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Enlarged Prostate Gland - Reports to request in 2nd opinion before surgery

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johnm1976
johnm1976

Hello,

What are the reports that a Urologist should request to check for enlarged prostate gland issues? This is for a 66 year old male patient (my father) and his Ultrasound shows that his Prostate is severely enlarged with a volume of 74cc.

The opinion of the lab based on the ultrasound was:

"Severe prostatomegaly is noted with significant post void residue"

The PSA came at 3.95

The current Urologist has suggested surgery but I would like to get a 2nd opinion and also generate more tests and reports before taking the drastic steps.

Any other things I should consider at this stage? Is cancer also something we should potentially check for and if so, how is that detected?

Thanks in advance

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  • bob120
    bob120 johnm1976

    Posted

    One last thing (this discussion has really jogged my memory banks). I have a tendency to gout and I found several years ago that drinking Guiness stout would precipitate gout wihin a few hours. My big toe would blow up like a walnut and the stabbing pain would last a few hours. I hated to give up the Guiness but switched from beer to wine and whiskey.

    I use the 10 parameter test strips to check my urine periodically and it is always quite acidic (ph5 to6). Bladder stones may be formed from uric acid, same the crystals that bring on a gout attack.

    During the year following my GL, I was taking a thiazide diuretic for blood pressure. I later found out that thiazide increases uric acid. So having a propensity for acidic urine and previous episodes of gout, I reasoned the thiazide may have contributed to the bladder stones, and I stopped taking it after the stones were removed. Just another piece of this puzzle.

    • mike48088
      mike48088 bob120

      Posted

      I have not actually tested my urine, but I am pretty certain that, at least before the onset of symptoms, it was alkaline: I have read that a vegetaian diet tends to have this result, and I had been eating meat only about twice a week for some months - although I have milk and yoghurt with my breakfst cereal. Prior to that, it may well have been acidic since I ate a lot of fillet steak, and had been carnivorous since childhood, father having been a butcher. 

      I, too, noticed, before catheterisation, that, after a pint or two of beer, any retention or limited flow was relieved. I must close because apx. every other keystroke fails to register - I don't know if it is the site or my keyboard - this note has taken me over half an hour!

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