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Suggest Treatment For Mildly Enlarged Prostate
Question: I am 60 years old with no known family history of prostate cancer. My psa is currentlly 16.9. Prostate is mildly enlarged 50x35x34, vol 31cc. Normal outline & echopattern. No focal SOL.
Also Gall bladder is partially distended w/mildly incrd wall tickness 4mm. There is a large 25 mm echogenic calculus seen with the lumen. Suggestive of chronic cholecystitis with cholelithisasis.
Please explain.
Also Gall bladder is partially distended w/mildly incrd wall tickness 4mm. There is a large 25 mm echogenic calculus seen with the lumen. Suggestive of chronic cholecystitis with cholelithisasis.
Please explain.
Brief Answer:
You may need antibiotics and cholecystectomy.
Detailed Answer:
Hello
Ultrasound findings suggests raised PSA level and mildly enlarged prostate.
Increased PSA may be due to many causes like UTI,prostatitis,cancer etc.
It is important to exclude UTI in your case.There are signs of urinary tract infection(UTI) in your case.You may need culture and sensitivity of urine.You may need antibiotics depending upon report.
If raised PSA level persists in follow up test then you may need prostate biopsy to exclude cancer.
Findings also suggests a large gall bladder calculus with changes of chronic infection.
Medicines are usually not helpful in gall badder calculus.
You should go for definitive treatment of gall bladder calculus.
Definitive treatment of gall bladder calculus is surgical removal of gall bladder(cholecystectomy).
Gall bladder calculus is prone to infection and obstruction,so it is advised to get rid of calculus early.
Get well soon.
Hope I have answered your query.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
You may need antibiotics and cholecystectomy.
Detailed Answer:
Hello
Ultrasound findings suggests raised PSA level and mildly enlarged prostate.
Increased PSA may be due to many causes like UTI,prostatitis,cancer etc.
It is important to exclude UTI in your case.There are signs of urinary tract infection(UTI) in your case.You may need culture and sensitivity of urine.You may need antibiotics depending upon report.
If raised PSA level persists in follow up test then you may need prostate biopsy to exclude cancer.
Findings also suggests a large gall bladder calculus with changes of chronic infection.
Medicines are usually not helpful in gall badder calculus.
You should go for definitive treatment of gall bladder calculus.
Definitive treatment of gall bladder calculus is surgical removal of gall bladder(cholecystectomy).
Gall bladder calculus is prone to infection and obstruction,so it is advised to get rid of calculus early.
Get well soon.
Hope I have answered your query.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
My doctor has advised me to continue taking Cepodot-O for another week and then repeat PSA test. Is that the right thing to do?
Brief Answer:
Yes,your doctor has rightly suggested you to continue antibiotics.
Detailed Answer:
Hello
Yes,your doctor has rightly suggested you to continue antibiotics.
If raised PSA is due to infection then it will come down in follow up test otherwise it may need further investigations.
Get well soon.
Hope I have answered your query.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
Yes,your doctor has rightly suggested you to continue antibiotics.
Detailed Answer:
Hello
Yes,your doctor has rightly suggested you to continue antibiotics.
If raised PSA is due to infection then it will come down in follow up test otherwise it may need further investigations.
Get well soon.
Hope I have answered your query.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Answered by
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