What Does My Prostate Ultrasound Report Indicate?

Posted on Fri, 31 Oct 2014

Question: My recent ultrasound report for prostate is-prostate is enlarged with normal shape and echo texture.it measures 4.7*4.65*5.02cms with weight approx 57.45 gms.There is no evidence of calcification or focal lesion is seen in prostatic parenchyma.Capsule appears normal.Median lobe is not projecting into lumen of urinary bladder.both seminal vesicles appear normal. Please suggest on the basis of above report that it can be treated by medicines or any surgery is needed.

Answered by Dr. Sabyasachi Das (13 minutes later)

Brief Answer:
No surgery is not urgent

Detailed Answer:
Hi,

I am very pleased to help you out....Surgery is done mainly to relieve the patient from symptoms. You have not mentioned any thing about how severe urinary obstructive symptoms you face while urinating. If the symptoms has decreased than that was present one year back, the drug you are taking ( tamsulosin) is working good. As also your ultrasonography report has improved , this also supports that your prostate is under control with medications. Another significant finding in the report is that median lobe is not pressing on urethra which causes maximum discomfort, as the median lobe is not pressing -you can very well be on medical management without any surgery...

Hope the answer satisfies all your queries.

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Above answer was peer-reviewed by : Dr. Ashwin Bhandari