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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This Prostate Ultrasound Report Indicate?

Please could you advise me on these questions. I have a benign prostate of size 47x45x33 and adenoma of siz 10mm Is that a large prostate? Is it time to take Finasteride? I have been prescribed Nitrofurantoin for clearing my urine. Is this a common tablet? Thank you
Wed, 12 Oct 2016
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General & Family Physician 's  Response
Enlargement of prostate gland is common in men after the age of 50. Cure is possible by removing the prostate gland by surgery. Surgery for prostate removal is done when symptoms become intolerable or are not responding to medicines.
Finasteride is used for treatment of enlarged prostate. It is very effective in this condition. But you need to take it for long time to show its effect and is a prescription based medicine. So consult an urologist for written prescription. Nitrofurantoin is an antibiotic used for control of urinary tract infection which is very in enlarged prostate.
Advice
1.     Finasteride daily orally
2.     Continue nitrofurantoin as suggested
3.     Avoid drinking alcohol, tea, coffee or cola as these substances irritate urinary bladder and symptoms worse
4.     Consume less water in the evening but drink at least 3 liters of water in the day time
5.     Empty your bladder while going out of home/office
6.     Eating more fruit and fiber to avoid constipation which can put pressure on the bladder worsening symptoms
7.     Double void to completely empty your bladder – this involves waiting a few moments after you have finished passing urine before trying to go again
8.     Investigations
a.     R/E urine
b.     C/S of urine
c.     Serum PSA
If you have already done above tests then there is no need for repeat test.
I hope this information will help you. I will be happy if you ask another question
Thanks
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What Does This Prostate Ultrasound Report Indicate?

Enlargement of prostate gland is common in men after the age of 50. Cure is possible by removing the prostate gland by surgery. Surgery for prostate removal is done when symptoms become intolerable or are not responding to medicines. Finasteride is used for treatment of enlarged prostate. It is very effective in this condition. But you need to take it for long time to show its effect and is a prescription based medicine. So consult an urologist for written prescription. Nitrofurantoin is an antibiotic used for control of urinary tract infection which is very in enlarged prostate. Advice 1. Finasteride daily orally 2. Continue nitrofurantoin as suggested 3. Avoid drinking alcohol, tea, coffee or cola as these substances irritate urinary bladder and symptoms worse 4. Consume less water in the evening but drink at least 3 liters of water in the day time 5. Empty your bladder while going out of home/office 6. Eating more fruit and fiber to avoid constipation which can put pressure on the bladder worsening symptoms 7. Double void to completely empty your bladder – this involves waiting a few moments after you have finished passing urine before trying to go again 8. Investigations a. R/E urine b. C/S of urine c. Serum PSA If you have already done above tests then there is no need for repeat test. I hope this information will help you. I will be happy if you ask another question Thanks