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Urology/Enlarged Prostate

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Question
Is it normal to have an enlarged prostate at the age of 48? Is it also normal for Avodart to not work as it should after 2 years of treatment? What do you think is the problem of early age with prostate problems is?

Answer
Laird:

It is a bit unusual to have an enlarged prostate at age 48.  It is obviously not normal for Avodart "not to work" after 2 years.  Avodart works by reducing testosterone processing inside prostate cells which causes some decrease in size and reduces PSA levels.  It may be doing this fine but if this isn't sufficient to relieve your symptoms, then something else is needed.

You could have prostatitis, strictures or abnormal bladder function.  You should talk to your urologist or get a second opinion.

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Stephen W. Leslie, MD

Expertise

Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.

Experience

Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

Organizations
American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Publications
Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Education/Credentials
Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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