Prostate Trouble

[JeffAstle]

Can anybody advise a good, English-speaking doctor in Bangkok specialising in prostate problems, more particularly poor urine flow? And does anyone know how effective drugs are, if you're scared of surgery?

[thaiphoon]

Moving to Health forum for better response.

[tim armstrong]

Jeff, There are now several threads on prostate treatment on tv - do a quick search to identify your particular problem.

But to your question, myself and other tv members have used Dr. Thanoo at Samitivej hospital in Sukkumvit. He is very thorough, speaks English and is one of the most widely used by farlang. I'm sure there are others, but he would be my choice.

[tim armstrong]

Sorry, missed the second part of your question. There are more treatment choices now than even a few years ago. Surgery is not the only way. It really depends on whether/not you do have cancer, where its located, and how advanced it is. But talk to Dr. Thanoo or someone else, read a lot and then you are in a more informed place to decide.

You may have prostatitis which is an infection and treatable, so don't be too quick to assume anything else. My treatment 3yrs ago for advanced cancer was a combination of hormone treatment and radiation. Non invasive, few side effects and effective.

[PMNL]

Have no idea about specialist in BKK but I am sure you can find many of them. You are likely to have a problem with prostate as you mentioned.

The urologist will perform DRE,PSA and optionally ultrasonogram to evaluate the size of prostae.

In caucasian and asian, if PSA is less than 4 ng/mL, there is no need for furthur investigation but annual check up.

PSA is higher than 4 ng/mL, most of urologist will advise the patients to do free PSA/PSA ratio to check whether biopsy is indicated (the lower free psa the higher chance of having cancer) to rule out cancerous prostate. PSA may be high in many conditions: Prostitis, urethritis, prostate massage,surgery. Certain medication may reduce PSA level such as finasteride(Proscar, firide). Alpha-blocker ( doxazocin, Terrazocin) can reduce the size of prostae without lowering PSA.

The most important thing is to get the urologist do all the test to rule out prostate cancer before starting any treatment.

Edited October 14, 2010 by PMNL

[LaoPo]

Have no idea about specialist in BKK but I am sure you can find many of them. You are likely to have a problem with prostate as you mentioned.

The urologist will perform DRE,PSA and optionally ultrasonogram to evaluate the size of prostae.

In caucasian and asian, if PSA is less than 4 ng/mL, there is no need for furthur investigation but annual check up.

PSA is higher than 4 ng/mL, most of urologist will advise the patients to do free PSA/PSA ratio to check whether biopsy is indicated (the lower free psa the higher chance of having cancer) to rule out cancerous prostate. PSA may be high in many conditions: Prostitis, urethritis, prostate massage,surgery. Certain medication may reduce PSA level such as finasteride(Proscar, firide). Alpha-blocker ( doxazocin, Terrazocin) can reduce the size of prostae without lowering PSA.

The most important thing is to get the urologist do all the test to rule out prostate cancer before starting any treatment.

Good post!

Eventually a biopsy could be necessary (via the anus) where they perform ca. 10 to12 "shots" into the prostate and take tissue for testing.

Not a very pleasant thing to undergo but the only way to find out, although not 100% since there's an area where they can't go around the prostate and take tissue.

I had it done 2 or 3 times. One of those times I was hospitalized since I got (for free....) an E.coli bacteria* into my bloodstream (since the needle enters the prostate via the intestine) and since they didn't know why I became so sick (within 24 hours AFTER the biopsy), they only found out after 3 days of testing. Not very nice I can tell you

But, checking the prostate is a very important issue for every man above 45!

DO IT asap since dying of prostate cancer isn't very nice.....!

* http://en.wikipedia....scherichia_coli

LaoPo

Edited October 14, 2010 by LaoPo