Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

CT Scan Of Abdomen Shows Prostate Megaly Without Focal Lesions, Mild Thickening Of Bladder Walls, Lymphnodes Along Iliac Vessel. Treatment?

Sir, My father aged 72 developed uirnary troubles due to prostate enlargement and PSA reading of 36.The lower abdomen CT findings are 1.Prostate megaly with no focal lession,normal periprostatic facial planes appearing clear,bilateral obturator internmus muscle normal, no free fluid in abdomen, mild thinkening of bladder walls and small 6 to 8 mm lymphnodes along bilateral internal iliac vessel. Sir, with the above findings of CT and PSA kindly access the status and scope of treatment. Does LYMPHNODES suggest any dissemenation .
posted on Tue, 20 Nov 2012
Twitter Thu, 22 Nov 2012 Answered on
Twitter Fri, 23 Nov 2012 Last reviewed on
Report Abuse
Nephrologist,  's  Response
Hi
Thanks for your query
If your father has enlarged prostate and a high PSA he should see a urologist. The urologist may advice biopsy to decide if there is a tumour or if its a benign enlargement. Further treatment will be as per the diagnosis.
Good luck
I find this answer helpful
Urologist,  Dr. G.Srinivasan's  Response
Hi
Welcome to HCM.
I do agree with Dr Aditya on the line of approach.
If the PSA is this high, the next step would be to do a prostate biopsy.
If the result comes out as cancer, treatment options will be discussed regarding medical vs. surgical treatment.
If the result is not cancerous, repeat PSA is needed and if still high, biopsy may need to be repeated.
PSA of 36 means that the disease has spread beyond the organ and the lymph nodes may mean spread of the disease.
Pls consult a urologist asap for further action.
Wishing him good health.
Regards
DR GS
I find this answer helpful
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.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Recent questions on Prostate


Loading Online Doctors....
CT Scan Of Abdomen Shows Prostate Megaly Without Focal Lesions, Mild Thickening Of Bladder Walls, Lymphnodes Along Iliac Vessel. Treatment?

Hi Thanks for your query If your father has enlarged prostate and a high PSA he should see a urologist. The urologist may advice biopsy to decide if there is a tumour or if its a benign enlargement. Further treatment will be as per the diagnosis. Good luck