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Frequent passing of urine with enlarged PROSTATE.

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I am 66 years old patientold and experiencing frequent passing of urine, every almost 1 hour in the night. Ultra sound scanning of Urinary Bladder reveals: "Distended with normal wall thickness.No abnormal internal contents.Prevoid 207cc Post void 112cc
Prostrate: is enlarged in size, measures 55cc and show normal echo pattern.No focal lesion
Impression: Bilateral mild increase in renal cortical echogenicity with bilateral mild perinephric collection gross prostatomegaly with significant post void residual urine"
Please advise whether surgical intervention is absolutely necessary or can be treated with medication. Also let me know if surgical intervention is absolutely necessary, whether it can be post-poned by few months-

I am under medication for hyper tension for the last few years.

I would like to have an expert advice from an Urologist in India.

Thank you,


Category: Urologist

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Category: Sexually Transmitted Diseases(STD)Specialist
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You should undergo surgery at the earliest. However if you are very keen to avoid surgery then you should start yourself on t.veltam 0.4 mg once daily for 7 days and repeat ultrasound after 1 week.
In the meantime you should get urine culture and serum creatinine done and get back to us.

Take care
Rajiv Goel

Dr. Rajiv Goel
Category: Sexually Transmitted Diseases(STD)Specialist
MCh(urology) Medical Council of India
Fellow, Laparoscopic urology, Germany
Fellow, Urooncology and Robotic urology, Australia
Felloship - MCH, Urology/Genito-Urinary Surgery, AIIMS, 2004
Residency - MS, Master of Surgery, AIIMS, 2001
Medical School - MBBS, Bachelor of Medicine and Bachelor of Surgery, AIIMS, 1998
Dr. Rajiv Goel and 4 other Medical Specialists are ready to help you

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