Is a prostate volume of 64 CC very large?

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Is a prostate volume of 64 CC very large or normal? Also my urologist only does Turp surgeries on an enlarged prostate says he doesn't Think I should get a PAE. He just wants to do a a turp.

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4 Replies

  • Edited

    I just typed another rather lengthy reply and the website kicked me out and it was lost. This is why activity here is slow and all the knowledgeable posters rarely post

    I'll try again later my lunch time is about over.

  • Posted

    about medium i think. 80cc + is supposed to be large. 64cc is about the size of a tangerine, 80cc is about the size of a small apple.

  • Posted

    Well, it's about three times the "normal" size, but size isn't the only factor. Some guys seem to do just fine with 100+cc size and other are straining with a 30 cc prostate. It just depend on how much the urethra is squeezed by the extra prostate material.

    My prostate was 54 cc when I had a Rezum procedure done almost four years ago at age 61. I would say that since the procedure I'm at about 75% of where a guy with no prostate issues would be. I'm still very functional, but know that something else will need to be done in the future. Perhaps another Rezum.

    I'd suggest that you check out Rezum for yourself before making a decision.

    All the best,

    Bill

  • Posted

    Ronald,

    Most Urologists do not recommend PAE because it is done by a different group of doctors, Interventional Radiologists. They also, most often, recommend the procedures they do, even if there may be another procedure that would be best for you. 64 CC is about average for an enlarged prostate, and can cause problems or not, depending on how much pressure it puts on the urethra. An enlarged median lobe can also cause a ball valve effect, slowing flow even in smaller prostates. Be sure you get all the usual tests before submitting to a TURP or a PAE.Get the flow rate test, post void residual test.Measure the size by DRE, Cystoscopy, TRUS (Trans Rectal Ultrasound) or MRI. Some Urologists want to do a Urodynamics test which is good but not absolutely necessary.

    Thomas

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