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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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 »

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 »

How to treat prostate enlargement and difficulty urinating?

Query: Hi doctor,I have a sleep disorder, anxiety, panic disorder, high blood pressure, and prostate enlargement for a week. I have difficulty in urinating for two weeks.   Read Full »


Dr. Samer S J Altawil

Answer: Hi, Welcome to icliniq.com. Prostate enlargement occurs commonly after 50 years of age and it causes symptoms like difficulty in passing urine. Doing investigations like ultrasound KUB (kidney, ureter, and bladder) and prostate will help to know the size of the prostate and other abnormalities...  Read Full »

Kindly advise medication for itchy penis and enlarged prostate.

Query: Hello doctor, My prostate was enlarged by 3 cm last month. Before the ultrasound, i.e., three months back, I felt wet and itchy on the top of the penis. So I went to the Urologist, and he prescribed antifungal lotion with a tablet. After the ultrasound, the Urologist advised Veltam-S for 10 - 15 day...  Read Full »


Dr. Samer S J Altawil

Answer: Hi, Welcome to icliniq.com. From your history, I can understand that you have chronic prostatitis. You need long term antibiotics treatment. Preferably we need semen culture before starting the treatment, but since you do not have access as you are out of town, I will recommend you antibiotic s...  Read Full »

Does prostate enlargement cause blockage in passing urine?

Query: Hi doctor,I have a problem with the prostate. I have a big prostate with a blockage in passing urine. I am living with a catheter and I am taking Tamsulosin 0.4 and Prostamol 505 once a day. I am taking antibiotics such as Sulfamethoxazole 800 mg and Trimethoprim 160 mg for fifteen days. What to do?  Read Full »


Dr. Samer S J Altawil

Answer: Hi, Welcome to icliniq.com. Prostate cancer and enlargement of the prostate is a common problem after 50 years of age. Blockage depends on the shape of the prostate rather than its size. You can do an examination using an ultrasound scan, kidney functions, urine culture, PSA (prostate-specific...  Read Full »

What is the cause of my low urine flow?

Query: Hello doctor, I am suffering from poor urine flow and hesitancy. My USG and KFT are normal. I have attached the reports. What is the issue, and what are the treatment options?   Read Full »


Dr. Samer S J Altawil

Answer: Hi, Welcome to icliniq.com. I believe you have enlarged prostate causing obstruction to your flow. The size of prostate does not matter rather the shape of prostate is more important and the anatomy of prostate is well seen on the flexible cystoscopy if facility is available. You have mild symptom...  Read Full »

Why do I have the urge to pass urine all the time?

Query: Hello doctor, I am 42 years old. I have been referred to see a urologist after an irregular DRE (digital rectal examination). My PSA (prostate-specific antigen) score was 0.6. My symptoms are need to urinate all the time and urgency. I have been given three or four antibiotics for what was thought ...  Read Full »


Dr. Samer S J Altawil

Answer: Hi, Welcome to icliniq.com. PSA (Prostate-specific antigen) is normal. Enlarged prostate can be benign and chronic prostatitis last in prostate cancer. Since PSA is normal, then we need to investigate for chronic prostatitis. Burning urination or frequency, and difficulty passing urine on long te...  Read Full »

What medications should I take for prostate enlargement with inflamed veins?

Query: Hello doctor, I am a 35-year-old male. I weigh about 68 kg, and my height is 170 cm. I have prostate enlargement, One in normal size, and the other larger than normal. The larger one looks inflamed with lots of veins. It is painful on touch and while carrying heavy loads. Sometimes it is soft to to...  Read Full »


Dr. Samer S J Altawil

Answer: Hi, Welcome to icliniq.com. At your age, prostate issues are mainly inflammation (prostatitis) or abscess (pus pocket in the prostate). Symptoms will be pain, increased urination frequency, difficulty in passing urine, and usually require long-term antibiotics of about six weeks. Pus in the pro...  Read Full »

Will prostate enlargement cause burning sensation and frequent urination?

Query: Hello doctor, I have a burning sensation while passing urine, and I get frequent urination at night. My USG abdomen and pelvis show:- Prostate is enlarged in size and measures 80-90 cc in volume. Median lobe of prostate is seen projecting into the bladder base. Visualized bowel loops are non-di...  Read Full »


Dr. Samer S J Altawil

Answer: Hi, Welcome to icliniq.com. Your presentation and investigations (attachment removed to protect patient identity) showed a prostate enlargement with median lobe enlargement, which makes it difficult for him to empty his urine completely, causing urinary infection. Therefore he was treated wi...  Read Full »

Why do I have pain in my left testicles?

Query: Hi doctor, I am a 44-year-old male who is 6.2 feet tall and weighs about 82 kg with an athletic body. I like to do physical activities to keep fit and take a balanced diet. I am having mild pain for the past three weeks in my left testicle. Sometimes it subsides for short intervals. However, after ...  Read Full »


Dr. Samer S J Altawil

Answer: Hi, Welcome to icliniq.com. Thank you for giving us a lot of details which make our work easy. At this age, it seems to me that you got enlarged prostate hence weaker stream and on-off pain in testis. An enlarged prostate is mainly a male issue at the age of above 40 years. It can cause weaker str...  Read Full »

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