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    BPH and Overshrunk prostate
    An_245977 posted:
    More than three years ago I was diagnosed with BPH and the doctors treated me with Xatral LP 10, Avodart, Tamsolosin etc at different times. I did get relief from the common systems for short periods but I am suffering from the same symptoms even now. The latest ultrasound results indicated my prostate size to have shrunk to 16 ml. I have the feeling that I am not suffering from an enlarged prostate now, but on the contrary I am suffering from the usual BPH symptoms from an overshrunk prostate rather than from an enlarged prostate. I would like to know from knowledgeable people as to what should I do now. To relieve urinary problems I am taking Nettle root extract 300 mg twice daily and have stopped taking all the medicines including saw pelmetto.But there is not much relief. All BPH symptoms eg. nocturia, urinary retention, hesitation while urinating, difficulty in starting urine, pain while starting etc.are still there. I have to wait 10 minutes or so after the urination to completely empty the bladder. I would like to add that I am not an athlete at all but do perform regular exercises.
    billh99 responded:
    You might want to ask your doctor about a Cystoscopy test.

    This explains it.
    Basir U Tareen, MD responded:
    I'm not sure its possible to "overshrink" the prostate. In general a reduction in size would be expected to improve your BPH symptoms. If your symptoms are severe enough to afffect your quality of life, it probably warrants further investigation to see if it is an obstructive prostate problem or a bladder problem. (cystoscopy and urodynamics can help answer these questions). After that your doctor can better decide if you should more aggressively treat the BPH (surgery, in most cases) or focus more on the bladder and overactive bladder type medications.
    hmnaqvi replied to Basir U Tareen, MD's response:
    Thank you Mr. BillH99 and Dr. Tareen for your very valuable advice. I will keep these in mind on next visit to my doctor.

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