Prostate 40cc prostatic cyst 8mm prostatomegaly? - #9171

Dear K. Narasimha Murthy, I understand that dealing with prostatomegaly (enlarged prostate), a prostatic cyst (8mm), and a history of right-side inguinal hernia surgery raises concerns about whether medication will be enough or if surgery is required. Understanding Your Condition: • Prostate Size: 40cc – This is moderately enlarged (normal size is 20-30cc). • Prostatic Cyst (8mm) – Small cysts in the prostate usually don’t need surgery unless they cause severe urinary issues. • Left Gross Varicocele – If asymptomatic, it may not require treatment. • Uroflowmetry (384/9/5) – Indicates moderate urinary obstruction (peak flow rate of 9 ml/sec is lower than normal). Is Surgery Needed? ✔ If symptoms are manageable with medication, surgery can be avoided for now. ✔ If symptoms worsen (frequent urination, weak stream, urine retention, repeated infections), then surgery (TURP or laser enucleation) may be needed. About Your Medication (Silodol-D8/0.5mg) • Silodosin (8mg) – Relaxes the prostate muscles to improve urine flow. • Dutasteride (0.5mg) – Shrinks the prostate over time. How long should you take it? ✅ Usually taken long-term (at least 6 months to 1 year for best results). ✅ Regular check-ups (every 6 months with a urologist) are important to monitor progress. Next Steps & Precautions: 🔹 Repeat Uroflowmetry & PSA Test – Every 6 months to check prostate health. 🔹 Abdominal Ultrasound – To monitor cyst & residual urine. 🔹 If symptoms worsen despite medication – Consider surgical options (TURP, HoLEP, or laser prostatectomy). Since you also have diabetes & hypertension, surgery (if needed) must be planned carefully. For now, continue medication, monitor symptoms, and follow up with your doctor every 6 months. Let me know if you need further clarification. Take care!