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Will prostate enlargement improve with alpha-blockers?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have enlarged prostate. Also, my blood urea and creatinine have increased. Will it improve with the treatment of alpha-blockers (Tamdura)?

Hi,

Welcome to icliniq.com. Kindly provide your age, creatinine value, and prostate size. Has the digital rectal examination (DRE) and ultrasound KUB (kidney, ureters, and urinary bladder) been conducted? If PSA (prostate-specific antigen) is high or the prostate feels hard on examination, a prostate biopsy is suggested. Tamdura (Tamsulosin) can be helpful if the condition is benign. The treatment plan will depend on the creatinine level and the degree of hydronephrosis (kidney swelling). Please revert with the required details. The investigations include USG KUB, DRE, and PSA. The probable diagnosis is BPH (benign prostatic hyperplasia) with a treatment plan involving urological intervention."

Patient's Query

Thank you doctor,

My age is 73. My creatinine value is 2.52, prostate size 75 cc, PSA 6.78 and HbA1c 5.8. My DRE and free PSA are not checked.

Hello,

Welcome back to icliniq.com. Your creatinine level is significantly high, and we need to assess whether it is related to the prostate or other factors like diabetes or painkiller intake. USG KUB will be valuable to determine if the kidney damage is from a recent obstruction or a long-term issue. If it is related to recent prostate problems, I recommend early urological intervention. Please inform us about any history of diabetes, painkiller intake, or other medications, as well as any urinary complaints like blood in urine. Additionally, let us know if there is a family history of prostate cancer, although it appears less likely due to your low PSA density. If you have any previous reports showing normal creatinine levels, please provide their age, and also mention the post-void residual urine volume, which can offer insight into potential obstruction.

Medically reviewed byDr. K. Shobana

Published At November 19, 2016
Reviewed AtMay 22, 2024

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