5/6/2015 Ask a Nephrologist - Online Nephrologist 24x7 data:text/html;charset=utf-8,%3Cspan%20style%3D%22color%3A%20rgb(51%2C%2051%2C%2051)%3B%20font-family%3A%20arial%3B%20font-size%3A… 1/2 I am 57 yrs. 8 months back I faced acute urinating problems, I consulted a medicine specialist, after Ultrasound scanning, the report was, the prostrate gland was enlarged by 56 gms. The doctor prescribed prostalyn an ayurvedic proprietary medicine, (CSIR/IICB technology) twice daily and one dotalosin tablet daily for three months. After taking for three months, the enlargement of prostrate gland size came to 44 gms. The doctor asked to discontinue the prostalyn and continue dotalosin. He also suggested to consult an Urologist as the prostrate gland was not to the normal size. As our city do not have an Urologist, I went to an Urologist in another city. After describing the episode and my one other problem of ED the doctor made one biochemistry test of Serum PSA, which was 3.17, and an Ultra sound which showed as follows: Right kidney 9.1x4.6 cm, it showed cyst of 26x25 mm in upper pole. Left kidmey OK measured 10.3x6.0 cm, Urinary bladder as regular in contour and echoanotomy. Prevoid: 320ml, Postvoid: 180ml. Prostrate is enlarged in size measures 3.6x4.8x3.4 cm and volume 32 cc. The Impressions were as follows: 1) Grade II prostatomegaly with significant PVR. 2) Right renal cortical cyst. After all these test the doctor prescribed one Alfoo 10mg daily. My questions are: 1. How long should I take the Alfoo tablets. 2. Will the prostrate gland become to normal size. What should be the normal size of the prostrate gland in my age. 3. What medicine is best for ED problems at my age. 4. My BP is normal as I am regularly consuming one telmikind H 40 in the morning and one amlovas 5 at night on doctors advice since 4 years. 5. Should I have to go through prostrate surgery. 6. What is TVRP, 5/6/2015 Ask a Nephrologist - Online Nephrologist 24x7 data:text/html;charset=utf-8,%3Cspan%20style%3D%22color%3A%20rgb(51%2C%2051%2C%2051)%3B%20font-family%3A%20arial%3B%20font-size%3A… 2/2 Please help me with your best suggestions, and please do mail me to my email add: YYYY@YYYY With regards,