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Scan of urinary bladder shows fatty liver, prostatomegaly. What does it mean and precautionary measures?

My scanning report says.... URINARY BLADDER: the urinary bladder is well developed,wall thickness is normal. no evidence of calculus/any space occupying lession is seen. minimal post void residue PROSTATE: enlarged in size and normal in echotecture measuring 4.1*4.4*4.3cm no evidence of calculi/ calcification seen Wt 38gms IMPRESSIONS: FATTY LIVER PROSTATOMEGALY WT:[38]GMS so what does it mean...and what care should be taken ? what is the diet to be followed ? how to over come this problem.. by medicine or through operation... ?
Asked On : Wed, 10 Oct 2012
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Internal Medicine Specialist 's  Response
Dear friend, welcome and thanks for entrusting your query here at HCM !

Your report shows an enlarged prostate -prostatomegaly.
38 gm is a bulky gland.
You should consult an urologist, get examined (DRE) and general check-up.
If you are in the late middle age and above, you may be asked to check PSA levels.
Commonly prostate enlargement is benign-non cancerous.
If it is hard, irregular on DRE, it could be cancerous and will need evaluation.

Benign enlargement can be treated with medicines initially. If severe obstruction found (unlikely here as residual urine is minimal), TURP surgery may be needed.

Fat reduction in the diet may help fatty liver.
Please get lipids checked in the blood.

I hope you are fully satisfied with the guidance I gave.
I would be glad to answer any further queries.
Thank you and Good luck !
Answered: Wed, 10 Oct 2012
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