Benign prostatic hyperplasia (BPH) is the enlargement of the prostate gland, which is commonly seen in older men. It causes frequent urination, difficulty starting urination, increased urination at night, weak urine stream, incomplete emptying of the bladder, and dribbling of urine.
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Can the BPH of my father turn into cancer?
Query: Hello doctor, My father aged 54, on ultrasound of whole abdomen shows prostate weight 0.068 pounds. A year back, the prostate weight was 0.057 pounds. He is taking Tamsulosin 0.4 tablet. The doctor says it is very likely benign prostatic hyperplasia. Can it turn into cancer? Read Full »
Answer: Hello, Welcome to icliniq.com.This prostatic enlargement is suggested to be BPH (benign prostatic hyperplasia) after examination by a Urologist to be benign then it is very unlikely to be cancer. Prostate size growth over one year may be falsely positive due to different radiologists performing ultr... Read Full »
I have pain and discomfort in the pelvic area, which aggravates while sitting. Kindly help.
Query: Hello doctor, I am a 48 year old male. My height is 5 feet 24 inches, and weight is 185 pounds. I have a pain and discomfort in the pelvic area which gets aggravated on sitting, lower back pain, irritation on peeing, burning sensation in the pelvic region which radiates at times to the leg. I have s... Read Full »
Answer: Hello, Welcome to icliniq.com. Your history suggests that you have a chronic mild to moderate inflammation of the pelvic organs, most probably the urinary bladder. The possibility of a chronic epididymo-orchitis also has to be ruled out. Please do get the following investigations: CBC (com... Read Full »
Query: Hi doctor, My right inguinal hernia repair was performed before six years. Before seven months, I have developed right epididymitis and right spermatic cord hardness like stone. It was diagnosed as epididymo-orchitis. There was a superficial abscess on the right side. Incision and drainage have be... Read Full »
Dr. Geetha Priyadarsini Kamminana
Answer: Hello, Welcome to icliniq.com Your present condition cannot be attributed to the inguinal hernia repair done six years ago. May I know what kind of repair was done? Either laparoscopic or open repair? Acute epididymo-orchitis is a clinical syndrome consisting of pain, swelling and inflammation of th... Read Full »
I am passing urine with little strain. Why?
Query: Hi doctor, I am 40 years old. From last two days I am suffering from frequent urination during day time with little bit burning sensation. My blood sugar and BP are normal. Urine flow is not so strong. I used to urine by pressing the penis and this is not the first time. As far as I can recall it f... Read Full »
Dr. Geetha Priyadarsini Kamminana
Answer: Hi, Welcome to icliniq.com.I have some more queries about your complaints. Do you have any nocturia that is do you have any disturbed sleep due to increased frequency of urination during nights? Any difficulty in passing urine or any hesitancy to start or any straining during urination? ... Read Full »
Semen volume has drastically reduced after Consistam D. Please suggest a remedy.
Query: Hello doctor, I am a 46-year-old male. I was diagnosed with prostatomegaly (enlarged prostate, 23.48 gm) with significant post void urine volume (86 ml). The doctor prescribed Consistam D once daily. After taking for 40 days, the urge to urination reduced but semen volume and pleasure in sex drastic... Read Full »
Answer: Hello, Welcome to icliniq.com. I think 23 g prostate is not very enlarged. These sexual symptoms are due to Dutasteride. I suggest you take the tablet Tamsulosin. Semen volume is low because of Tamsulosin but that is not a problem (it is called retrograde ejaculation which occurs because of Tamsu... Read Full »
My father has a third-degree prostatomegaly with a decreased PSA. What to do?
Query: Hello doctor, This query is regarding my father. He is 65 years old. He suffers from BPH from the last five years and takes Alfusin-D for the same. Five years back, when he was diagnosed, his PSA was 2.8 ng. Last year, we repeated his test and the PSA was 0.9 ng/ml with normal DRE. An ultrasound of ... Read Full »
Answer: Hello, Welcome to icliniq.com. The PSA (prostate-specific antigen) has decreased due to Dutasteride component of Alfusin-D. I suggest he get the screening done yearly for a year or two. Then, a two-yearly screening of PSA and DRE (digital rectal examination) is alright as his PSA is low in spite... Read Full »
I have low back pain and frequent urination after sex. Why?
Query: Hi doctor, I am 40 years old and have suffered from bouts of prostatitis a few times. I have not had an intimate life for many years. Now, I am having an intimate life with one person, who is clean as well as I am. After vigorous sex, I am having frequent urination, especially at night. I was wonder... Read Full »
Answer: Hi, Welcome to icliniq.com. We are here to help you. Yes, your symptoms are consistent with either urinary tract infection (UTI) or prostatic enlargement. In fact, you might have benign prostatic hyperplasia (BPH) contributing to UTI.The second reason can be sexually transmitted UTI as also said by ... Read Full »
How can I manage urinary urge and incontinence?
Query: Hello doctor, I have been suffering from urge and incontinence of urine for the past four years. My USG is showing first grade BPH with about 50 ml to 75 ml of PV retention of urine. PSA is within normal range. The routine urine examination also reveals nothing abnormal and on culture sample, found... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through your query. It is usual to have some degree of urgency in BPH (benign prostatic hyperplasia), but if it continues to persist even after your urinary stream improves, then one should make sure that there is no UTI or chronic prostate infection causing... Read Full »
I have a burning sensation during urination, poor erection, and difficulty in ejaculation. Why?
Query: Hello doctor, I am a 27-year-old male, and I feel a burning sensation during urination and need to urinate frequently sometimes. I feel difficulty in starting to urinate sometimes. After examination and many tests, the doctor advised me to take the tablet Urimax 4.0 for three months, and I have been... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. You have been prescribed the Tamsulosin drug for prostatic hyperplasia. The prostate problem can lead to erectile dysfunction. So your prostatic problem needs to be treated and for symptomatic improvement, continue taking this drug. Finasteride drug also can be prescri... Read Full »
Why is creatinine level increased in IgA nephropathy patient?
Query: Hello doctor, I am 57 years old and have IgA nephropathy for the past eight years which is being treated with Cardace 10 mg, Minipress XL 5 mg, Lipitor 10 mg, and fish oil capsules. I had an ultrasound eight months back which showed normal kidneys. Also, I have a benign prostate (grade 1) and not un... Read Full »
Answer: Hi, Welcome to icliniq.com. There is a rise in creatinine, but that needs to be vigilant to check if we are missing any reason for the rise. We do not have any medicine to reduce creatinine levels. We need to keep the disease activity under control. Your blood pressure should be 120/80 mmHg. You s... Read Full »