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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Prostatomegaly

Hi doc! My father was diagnosed with prostatomegaly grade 1 with concretions. He had undergone PSA test and digital rectal examination last month. PSA test shows 6.2 while the impression in full abdominal ultrasound is about 30grams. Urinalysis and culture shows no infection despite him having difficulty in urination. At 78, he is diabetic and hypertensive but the urologist who had seen him suggests that a biopsy would still be the best option in my father s case. However, due to the complications and invasiveness it will do considering my father s condition, I have hesitations as to push through with the procedure because of its after effect.. On the other hand, a part of me wants him to undergo biopsy based on my father s family history, symptoms and digital rectal exam impression. As this is the case, I d like to know if there are other possible tests (ultrasound etc.) to verify the gravity of his condition (bph or prostate cancer). Appreciate your response soonest. Thank you. Concerned daughter
Tue, 5 Nov 2019
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Internal Medicine Specialist 's  Response
Hi,

Two tests commonly used to screen for prostate cancer are the prostate-specific antigen (PSA) test and the digital rectal exam (DRE). But neither test, either alone or in combination, can give you a certain diagnosis of prostate cancer. PSA level between 4 and 10 ng/mL: This indicates that prostate cancer might be present. The only way to confirm prostate cancer is with a biopsy, but most men who have a prostate biopsy after screening exams do not have cancer.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Sameen Bin Naeem, General & Family Physician
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Suggest Treatment For Prostatomegaly

Hi, Two tests commonly used to screen for prostate cancer are the prostate-specific antigen (PSA) test and the digital rectal exam (DRE). But neither test, either alone or in combination, can give you a certain diagnosis of prostate cancer. PSA level between 4 and 10 ng/mL: This indicates that prostate cancer might be present. The only way to confirm prostate cancer is with a biopsy, but most men who have a prostate biopsy after screening exams do not have cancer. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sameen Bin Naeem, General & Family Physician