Is it a must to undergo surgery for enlarged prostate?

Question

Hi doctor,

My father has an enlarged prostate and has to undergo prostatectomy surgery. But, it is getting delayed due to ITP (idiopathic thrombocytopenic purpura). Right now he is under a urine catheter. For the past 12 days, he has been using Silodal-D 8 mg. The doctor said that after 20 days the prostate gland will reduce.

Through the ultrasound test, we came to know the size of the enlarged prostate is 54.6 cc. My doubt is, if it is enlarged to 54, is it possible that it can be reduced through tablets? Or is it a must to undergo surgery? Right now the platelet count is 40,000.

Please suggest a solution for this.

Answer 1

Hi,

Welcome to icliniq.com.

Your father was on medication and had a history of urine retention in the past. Currently, he is on a catheter. The chances of medical management will not be successful. He needs surgery of either TURP (transurethral resection of the prostate) or HoLEP (Holmium laser enucleation of the prostate) for his prostate. Size is never a criterion for surgery.

An enlarged prostate can shrink by 30% if Dutasteride is given. But this does not guarantee that the patient will become catheter-free. However, it reduces blood vessels in the prostate and helps decrease blood loss in surgery. Dutas-T (Dutasteride and Tamsulosin) also contains similar medicines as Silodal D (a combination of Dutasteride and Silodosin). His ITP needs to be tackled with all due precautions and keeping platelet concentrates on standby. He can undergo endoscopic surgery with due risks. Laser surgery - HoLEP will be better for him if available.

I hope this helps.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

You can search on the internet for the complete list of doctors in your area and decide.

Kindly revert back if you need more assistance.