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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment After Analyzing The USG Report

MY FATHER COMPLAINING OF INCOMPLETE FEELING AFETR PASSING URINE SINCE 3 MONTHS.HE IS 62 YRS OLD WITH 5FEET 8INCH HEIGHT AND ABOUT 75 KG.HE IS DIABETIC (CONTROLLED) SINCE 5 YEARS.HIS USG SHOWED PROSTATE SIZE OF (50/39/37 mm), PROSTATIC VOLUME IS 39.4 cc.PRE VOID RESIDUAL URINE IS 269cc. POST VOID RESIDUAL URINE IS 15cc.LIVER/KIDNEY/BLADDER/SPLEEN/PANCREAS/GALL BLADDER ARE NORMAL. KINDLY TELL ME THE TREATMENT

THANKS

SANTOSH JENA
Wed, 26 Apr 2017
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Urologist,  's  Response
Well, with age BPH is a common problem where one suffers from frequency, nocturia with poor urinary flow and sense of incomplete evacuation of bladder. Both medical management and surgery (TURP) r accepted standard treatment options.
In the case of ur father, with prostate vol of 34 cc and pvr of 15 cc and modertely obstructive symptoms, I suggest medical management as first option. Get urine routine and culture and Uroflowmetry tests done. start on Tamsulosin and Dutasteride combination drug...wait until 3 months to assess response by repeated USG KUB with PVR and Uroflowmetry.
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Suggest Treatment After Analyzing The USG Report

Well, with age BPH is a common problem where one suffers from frequency, nocturia with poor urinary flow and sense of incomplete evacuation of bladder. Both medical management and surgery (TURP) r accepted standard treatment options. In the case of ur father, with prostate vol of 34 cc and pvr of 15 cc and modertely obstructive symptoms, I suggest medical management as first option. Get urine routine and culture and Uroflowmetry tests done. start on Tamsulosin and Dutasteride combination drug...wait until 3 months to assess response by repeated USG KUB with PVR and Uroflowmetry.