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Is it a must to undergo surgery for enlarged prostate?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

My father has an enlarged prostate and has to undergo prostatectomy surgery. But, it is getting delayed due to ITP (idiopathic thrombocytopenic purpura). Right now he is under a urine catheter. For the past 12 days, he has been using Silodal-D 8 mg. The doctor said that after 20 days the prostate gland will reduce.

Through the ultrasound test, we came to know the size of the enlarged prostate is 54.6 cc. My doubt is, if it is enlarged to 54, is it possible that it can be reduced through tablets? Or is it a must to undergo surgery? Right now the platelet count is 40,000.

Please suggest a solution for this.
Answered by Dr. Saurabh S Pandya

Education:

MBBS

Professional Bio:

Dr. Saurabh S. Pandya is a highly skilled Surgical Urologist with extensive years of clinical experience. He specializes in the surgical and medical management of urinary tract and male reproductive system disorders. His expertise includes kidney stones, prostate conditions, urological cancers, and minimally invasive procedures. Fluent in English, Gujarati, and Hindi, Dr. Pandya is committed to delivering compassionate, patient-centered care while ensuring the best possible clinical outcomes.

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Hi,

Welcome to icliniq.com.

Your father was on medication and had a history of urine retention in the past. Currently, he is on a catheter. The chances of medical management will not be successful. He needs surgery of either TURP (transurethral resection of the prostate) or HoLEP (Holmium laser enucleation of the prostate) for his prostate. Size is never a criterion for surgery.

An enlarged prostate can shrink by 30% if Dutasteride is given. But this does not guarantee that the patient will become catheter-free. However, it reduces blood vessels in the prostate and helps decrease blood loss in surgery. Dutas-T (Dutasteride and Tamsulosin) also contains similar medicines as Silodal D (a combination of Dutasteride and Silodosin). His ITP needs to be tackled with all due precautions and keeping platelet concentrates on standby. He can undergo endoscopic surgery with due risks. Laser surgery - HoLEP will be better for him if available.

I hope this helps.

Thank you.

Patient's Query

Hi doctor,

Thank you so much for the information. How can I contact the appropriate doctors in my region?

Kindly help.

Answered by Dr. Saurabh S Pandya

Education:

MBBS

Professional Bio:

Dr. Saurabh S. Pandya is a highly skilled Surgical Urologist with extensive years of clinical experience. He specializes in the surgical and medical management of urinary tract and male reproductive system disorders. His expertise includes kidney stones, prostate conditions, urological cancers, and minimally invasive procedures. Fluent in English, Gujarati, and Hindi, Dr. Pandya is committed to delivering compassionate, patient-centered care while ensuring the best possible clinical outcomes.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hi,

Welcome back to icliniq.com.

You can search on the internet for the complete list of doctors in your area and decide.

Kindly revert back if you need more assistance.

Medically reviewed by Dr. Sneha Kannan
Published At March 3, 2016
Reviewed At January 30, 2026

Education:

MBBS

Professional Bio:

Dr. Saurabh S. Pandya is a highly skilled Surgical Urologist with extensive years of clinical experience. He specializes in the surgical and medical management of urinary tract and male reproductive system disorders. His expertise includes kidney stones, prostate conditions, urological cancers, and minimally invasive procedures. Fluent in English, Gujarati, and Hindi, Dr. Pandya is committed to delivering compassionate, patient-centered care while ensuring the best possible clinical outcomes.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Sneha Kannan is a skilled Dental Surgeon with expertise in providing general dental care, including scaling, fillings, and preventive treatments. She does oral surgery procedures such as extractions and minor surgical interventions. She does procedures in restorative dentistry, including crowns, bridges, and dentures. She is an expert in doing endodontic treatments such as root canal therapy. She is well-versed in doing procedures in cosmetic dentistry, including teeth whitening and smile correction. She can provide pediatric dental care for children’s oral health and preventive treatments. She promotes oral hygiene awareness and preventive dental practices.  

This doctor is not available for online consultations on the platform anymore.

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Same symptoms don't mean you have the same problem. Consult a doctor now!

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Decision Helper
Enlarged Prostate Surgery Decision Helper

Considering surgery for an enlarged prostate?

This tool helps you understand factors influencing treatment decisions for an enlarged prostate, especially when surgery is being considered.

  • Evaluate if medication is likely to be effective.
  • Understand the role of prostate size in treatment.
  • Consider factors like catheter use and other health conditions.

This tool provides educational information only and does not diagnose, treat, or replace professional medical advice. Consult a qualified healthcare professional for personalized medical guidance. Medications should be taken after consulting a physician. The dosages will be prescribed by the physician. Do not alter, start, or stop medications without consulting a healthcare professional.
Dr. Saurabh S Pandya
Dr. Saurabh S Pandya

Urology

Consult this doctor

Education:

MBBS

Professional Bio:

Dr. Saurabh S. Pandya is a highly skilled Surgical Urologist with extensive years of clinical experience. He specializes in the surgical and medical management of urinary tract and male reproductive system disorders. His expertise includes kidney stones, prostate conditions, urological cancers, and minimally invasive procedures. Fluent in English, Gujarati, and Hindi, Dr. Pandya is committed to delivering compassionate, patient-centered care while ensuring the best possible clinical outcomes.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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