Welcome to National Kidney & Prostate Clinic
Prostate is the gland which is located below the urinary bladder in men. It produces semen and therefore is very important for the purpose of reproduction. With increase in age, it enlarges and very often can result in obstruction to the urine passage. These patients very often feel that the flow of the urine has reduced, also they may need to pass urine very frequently during day and night.
If one is facing these problems, please consult an uro-surgeon immediately. The uro-surgeon will generally examine the patient and then will advise, for a few routine tests. These tests include a urine culture and routine test, blood for hemoglobin, creatinine, sugar and PSA. Also, a urine flow test and an ultrasound evaluation is routinely performed. Based on these tests the surgeon is able to assess the extent of the problem and therefore the plan of care is also decided.
When the urine culture is sterile, and the PSA is less than 2, and the urine flow is more than 15ml/sec and the residual urine is less than 100ml, then most such patients are best managed by medication. These medications are like blood pressure medication and can be used for years, under the supervision of the uro-surgeon. Generally, these patients are called for twice per year check up.
However in case the urine culture shows infection, and the PSA is more than 2 and the urine flow is less than 10ml/sec , and the residual urine is more than 100ml, then the patient has more serious obstruction which needs care by microsurgery. These patients are then called for cystoscopy, which is a day care procedure performed under local anesthesia to check the internal anatomy of the prostate. These patients are better cared for by laser surgery of the prostate.
Laser surgery is a no cut, natural passage surgery. Which is performed using laser therefore the chance of bleed, infection and residual prostate is very small. And the patient can recover very soon from the surgery.
Therefore if you are suffering from urinary symptoms please consult an uro-surgeon soon.