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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Urge To Urinate, Nocturia, Blood Report Normal. History Of Mouth Cancer

Hi, my dad have mild prostatomegaly @ age 76. 3 yrs before suffered from mouth cancer and operated successfully... Clinical profile: increase frequency of mictutation with giddiness. operated case of carcinoma buccal mucasa. prostate is enlarged in size, volume 27mm. measuring 39 x 37 x 35 mm.no focal lesion noted. A 28mm sized simple cyst is noted in lower pole of right kidney. another 12 mm sized simple cyst is noted in upper pole of left kidney. gall bladder is well destinded.no evidence of calcui. the CBD is normal.kidneys are normal in size.slpleen & pancreas are normal.liver is normal.no ascites or limphadenopathyurinary bladder is wel distended and appears normal. blood /sugar reports are normal....feeling weakness. no difficulty in passing urine. Frequent need to urinate Increased frequency of urination at night (nocturia) Urgent need to urinate please suggest... is it serious problem? it can be cure? Thanks in anticipations... regards, Swapnil
Mon, 21 Oct 2013
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Urologist,  's  Response
Hello
Thanks for your query.Based on the facts that you have posted it appears that you have grade one Benign Enlargement of Prostate.This is a ageing process affecting males after the age of 60 years and is not a serious problem at all.

The voiding and irritative bladder symptoms that you have are due to enlarged prostate.

There are two treatment options .
1) Take medications like alpha blockers to improve your urine flow and reduce frequency and Nocturia.,
2) Take anti muscaranic drugs like Darifenacin or Solifenacin that will control involuntary
contractions of bladder and will help to control urgency.

Second option is to undergo surgery to resect prostate gland (TURP).This is gold standard method to resect the enlarged prostate and offers permanent cure.
Dr.Patil.


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Urge To Urinate, Nocturia, Blood Report Normal. History Of Mouth Cancer

Hello Thanks for your query.Based on the facts that you have posted it appears that you have grade one Benign Enlargement of Prostate.This is a ageing process affecting males after the age of 60 years and is not a serious problem at all. The voiding and irritative bladder symptoms that you have are due to enlarged prostate. There are two treatment options . 1) Take medications like alpha blockers to improve your urine flow and reduce frequency and Nocturia., 2) Take anti muscaranic drugs like Darifenacin or Solifenacin that will control involuntary contractions of bladder and will help to control urgency. Second option is to undergo surgery to resect prostate gland (TURP).This is gold standard method to resect the enlarged prostate and offers permanent cure. Dr.Patil.