varshney,

1. Please explain what "grossly normal" means.

2. Please give me your prognosis re the health of my kidneys

3. As per your "detailed response", I am a diabetic and also hypertensive. The ultrasound was requested by my physician because of "elevated creatine". Please give your professional view on the state of my prostate and kidneys. I would like a detailed response relative to the results of the ultrasound as previously submitted.
doctor
Answered by Dr. Anshul Varshney (4 hours later)
Brief Answer:
Get your diabetes and hypertension under control

Detailed Answer:
Hello,
Grossly normal means, that the prostate looks normal when you look through ultrasound. This is considered normal, if there is any difference in the gross look, then we consider biopsy.
As per your ultrasound report kidney's are compromised most probably because of your diabetes and hypertension.
The prostate is slightly enlarged and the post voidal residual urine is also not so muc. This doesn't require treatment if you are asymptomatic.
I would like to know your serum creatinine and blood urea levels to give a better comment.
Stay Healthy.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Anshul Varshney (45 hours later)
Thank you Dr. Varshney.

My last lab test showed my creatinine level as 1.6 and my urea level as 70.62.

Please explain what is meant by ; "asymptomatic".

Also what should I do and what medicine(s) would you recommend to treat the kidney problem?



doctor
Answered by Dr. Anshul Varshney (3 hours later)
Brief Answer:
Get blood sugar and Bp under control

Detailed Answer:
Hi
The word asymptomatic signifies in your case any symptoms of prostate like Urgency, frequency or hesitancy of urine.
Now, i am concerned, as you have developed Kidney dysfunction. Make a note, that there is no medicine to treat kidney dysfunction.
You just need to keep the precipitating factors under control like your diabetes and hypertension and need to keep a watch on your kidney function tests.
You should take an opinion from your nephrologist for the same.
I hope it helps you.
If you have any further query, please ask me.
Stay healthy.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Anshul Varshney (2 days later)
Goog day Dr. Varshney,

I am seeing my doctor on Monday, will contact you again if necessary. Thanks
doctor
Answered by Dr. Anshul Varshney (11 hours later)
Brief Answer:
Good luck.

Detailed Answer:
Great sir.
You may contact me whenever you have any doubts.
Good luck.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Anshul Varshney

Internal Medicine Specialist

Practicing since :2009

Answered : 3071 Questions

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What Does This Ultrasound Report Of Prostate Indicate?

Brief Answer: Grossly normal. Detailed Answer: Welcome To HCM. I am Dr Anshul Varshney. I understand your concern. Your Ultrasound report is grossly normal. However it needs to correlated with the clinical symptoms. So please Mention for what symptoms your Ultrasound was performed. This Is my opinion based on available details. Revert with the asked details for a better help. Stay Healthy.