India
A 29-year-old male asked about a 62-year-old male:
My dad's prostate 58gms. psa 5.8. urine retention 200 ml. no irritation etc. while urinating. should he go for surgery or medicinal cure?
2 doctor answers • 7 doctors weighed in
Dr. Emerson Knightanswered
Urology 50 years experience
Medical rx : Given the scenario I would first get a prostate biopsy to rule out prostate cancer given his PSA is elevated . If that is negative I would favor medical management initially
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsAnswered >2 years ago
Dr. Michael Michaelsanswered
Urology 55 years experience
Meds first: Hi, It is good to try medication first.Alpha blockers(eg:tamsulosin)work within hours,5-alpha reductase inhibitors(eg:finasteride)take up to 6 months to shrink the gland but they do work.Also I suggest a combination of both which is available in same pill here & probably in India too.If meds no help,next option TURP or laser. Best wishes for your dad.
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
Dr. Emerson Knight commented
Urology 50 years experience
Always try meds first but with 58 GM prostate would use combination of alpha blocker and PDE5 inhibitor drug. Also his PSA is elevated has he been biopsied to rule out prostate cancer?
Aug 7, 2014
Dr. Michael Michaels commented
Urology 55 years experience
Provided original answer
Fully agree with Dr.Knight
Aug 7, 2014
Last updated Aug 7, 2014
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