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1 16th September 08:44
bear
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Default Normal prostate volume?


I had an ultrasound which showed 'a moderate degree of prostatomegaly and a
prostate volume of 65 ccs'
Is this normal or much to be concerned about?
My last PSA was 1.2 and is normally around that...
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2 16th September 08:44
roachable
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Default Normal prostate volume?


"megaly" means enlarged, and he repeated the assertion with the statement that
it had a volume of 55 cc. Sounds like you have a little BHP.
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3 16th September 08:44
palmer_ent
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Default Normal prostate volume?


the normal size of the prostate is between 20 to 30 cc. yours is 65cc.
so, you can tell where you are in relationship to what is normal. mine
was 55cc.

since you are having a low psa reading, don't worry about it and enjoy
life if it isn't bothering you.

~ curtis

knowledge is power - growing old is mandatory - growing wise is optional
"Many more men die with prostate cancer than of it. Growing old is
invariably fatal. Prostate cancer is only sometimes so."
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4 16th September 08:44
bear
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Default Normal prostate volume?


The problem is, it is bothering me, pain urinating, dribbling, frequency,
urgency etc
Is there a drug treatment?
I've been trying Saw Palmetto, not sure if its any good or not....
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5 16th September 08:44
palmer_ent
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Default Normal prostate volume?


The problem is, it is bothering me, pain urinating, dribbling,
frequency, urgency etc
Is there a drug treatment?
I've been trying Saw Palmetto, not sure if its any good or not....

----------------------------> saw palmetto contains natural estrogen
and will mask your psa readings somewhat.

the symptoms you have sound like more along the lines of BPH. there is
a newsgroup called sci.med.prostate.bph that might be of help.

the drugs that are normally used are a form of muscle relaxers.

allow me to explain what's happening inside your prostate. without
getting into the nuts and bolts and names, here is the basic problem.
your prostate starts growing normally after the age of 25 and will
continue to grow. as the cells produce and make more cells , there is
no room for them in the prostate because the prostate is held by a band
of muscles that contract when you ejaculate. so, if it can't expand,
then, it has to apply pressure to the inside and in the process, it
squeezes the urethra and makes it more difficult to urinate. symptoms
are slower stream, having to push harder to empty bladder, etc. one of
the other problems you have with a larger prostate is that it pushes up
from the bottom of the bladder and forms a pocket for urine to be
retained and this causes problems because you feel like you emptied your
bladder, but if you move around or bend over, you've got to go some
more. also, since you are not emptying completely, you will fill up
faster and more often. giving you the muscle relaxers such as hydrin
will cause the muscles that hold the prostate in place to relax and in
this process of relaxing, it causes the pressure to lessen and gives a
place for the extra prostate cells to go. as a final effect, it causes
the urethra to open up more and you are able to have a stronger flow,
but will do nothing for the pocket inside your bladder.

you can seek treatment for your enlarged prostate to relieve your
symptoms. there are many different methods that will relieve your
symptoms, but each one has it's own set of potential problems. research
each one very well.

my problems were cured when the removed the prostate and i have
permanent relief - finally. been there, done that.

i wish you the best.

~ curtis

knowledge is power - growing old is mandatory - growing wise is optional
"Many more men die with prostate cancer than of it. Growing old is
invariably fatal. Prostate cancer is only sometimes so."
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6 16th September 08:44
a sherman
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Default Normal prostate volume?


My 2nd biopsy showed PCa. My urologist reported that the ultrasound indicated
a prostate volume of 120 cc (or did he say 120 gm?) so his treatment advice
took the large size into account.

I had my RRP 12 weeks ago. The doc said the operation was made "more
difficult" because "I had the world's largest prostate at 150 grams." I had
hoped the pathology report would confirm the size, but size was not included.

When I got back to the computer, I tried to find the range of prostate size
with Google, but failed to do so. I did see mention of a 160 gram prostate,
so I have not applied for a Guinness record. ;-)

I did not have any unusual problems due to the large size. I'm doing well at
12 weeks post RRP. I have been getting together a full account of my case and
I plan to post it here this weekend.

Al
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7 16th September 08:44
oitbso
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Default Normal prostate volume?


