Patient :MRCP report shows multiple hypointense calculi in gall bladder (GB). GB mildly contracted. Gross GB wall edema noted. Screening image of upper abdomen shows liver, Pancreas and spleen are normal. Common bile duct clear. Total bilorubin was 2.5 on 18.02.2015 which came down to 0.8 now. SGOT has come down from 121 to 28. SGPT from 262 to 49. Alkaline phosphate from 149 to 98 now.
Uroflowmetry rep- low peak flow rate (10.9 ml/s) voided vol 202 ml, avg flow rate 4.9 ml/s, slow intermittent flow pattern. USG rep- prostate echotexture normal, no focal alteration of echogenity. Prostate Size.41.2X48.3X39.7mm.Wt.41.4 Gm.Taking Veltum plus last 12 days shown improvemnt.No prob during urination.During night sleep, wake up to urinate once or zero. Clinically patient is ok with normal apetite...other parameters looking ok.
Lapro surgery to be done to remove GB. Is it required to operate the Prostrate same time or only do GB surgery after some wait of one month or so, till prostate gets smaller due to ongoing medication. Is this the way we can avoid prostate surgery? Please Advise early .
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Age is 75 years leading normql life. No history pf major ailment or operation in the past.
Symptoms: Age is 75 years. At present, urine stool looks normal in colour.Apetite normal. Due to use of antibiotic, he is a bit week. Frequency to urinate and control urination has improved. Leading almost normal life . Rest is there.No other problem one can see. PSA shows 1.64 mg/ml.
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