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Medical Forum / Diseases and Disorders / Prostate BPH / April 2006question: test re: Enlarged Prostate
I am now 55 years old and read some articles related to the prostate gland. I was wondering if urologists can easily determine whether or not a patient has an enlarged prostate gland? If so, please post information about how the test is done. Is it different than the rectal test that a GP does during a yearly "physical" exam? Can a GP doctor do the same test or should I ask my doctor to refer me to a urologist? Jason  SignatureNEWSGROUP SUBSCRIBERS MOTTO We respect those subscribers that ask for advice or provide advice. We do NOT respect the subscribers that enjoy criticizing people. Hi Jason... The UROs have at least 3 ways to establish the size of the prostate...1) the Digital Rectal Exam; 2) the TRUS (Trans Rectal Ultrasound); 3) the Cystoscopy exam. One thing to keep in mind is that bph can block the prostatic urethra in different size prostates. In my case, my urethra was blocked in a 35 grm prostate. In other cases, the blockage may progress over the years until it becomes 150-200 grms. A lot depends on how much a person is willing to put up with. Some treat it with watchful waiting, with medications or surgical interventions. Some UROs do not want to do PVPs or TURPs on prostates over 80-100 grms. The longer one waits, the higher the possibility of complications. In my brothers case, he waited until his was 105 grms and had to have an open prostatectomy. It was not a fun experience. He could have found a URO who did PVPs on his size prostate but did not want to go to the trouble. I would be very careful about getting a referral to a URO. Many times, the referral may be to a URO who only does TURPS. Do your homework and find out if there are UROs in your area who do PVPs. Check out the Laserscope.com site for your area. A good place to start. We all make the best choices with the information that we have. Good luck! > I am now 55 years old and read some articles related to the prostate gland. > I was wondering if urologists can easily determine whether or not a patient [quoted text clipped - 3 lines] > should I ask my doctor to refer me to a urologist? > Jason > Hi Jason... > [quoted text clipped - 17 lines] > Laserscope.com site for your area. A good place to start. We all make > the best choices with the information that we have. Good luck! Hello, Thanks for your post. I'll keep your advice in mind when I develop prostate problems. As far as I know, I don't have prostate problems at this point in time. However, I will have my doctor (GP) do a Digital Rectal Exam during the next visit which is next month. I will make a note that the PVP is superior to the TURP. I've already learned some things that were not mentioned in the article that I read about the prostate gland. Jason SignatureNEWSGROUP SUBSCRIBERS MOTTO We respect those subscribers that ask for advice or provide advice. We do NOT respect the subscribers that enjoy criticizing people. > I am now 55 years old and read some articles related to the prostate > gland. I was wondering if urologists can easily determine whether or [quoted text clipped - 4 lines] > urologist? > Jason Jason...welcome to our group. I notice you have meandered over from the sci.med ng. Did you read my recent post to Khan in that ng (he has an interesting uro problem). Chockman's response to you was excellent. This is good ng and there are a lot of people in here with valuable experience. Most of the discussions center around PVP. I have had a TUIP and TURP myself, and I would definitely recommend the PVP even though I have no personal experience with it. Are you starting to have the typical mid fifties urinary problems, or are you just curious (you didn't say). Different uro's (and GP's) will estimate prostate size differently (using the digital method - what you called the rectal test). Personally I would not go to a uro unless you were having problems. BTW, we have an awfully nice (and very knowledgeable) doctor in the group (Dr. Sancha)from Madrid, who specializes in PVP's, and teaches around the world. You may want to search his posts. Just search "fgomsan" in the "from" block. Take care...Pete > > I am now 55 years old and read some articles related to the prostate > > gland. I was wondering if urologists can easily determine whether or [quoted text clipped - 27 lines] > > Take care...Pete Pete, Thanks for your post. I do believe that you were the person that referred someone else to this newsgroup. I decided to take the advice that you meant for someone else. I don't believe that I have prostate problems but wanted to know what to expect when I do develop prostate problems. I have kidney problems and have some problems related to peripheral edema. I am not on dialysis and will never be on dialysis. I read a book written by a doctor that is a kidney specialist. I am following a special diet and it's helping. Thanks for your kindness. I have noticed that some people in these newsgroups are not kind and seem to discourage anyone but themselves from providing advice. I call them net cops or newsgroup cops. jason SignatureNEWSGROUP SUBSCRIBERS MOTTO We respect those subscribers that ask for advice or provide advice. We do NOT respect the subscribers that enjoy criticizing people. |
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