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Hello Dr, Following Is The Recent Urology History Of My

Posted on Thu, 2 Jan 2020

Question: Hello Dr, Following is the recent Urology history of my father. 1stly as par of preventive annual health checkup abdominal ultrasound was performed. During post consultation Dr. advised to consult a Urologist. Then during follow up consultation with Urologist other 2 tests were performed. Kindly find attached in sequence of occurrences 1. Abdominal ultrasound 2. Urologist consultation 3. Uroflowmetry report 4. PSA total. Kindly advise. Thanks, Ankit Mathur

Answered by Dr. Dr. Prasad J (10 hours later)

Brief Answer:
Prostate enlargement...

Detailed Answer:
Hi,

I went through the reports with diligence. The reports show enlarged prostate with smooth margin and significant post void residue. PSA level is also elevated; uroflometry shows features of obstruction. Thee findings are suggestive of BPH. Serious cause like a cancer is less likely. I will recommend a urology consultation for further evaluation.

He will also need to get a urine test (routine/microscopy and culture if needed). He will be started on conservative treatment with medications and PSA level repeated after a while. Surgery and biopsy may be planned if deemed necessary.

Hope this helps. Let me know if you need clarifications.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Prasad J (7 hours later)

Hello Dr, Many thanks for your advise.. Next appointment with Urologist is in coming week. Please also find attached complete blood test report does this help with any further analysis. awaitng for your reply. Thanks again, Ankit

Answered by Dr. Dr. Prasad J (31 hours later)

Brief Answer:
CBC report unavailable..

Detailed Answer:
Apologies for the late reply...

I don't see any new reports here. Only the four earlier report is available. There may have been an error while uploading. Retry uploading it.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Prasad J (34 hours later)

Hello Doctor,

Report copy attached "L K Mathur CBC Report 2019"

Thanks,
Ankit

Answered by Dr. Dr. Prasad J (12 hours later)

Brief Answer:
Other reports essentially normal...

Detailed Answer:
Hi,

Thanks for updating. All other reports seems essentially normal. I did not find any concerning parameters there.

In this context, the only finding that is to be explored / evaluated is the PSA value. As I mentioned earlier, it may be risen due to BPH and it can be treated either with medication or surgery. His urosurgeon will take a call on that.
Let me know the status after the next urology appointment.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Prasad J (10 minutes later)

Thank you so much Dr. XXXXXXX for you in-depth analysis and reassurances. I'll seek your valuable inputs again post urologist consultation/PSA.

Answered by Dr. Dr. Prasad J (2 hours later)

Brief Answer:
Wish him good health!!

Detailed Answer:
I will look forwards to know his urologist opinion. Hope he gets well soon.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar