At what size of prostate requires surgery?

TURP developed itself to become the gold standard of surgical treatment for medium sized prostates. The EAU guidelines, based on grade A evidence, recommends TURP for prostates between 35 and 80 ml. Over that limit, open surgery seems to remain the only option for treating BPH, according to available clinical evidence.
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When is prostate surgery required?

Surgery is usually recommended in treating BPH-related complications, such as: Urinary retention (inability to urinate) Failure to respond to medical or minimally invasive treatment. Blood in the urine that is not getting better.
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At what size is a prostate considered enlarged?

Enlarged prostates differ in size. The size can be estimated on digital rectal exam or prostate imaging like an ultrasound. People with very enlarged prostates (over 80 grams) have several treatment options. However, size is not the only factor used to choose a treatment.
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Which surgery is best for enlarged prostate?

TURP is generally considered an option for men who have moderate to severe urinary problems that haven't responded to medication. While TURP has been considered the most effective treatment for an enlarged prostate, a number of other, minimally invasive procedures are becoming more effective.
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How can I reduce my enlarged prostate without surgery?

The options include:
  1. Alpha blockers. These medications relax bladder neck muscles and muscle fibers in the prostate, making urination easier. ...
  2. 5-alpha reductase inhibitors. These medications shrink your prostate by preventing hormonal changes that cause prostate growth. ...
  3. Combination drug therapy. ...
  4. Tadalafil (Cialis).
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One size does not fit all in benign prostatic hyperplasia treatment



Can an enlarged prostate go back to normal?

Treatments. Because BPH cannot be cured, the treatment focuses on reducing the symptoms. The treatment is based on how severe the symptoms are, how much they bother the patient and whether there are complications. The more irritating the symptoms are, the more aggressive treatment should be.
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Is a 40 gram prostate large?

It grows to roughly the size of a Ping-Pong ball, weighing 30 to 35 grams. In many men, it continues to grow even further, to the size of a tennis ball or larger. As men age and their prostate grows, they become more susceptible to two conditions: prostate cancer and benign prostatic hyperplasia (BPH).
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Is 50 cc a large prostate?

Glands less than 50cc are considered normal, 50-80cc is midsize, and larger than 80cc is large.
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Is an enlarged prostate serious?

Benign prostate enlargement (BPE) is the medical term to describe an enlarged prostate, a condition that can affect how you pee (urinate). BPE is common in men aged over 50. It's not a cancer and it's not usually a serious threat to health.
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What is the normal size of prostate at the age of 50 in CC?

In these men aged 50-80 years, mean total prostate volume continuously increased from 24 to 38 cc and mean PSA concentration from 1.1 to 2.5 ng/ml.
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Can prostate size be reduced?

Water ablation is a new treatment for prostate enlargement. There are 2 types of water ablation procedure. In the first, water is injected into the prostate using a probe passed up the urethra. The pressure of the water is then used to destroy some of the prostate tissue, making it smaller.
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Can an enlarged prostate Be Cured?

Although there is no cure for benign prostatic hyperplasia (BPH), also known as enlarged prostate, there are many useful options for treating the problem. Treatments focus on prostate growth, which is the cause of BPH symptoms. Once prostate growth starts, it often continues unless medical therapy is started.
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Can you get an erection without a prostate?

About 75% of men who undergo nerve-sparing prostatectomy or more precise forms of radiation therapy have reported successfully achieving erections after using these drugs.
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How is life after prostate removal?

Most men experience some decline in erectile function after their prostate is removed, but this can be managed. “It can take six months or even up to a year for the affected nerves to recover from surgery. But with proper therapy and treatment, most patients can have good erectile function again,” says Dr.
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How many cc is a normal prostate?

About half of all men between the ages of 51 and 60 have BPH. A normal prostate volume is approximately 20 cc. An enlarged prostate is >20 cc and may or may not cause urinary symptoms. If it does not cause any symptoms, then it does not need to be treated.
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What is the average size of a prostate tumor?

The analysis included 461 lesions from the 441 patients identified. The mean radiologic tumor size was 1.57 cm, whereas the mean pathological tumor size was 2.37 cm.
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What is normal prostate volume in cc for 60 year old?

The maximum numbers of cases were in the age group 60-69 years. The mean age at presentation was calculated to be 64.1 years (Table 1). The mean prostate volume (PV) was 43 cc (range 23.8 - 143 cc) and mean prostate specific antigen (PSA) was 2.3 ng/ml (range 0.28 – 8.76 ng/ml) (Table 1).
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What is the normal size of prostate at the age of 70 in grams?

The average weight of a prostate that is recognized at autopsy to contain benign prostatic hyperplasia is 33 plus or minus 16 gm. Only 4 per cent of the prostates in men more than 70 years old reach sizes greater than 100 gm.
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Can an enlarged prostate ever shrink?

Over several months, the body's immune system reabsorbs the dead prostate tissue and replaces it with scar tissue. The scar tissue slowly contracts, resulting in shrinkage of the prostate. Over six months, the prostate will shrink by 20 to 40 percent, resulting in improved and less frequent urination.
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What happens if you leave an enlarged prostate untreated?

Left untreated, an enlarged prostate can lead to a sudden inability to urinate, cause urinary tract infections and bladder or kidney damage.
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What foods reduce prostate size?

Researchers found that men with diets high in fruits and vegetables — especially leafy, dark vegetables and tomatoes — had less BPH, less symptoms of BPH, and were less likely to have worsening of their BPH.
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What is a Grade 2 prostate?

Stage II: The tumor is found only in the prostate. PSA levels are medium or low. Stage II prostate cancer is small but may have an increasing risk of growing and spreading. Stage IIA: The tumor cannot be felt and involves half of 1 side of the prostate or even less than that.
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