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Prostatitis, prostate enlargemnet - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Men Sexual Problems
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3631 Questions
User :   Can prostatitis cause asymmetrical prostate?
Doctor :   Hi
User :   What are causes of asymmetrical prostate?
Doctor :   May I ask you a few questions pertaining to the prostate of the patient to advice you better
User :   yes indeed
Doctor :   May I know the age of the patient ?
User :   50
Doctor :   Ok.
User :   btw, psa jumped from 1 to 4 in one year. had exam, doc reported asymmetrical. Biopsy in two weeks
Doctor :   How large is the Prostate and is there any significant narrowing of the urethra ?
User :   cannot report size. Doc noted right lobe larger than left. no narrowing of urethra
Doctor :   Ok.
Doctor :   Usually in prostatic hypertrophy there is no equal enlargenent of both the lobes.
User :   doc said i do not have bph
User :   have had prostatits for 20 plus years. PSA however has been approx 1 for last five years
User :   and now psa has jumped to 4 (actually 4.1)
Doctor :   Usually we recommend two consecutive tests in two weeks for PSA , and then take a decision regarding a biopsy or anyhting else.
User :   thanks. Did two tests however first was on Monday of last week (4.1) and a second that Friday (8 days ago) that came in at 4.5
Doctor :   Ok, That is indiactive of a bit higher levels
User :   So, any thoughts to causes of the asymmetry? Doc shared that that bothered him, hence the biopsy.
User :   I realize there could be several causes but wondering if the prostatitis a factor. Can it flare up from time to time? Symptoms come and go over the years.
Doctor :   Do you have any of these symptoms :inability to pass urine,
Difficulty starting or stopping the urine flow,
Need to urinate often, especially at night
Weak flow of urine,
Urine flow that starts and stops,
Pain or burning during urination,
Difficulty having an erection ,
Blood in the urine or semen,
Frequent pain in the lower back, hips, or upper thighs ?
User :   Urinate often. No difficulty starting or stopping. Burning occasionally. No blood. No frequent lower back, hips, or upper thighs - however i am experiencing these now. Off and on difficulty re erection
Doctor :   As i Have mentioned in the chat previously that, Usually in prostatic hypertrophy there is no equal enlargenent of the two lobes and unequal enlargement is very common.
User :   Thanks. The doc did say that he did not think i had bph (is that different from prostatic hypertrophy that you mention above?)
Doctor :   Did he do a rectal examination for you ?
User :   yes
Doctor :   Ok, That is encouraging.
User :   y
Doctor :   It is almost the same.
User :   Sorry, do not understand. Almost the same as what please?
Doctor :   That is what we call in this part of the world collectively for all prostate enlaregments
Doctor :   As Digital rectal examination is the best possible test to see prostate enlargement.
User :   Oh, I understand now. Thanks. So, guess will see what the outcome of the biopsy is
Doctor :   I feel it would be negative, lets hope for the best.
User :   THank you very much. Have a great weekend.
Doctor :   Have a happy weekend .
Doctor :   Take care, bye for now.
Doctor :   Thank you for consulting me.
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