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Painful prostrate, ultrasound showed mild renal parenchymal disease, grade 1 prostatic enlargement, fatty liver. Treatment advise?

Hi Dr. chandan, my father is 61yrs old and he is complaining of painful prostate . He went for an ultrasound and this is the report: Prostate measures 3.9x3.9x3.1cms with an approximate volume of 25.9cc. It shows a homogenous echo texture. No peri-urethral calcification nor intravesical extension is noted. Impression: -Mild Renal Parenchymal Disease, Bilateral -Grade 1 Prostatic Enlargement -Incidental Finding of Fatty Liver Please help me interpret the report and what shall my fatherdo? Thank you! Leo
Asked On : Sun, 23 Sep 2012
Answers:  1 Views:  390
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OBGYN 's  Response
Hi Leo,
Thanks for posting your query.
Your father has significant disease of prostate and the pain suggests that he may be suffering from prostatis as well. His prostate is enlarged and is the cause of obstructive uropathy and is causing changes in the kidney and would lead to rapid derangement of kidneys if left untreated.
You should get a urologist consultation and send the prostatc secretions for gram stain and culture.
If organism is detected then treat with antibiotics which would be helpful in great way but ultimately the surgery may be the only good solution.
Fatty liver might be not related to your current problem but a silent accompaniment.
I will be available for your follow up queries.

Answered: Mon, 24 Sep 2012
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