I am 74 years and my prostrate shows enlargement during ultra sound test. I am diabetic and using insulin and metformin tablets daily. Frequent urination in nights is my problem now. Can you suggest any medication any surgery is suggested for enlarged prostrate. Ication.

Dr. Satyajeet P PattnaikUrologist14yrs exp

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Benign prostatic hyperplasia�(bph) and associated lower urinary tract symptoms (luts) are highly prevalent in older men and represent a substantial challenge to public health. Increasing epidemiologic evidence suggests that�diabetes�significantly increases the risks of�bph�and luts. Pathophysiologic mechanisms to potentially explain these associations include increased sympathetic tone, stimulation of prostate growth by insulin and related trophic factors, alterations in sex steroid hormone expression, and induction of systemic inflammation and oxidative stress.� selective alpha blockers and antimuscarinics will help relieve your symptoms.  

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