I've been having trouble with urine getting stuck and not flowing properly, especially when sitting or lying down for long periods. Even when I feel the urge to go, it's hard to empty my bladder completely unless the stream is really strong. Doctors mentioned surgery, but I'm wondering if there are any treatments or surgical options that don't involve removing the prostate gland? What else can be done to help with this?

Answered by 1 Apollo Doctors

Dr Dhankecha Dineshbhai

General Practitioner

MBBS
6+ Yrs

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I would need some more details to get a clear idea of what you are going through

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Answered 14/08/2025

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My dad's been dealing with this borderline prostatomegaly thing, and his ultrasound shows the prostate's borderline enlarged at 31x38x34mm and the volume's up to 224cc. There's no sign of any focal lesions, but I'm really worried. Is it necessary to go through another TURP surgery? Last time he had one was back in 2009. What's your take on this?

For borderline prostatomegaly with a prostate volume of 24cc, treatment options include watchful waiting, medications like alpha-blockers (e.g., tamsulosin) or 5-alpha-reductase inhibitors (e.g., finasteride), and lifestyle changes; TURP surgery may not be immediately necessary, especially since your father had it in 2009, but it's essential to consult a urologist for personalized advice and to monitor prostate health.