Prostate Enlargement

The prostate is a small gland located between the bladder and the penis, which commonly gets enlarged in older individuals. The symptoms associated with prostate enlargement are frequent urination, difficulty starting urine, and incomplete bladder emptying.

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Do frequent and burning urination with swollen penis indicate prostatitis?

Query: Hello doctor, I am frequently urinating, and it is burning afterward and after sex. It got better for a week, and I had left flank pain for a day. I have burning in my back, stomach, and penis. The penis feels swollen a little. This problem started a month back and came and went. I drank alkaline wa...  Read Full »


Dr. Samer S J Altawil

Answer: Hello, Welcome to icliniq.com. This is a combination between prostatitis and enlargement of the prostate. After 50 years, the prostate physiologically starts to get bigger and can obstruct urine, but it does not cause burning. However, prostatitis can cause burning in micturation. I suggest investi...  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 »


Dr. Devendra

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 of...  Read Full »

How to treat the pain and irritation due to enlarged prostrate?

Query: Hello doctor,My prostate is enlarged, and it used to irritation while urinating. But after the treatment for enlarged prostate, the irritation has come down. I have enclosed my entire medical records for your opinion. Is surgery required now? Will eating fish aggravate my condition?  Read Full »


Dr. Shahil Khant

Answer: Hello, I have seen all your reports (attachment removed to protect patient identity). You had episodes of Urinary tract infection (UTI), which was fairly severe with WBC (white blood cell) count of 28,000. The ultrasound shows prostate to be 57 g. Prostate surgery does not depend on the size of...  Read Full »

I have pain in the suprapubic region, and my reports show renal calculi and prostatomegaly. Kindly help.

Query: Hello doctor, I am having on and off episodes of red-colored urine with suprapubic pain. My ultrasound report shows renal calculi with mild dilated pelvicalyceal system and grade 1 prostatomegaly. Kindly help.  Read Full »


Dr. Samer S J Altawil

Answer: Hi, Welcome to icliniq.com. The reason for your red-colored urine might be an obstruction or stone. I suggest you do a complete urine analysis, urine culture, and a flexible cystoscopy to get a clear picture of your illness. Regards.  Read Full »

What is the treatment for prostate swelling in my father-in-law, who uses a catheter for urination?

Query: Hello doctor, My father-in-law has prostate swelling. The doctor wants immediate surgery, but I want to wait and see. His PSA was 7.87 ng/mL, the blood and urine tests were normal. In the ultrasound, the weight of the prostate was 41.1 grams. Is surgery drastic in this case? Can he use medicines and...  Read Full »


Dr. Shahil Khant

Answer: Hello, Welcome to icliniq.com. What are his symptoms? Does he have a poor flow of urine? Does he have to strain? Was uroflowmetry test done to check for urine flow? Just for prostate enlargement, surgery is not required. Treatment is based on the above reports. Thanks. Revert with more information...  Read Full »

I would like to know the details of my MRI report. Is this something I have to worry about?

Query: Hello doctor,I hope you are well. I would like to know the details of the MRI (magnetic resonance imaging) and if this is something I have to worry about?   Read Full »


Dr. Sadaf Mustafa

Answer: Hello, Welcome to icliniq.com. There are a few findings in these images (attachment removed to protect patient identity). One of which indicates that your prostate may be mildly enlarged and have some inflammation. Are you having any issues with passing urine? Are you having any p...  Read Full »

I have frequent urination, and I am diabetic. Kindly advice.

Query: Hi doctor,I have a problem of frequent urination, and I am diabetic. Please check the attached reports and give your valuable advice or opinion.  Read Full »


Dr. Shahil Khant

Answer: Hi, Welcome to icliniq.com. The ultrasound report (attachment removed to protect patient identity) shows enlarge prostate. You have urinary symptoms due to an enlarged prostate. The pre-void volume is 300, and post-void volume is 230, which is more. Also, left kidney is small, and...  Read Full »

Is it compulsory to take medication for age-related prostate enlargement?

Query: Hi doctor,I am a 60-year-old male. I have had grade 3 benign prostate enlargement for three years. The latest abdomen USG and blood test (last month) shows prostrate 45 cc normal echoes, post-void urine 2 ml, no BPH symptoms, creatinine 1.4 mg/dl, PSA is 1.32 ng/ml, and free PSA 0.475 ng/ml. I have ...  Read Full »


Dr. Samer S J Altawil

Answer: Hi, Welcome to icliniq.com Enlarged prostate is a common problem as males cross 50 years of age normally prostate start to grow in size. But in the case of prostate size does not matter as some people with big prostate of 200 gms have no urine obstruction, and some people with a 20 gms prostate ...  Read Full »

I have problem while peeing from yesterday. How to manage it?

Query: Hello doctor, I am an 18 year old male, and I have a problem while peeing from yesterday. It feels heavy under my stomach, just below my penis. Every time I try to pee, I cannot, and I have to push in order to do so. I drank an entire bottle of water today. Normally, I would be able to pee after a...  Read Full »


Dr. Sandip Dinkar Sanap

Answer: Hello, Welcome to icliniq.com. Difficulty in urination in a young individual is generally obstruction at bladder neck due to infection of the urinary bladder, prostate inflammation or muscle spasms. A final diagnosis can be made on thorough examination, blood, and ultrasound examination. Blood tests...  Read Full »

Do difficulty in urination, and less ejaculate indicate prostate enlargement?

Query: Hi doctor, Recently I noticed that I am not orgasming as much as I used to. I used to orgasm quite a lot, and now nothing comes out. Also, when I urinate, it is hard to start urinating sometimes, and it is not flowing like normal. I have to push to urinate. It has been happening for a year. I find ...  Read Full »


Dr. Samer S J Altawil

Answer: Hi, Welcome to icliniq.com. Obstructive symptoms of prostate enlargement are usually present at the age of 50 years and above. In few people, it can start earlier. You will need a prostate assessment. For assessment, we need serum PSA (prostate-specific antigen) level, urine analysis and cultur...  Read Full »

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