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60 years
I have expansion in my prostate...the manual touch test & clinical results are normal, ONLY THE ECHO SHOWS THE EXPANSION..NO SYMPTOM ON URINAL DAILY ACTIVITIES..NORMAL LIVE..do I have to care????
Jun 14, 2013

Dr. Salim Saab Otolaryngology (ENT)
You should get an PSA (Prostatic-Specific Antigen) (Prostatic Fraction) in order to rule out a possible prostate Cancer otherwise you must do an echo in 6 months for further follow-up.
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Dr. Fadi Dalati Urology
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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