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Prostrate Problem
Sir,
          During October '2015 my PSA level was 10.92.On visit to Urologist Digital Rectal Examination was         performed and diagnosed as benign feelings.Doctor thereafter  prescribed medicine SILODAL 8mg O/D and advised revisit after 15 days with the test report for USG,UROFLOW METRY, Total PSA and free PSA .I revisited the Doctor on18 th December, 2015 alongwith the test report which are as under:-
                USG:
                 -------  
                 Urinary Bladder-      Wall thickness normal.Luminal echoes normal.No calculi.post void  residue-  significant(150cc)
                  Prostrate-measures 4.7x5.8x5.0cm=73cc.Enlarged in size with heterogenous texture.

UROFLOWMETRY
-------------------------
MAX.  Flow=16ml/s,average  flow=07ml/s
      PSA
       ------
FREE PSA=                          1.73 ng/ml
PSA          =                        10.47ng/ml
FREE PSA/TOTAL PSA=       0.165
On going through the report,the
doctor advised further  test for TRUS.
I underwent TRUS on 28.12.2015 and the report is as under-
         Prostrate Gland
        -------------------------
        asymmetrical enlargement of central zones with left being bigger than right.                              Peripheral zones appear to be normal. No focal lesion seen. Mild prostatic region shows a small cyst-    0.8x0.7cm in size-suggesting prostatic Utricle cyst. Prostrate measures 5.4x3.8cm.
      Seminal Vesicles
      -------------------------
Both seminal vesicles appear to be enlarged with heterogenous    echopatter..Small cystic changes are noted in both.
        Vas defrens
         -----------------
Both vas deferens appear to be normal limits.
                  Kindly advise if any possibility of Prostate cancer indicates from the above report.

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