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I am 58, was diagnosed with BPH and given a prescription of Xatral XL 10mg and Avodart 05mg to be taken permanently as one tablet a day from each. Is there any better medicine or solution?
9 أبريل 2013

د. Fadi Fakih طب أمراض المسالك البولية
It is a very good combined treatment specially if your prostate is more than 40 g. Don,t forget to do you your PSA and your digital recta exam annually
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د. Fadi Dalati طب أمراض المسالك البولية
The normal size of the prostate gland is around 20-25 grams. However, starting at the age of 45, the prostate gland starts to enlarge and increase in size with a variable degrees from man to another, a phenomena known as benign prostatic hypertrophy BPH.

The prostate gland is located right below the bladder and it surrounds part of the urethra. As its size increases, it could cause certain degree of "obstruction" to the urine flow, affecting the ability to urinate and to empty the bladder. Please note that the size by itself is not an indication for symptoms; you can have a 80-gram-prostate with no symptoms at all, and a 40-gram-pristate with obstructive symptoms.

The symptoms can vary; straining to void, incomplete voiding, intermittency of the urine flow, and post-void dribbling, as well nocturia (waking up at night to urinate).

If you don't have any of these symptoms, and your ultra sounds doesn't show bladder wall thickness, bladder stones or post void residue, then you have nothing to worry about, and all you need is an ANNUAL (once a year) check up done by your urologist.

The urologist would check for your prostate, using ultra sound, digital rectal exam, and would order PSA blood test if s/he sees needed (if there is a suspicion of cancer), other than that, there is nothing to worry about.

Please note that PSA need not to be ordered unless your urologist sees the need to check for cancer of the prostate, and after a thorough discussion with you on the positives and negatives of PSA, as the latest guidelines argue against routine PSA testing.
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