Prostate. 1999 Feb 1;38(2):144-50.
Differences in prostate size between patients from University and
Veterans Affairs Medical Center populations.

Nixon RG, Meyer GE, Brawer MK.

University of Washington School of Medicine, Seattle, USA.

BACKGROUND: Numerous studies on prostatic disease have been performed
at Veterans Affairs (VA) Medical Centers. Recent investigations
evaluating early detection of prostate cancer provide insight that the
average prostate volume may be different between patients with similar
clinical findings who are from different hospital settings. The
objective of this study was to compare prostate size between men from
University and VA Medical Centers.
METHODS: Patients were enrolled retrospectively from 1989-1996 from
the Urology Clinics at a University and a VA Medical Center. All men
underwent transrectal ultrasound-guided ***tant biopsy of the prostate
owing to either an elevated prostate-specific antigen (PSA) level
and/or abnormal digital rectal examination (DRE) detected prior to
biopsy. Prostate volume was calculated using the ellipsoid
three-diameter formula based on transrectal ultrasound measurements.
RESULTS: There were 1,311 men included in the ****ysis: 717 were from
the VA, and 594 were from the University. The average prostate volume
was significantly smaller among VA patients both for men with cancer
(P = 0.0004) and for men with no evidence of malignancy (P < 0.0001).
Overall, the average prostate volume was 38.5 cm3 (median, 32.5 cm3)
among men from the VA compared to 46.8 cm3 (median, 39.3 cm3) among
men from the University Medical Center. Men from the VA were older
(mean +/- SD = 68 +/- 7.3) than men from the University (mean +/- SD =
66 +/- 7.7) (P = 0.004) and there was no significant difference in PSA
levels between the two groups of patients (P = 0.11). Intriguingly,
the incidence of cancer was significantly lower at the VA (24.5%)
compared to the University (35.9%) (P < 0.0001).
CONCLUSIONS: The variance in prostate size suggests that there are
significant differences between the two patient populations. Proposed
factors leading to this discrepancy include differences in
socioeconomic factors, environmental factors, and changes in hormonal
milieu related to alcohol and tobacco use. These results may have
significant implications regarding the interpretation and
extrapolation of results from previous studies performed at a single
hospital setting.
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8 16th September 08:44
a sherman
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Posts: 1
Default Normal prostate volume?


"ron" <oitbso@yahoo.com> quoted


Thanks Ron.

It looks to me that the title of this article should have been "Differences in
average prostate size...."

I don't see any indication of the range. Too bad they did not provide the SD
that goes with the means. That would allow at least an estimate of the size
distribution. All I see is a comparison of the average of two different
populations....

Al
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9 16th September 08:45
ellis
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Posts: 1
Default Normal prostate volume?


It sounds like you BPH. The latest treatment is the Green Laser.
http://www.pamf.org/news/2004/0604_prostate.html
New Laser Means Less Risk in Treating Enlarged Prostate

June 2004

"Enlarged prostate, also known as benign prostatic hyperplasia (BPH),
occurs when excess prostate tissue develops and puts pressure on
the urethra, which carries urine from the bladder. Like a clamp,
the excess tissue impedes the flow of urine, resulting in weak,
frequent urination and other problems.

The new GreenLight PVP (photoselective vaporization of the prostate)
system uses a special, patented green-light laser * a more
effective wavelength than in other lasers * to remove the excess
tissue. The procedure is minimally invasive: a laser fiber is
threaded into the urethra to deliver the green-light energy,
then removed."
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10 16th September 08:45
steve kramer
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Posts: 1
Default Normal prostate volume?


Yes, there is treatment for it. We deal less here with non-cancerous
prostate problems than cancerous, but a round of antibiotics, like Cipro, is
usually the first treatment. If that doesn't work, there are other
treatments, including all the way up to prostatectomy.

--
Prostate Cancer Survivor (so far), not a doctor
PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000
PSA .1 .1 .1 .27 .37 .75
EBRT 05-07/2002 @ 47
PSA .34 .22 .15 .21 .32
Erection 05/12/2003 @ 48
HTbegins 07/21/2003 @ 48
PSA .07 .05
Lupron 7/03, 8/03, 12/03, 4/04
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