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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Treatment Is Suggested For Enlarged Prostate?

Hi, my father has an enlarged prostate and is affecting his health. His urologist suggested that he should undergo an operation, but first, they must check if his heart is capable of such. So his cardio would like him to undergo angiogram. Is it advisable for him to undergo such process knowing that he is already 76 years old and is diabetic? and What is the difference between 2-D Echo and Angiogram? please enlighten me. thank you.
Wed, 13 Jul 2016
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Urologist,  's  Response
Hello
Thanks for query .

Enlarged Prostate is a disease that affects man after the age of 60 years when most of the men have cardiac problems and diabetes .However there is no risk in operating after proper evaluation as far as cardiac status and diabetes is controlled .

It is not mandatory to do angiogram to assess the cardiac status .
The 2D Echo Cardiogram is an ultrasound study of heart and is an invasive procedure and routinely carried out before any surgery in elderly patients to assess the cardiac function and ejection factor where as angiogram is invasive procedure where radio opaque dye is injected in to femoral vein and mainly done to study the status of coronary arteries (blood vessels supplying blood to heart itself) .

It is not done if one has to undergo endoscopic surgery for Prostate removal(TURP) .

Dr.Patil.
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What Treatment Is Suggested For Enlarged Prostate?

Hello Thanks for query . Enlarged Prostate is a disease that affects man after the age of 60 years when most of the men have cardiac problems and diabetes .However there is no risk in operating after proper evaluation as far as cardiac status and diabetes is controlled . It is not mandatory to do angiogram to assess the cardiac status . The 2D Echo Cardiogram is an ultrasound study of heart and is an invasive procedure and routinely carried out before any surgery in elderly patients to assess the cardiac function and ejection factor where as angiogram is invasive procedure where radio opaque dye is injected in to femoral vein and mainly done to study the status of coronary arteries (blood vessels supplying blood to heart itself) . It is not done if one has to undergo endoscopic surgery for Prostate removal(TURP) . Dr.Patil.