Common "Prostate Enlargement" queries answered by top doctors | iCliniq

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 surgery the sole option for treating my enlarged prostate?

Query: Hello doctor, The patient is a 75-year-old male patient with a history of hypertension and Parkinson's disease history. He also has an enlarged prostrate with a focal lesion. He is on Maxvoid Plus 8. But PSA is low. Is surgery the only way?  Read Full »

Dr. Samer Sameer Juma Ali Altawil

Answer: Hello, Welcome to The treatment for prostate enlargement, especially with patients with Parkinson’s disease, will be with medications and depending on symptoms. Parkinson’s disease will cause overactive bladder and also urinary retention. After treating Parkinson’s disease with ...  Read Full »

My reports show renal calculi and prostatomegaly. Need 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 Sameer Juma Ali Altawil

Answer: Hi, Welcome to 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 »

I get blood in my semen quite often. What could be the reason?

Query: Hello doctor, I am a 32-year-old man. About two years ago, I was using a dildo (male) and ended up having old brown blood in my semen for three months. I consulted various doctors, and they just asked me to give it time. It went away after three months, but I have been having enlarged prostate sympt...  Read Full »

Dr. Samer Sameer Juma Ali Altawil

Answer: Hello, Welcome to It looks like hematospermia due to inflammation, infection, or tumor. Proper investigations are required to diagnose the condition. Inflammatory causes are infections, stones, and cysts present with discomfort or dysuria, or hematospermia. Investigations required for...  Read Full »

I have problems urinating after sex or ejaculation. Can it be prostate enlargement or UTI?

Query: Hello doctor, I was recently diagnosed with a heart rhythm issue and atrial fibrillation and am scheduled to have a catheter ablation in a little over two weeks. I am currently taking tablet Multaq 400 mg, one in the morning and one in the evening, tablet Diltiazem 240 mg in the morning, tablet Eliq...  Read Full »

Dr. Samer Sameer Juma Ali Altawil

Answer: Hello, Welcome to I read your query and can understand your concern. From your history, I suppose it is prostate enlargement, and symptoms get more pronounced when you ejaculate as this sex gland enlarges further, causing urinary retention. I suggest you get ultrasound KUB (kidney, ur...  Read Full »

Do I experience pressure in my rectum and constipation due to prostate gland enlargement?

Query: Hello doctor,I have had constipation issues and feeling pressure in my rectum for the past ten days. It feels like I need to urinate, but I do not. I thought it was constipation. So, I went to the doctor and got a urine test done. The test showed trace amounts of occult blood. I was given the tablet...  Read Full »

Dr. Samer Sameer Juma Ali Altawil

Answer: Hello, Welcome to From the attached reports (attachments removed to protect the patient's identity), this seems to be chronic prostatitis and not enlarged prostate. Prostatitis can cause rectal symptoms as it is located adjacent to it. Inflammation will cause swelling and some degree ...  Read Full »

I was diagnosed with an enlarged prostate and a high urine retention rate. What could be the reason?

Query: Hello doctor, As I was doing medical examination, I discovered that I have enlarged prostate, and my urine retention rate is high. Kindly help me.  Read Full »

Dr. Samer Sameer Juma Ali Altawil

Answer: Hi Welcome to I have read your query and understand your concern.The prostate gland can be enlarged in patients above 50 years of age and is treatable with medicines, but might need some tests like uroflowmetry and serum PSA (prostrate-specific antigen) test. I suggest you take Tablet ...  Read Full »

I have pain in my right iliac region and frequent urge to urinate. Please help.

Query: Hi doctor, I have pain in the right iliac region, I have a frequent urge to urinate, and I also fart so much. Nothing was found on the ultrasound and CT scan. I am currently taking capsule Myoril 4 mg and tablet Pruvict 1. Please help me find a solution. Thanks in advance.  Read Full »

Dr. Samer Sameer Juma Ali Altawil

Answer: Hi, Welcome to The symptoms you presented are consistent with chronic prostatitis. The treatment is usually by medications and I suggest you take tablet Ciprofloxacin 500 mg twice daily for four weeks and tablet Tamsulosin 0.4 mg once at night. There is a supplement as well called Pro...  Read Full »

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 Sameer Juma Ali Altawil

Answer: Hello, Welcome to 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 invest...  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 0.067 fluid ounces, no BPH symptoms, creatinine 1.4 mg/dl, PSA is 1.32 ng/ml, and free PSA 0.475 ...  Read Full »

Dr. Samer Sameer Juma Ali Altawil

Answer: Hi, Welcome to 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 7.05 ounces have no urine obstruction, and some people with a 0.7 ounces pros...  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 Sameer Juma Ali Altawil

Answer: Hi, Welcome to 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 culture, ul...  Read Full »

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