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Urology (Expert Forum)
I'm worried
Answered by
Kevin Pho, MD - Internal Medicine
Kevin, M.D.
Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
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I'm worried
by RustyC, Nov 03, 2006 12:00AM
I'm 50 years old and my urinary flow has decreased over the past years. Honestly, I've had less "water pressure" than most guys for at least 15 years, but, in the last three years or so, it's become more noticable. Years ago, I'd say I my flow was 20% to 30% less than my friends. (A guy notices things like that). Now, it's maybe 40% less from normal. In the hours after sex, it's maybe 60% less than normal.
I don't have any pain. I don't wake up overnight to urinate, unless I drink a large amount of fluids just before bedtime. And, in that case, it's only one trip to the bathroom.
I told this to my regular doctor and she had me take a PSA test. It came back 4.4. She insists that I see a urologist, since prostate cancer is a possibility.
But if the urologist does find that my prostate has cancer, I wouldn't want to know. Prostate cancer surgery could leave me impotent and peeing in my pants for the rest of my life. I'd rather live my remaining years without knowing about the cancer, and maintaining my bodily functions.
If the diagnoses is BPH, then that's a chronic condition and benign. Maybe, I should start taking saw palmetto now, just to be safe.
I just can't see any reason to go to a urologist.
Can you offer any advice?
I don't have any pain. I don't wake up overnight to urinate, unless I drink a large amount of fluids just before bedtime. And, in that case, it's only one trip to the bathroom.
I told this to my regular doctor and she had me take a PSA test. It came back 4.4. She insists that I see a urologist, since prostate cancer is a possibility.
But if the urologist does find that my prostate has cancer, I wouldn't want to know. Prostate cancer surgery could leave me impotent and peeing in my pants for the rest of my life. I'd rather live my remaining years without knowing about the cancer, and maintaining my bodily functions.
If the diagnoses is BPH, then that's a chronic condition and benign. Maybe, I should start taking saw palmetto now, just to be safe.
I just can't see any reason to go to a urologist.
Can you offer any advice?
Doctor's Answer
by Kevin Pho, MD, Nov 04, 2006 12:00AM
, Nov 04, 2006 12:00AM
I would advise seeing a urologist. If indeed prostate cancer is present, there are ways other than surgery to treat this - for instance, radiotherapy or seed implantation. Impotence and incontinence are indeed side effects of surgery, but depending the patient and surgeon, the chances can be relatively minor.
BPH can also lead to the scenario you have described. To ensure that cancer isn't present, a biopsy would have to be performed.
These questions should be discussed with your personal physician - and I definitely recommend the urology referral.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
BPH can also lead to the scenario you have described. To ensure that cancer isn't present, a biopsy would have to be performed.
These questions should be discussed with your personal physician - and I definitely recommend the urology referral.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
Member Comments (8)
by facetime, Nov 04, 2006 12:00AM
To: Prostate
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by facetime, Nov 04, 2006 12:00AM
To: Prostate
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by RustyC, Nov 04, 2006 12:00AM
To: Prostate
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by JoeyChuck, Nov 06, 2006 12:00AM
To: Prostate
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by RustyC, Nov 08, 2006 12:00AM
To: Prostate
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by Gulliver, Nov 24, 2006 12:00AM
To: Prostate
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by RustyC, Nov 25, 2006 12:00AM
To: Prostate
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by RustyC, Nov 25, 2006 12:00AM
To: Prostate
0
