Hi, new poster, interested in several posts on the forum concerning BHP/Large Prostate/increased PSA.
i was diagnosed with BHP and acute retention at age 47.
Started intermittent self catheterisation on diagnosis of BHP.
Been under observation since with annual
PSA tests. Occasional UTI due to catheter use. Procedure to remove bladder stones.
2 years ago had blood in urine resulting in MRI and CT scans, no concerns reported. Prostate size recorded as 104cc. PSA 4.
Annual PSA check carried out november 2025, reported 11.
PSA density was cause for concern - hospital visit for rectal exam and discussion.
MRI arranged in 3 weeks time.
Explanation of PiRAD system provided i.e level 1-5 and what these meant and led to.
Possibility of biopsy depending on PiRAD result.
A few things have come to mind which i would appreciate views on from other members.
It is apparently normal for those with BHP to be prescribed alpha blockers to help reduce prostate size, i’ve never had these and wonder why not? Would my prostate be as large as it is currently had i used tamusolin or finestride?
Also, given the size of my prostate at 104cc, should i have by now been offered HoLEP procedure to reduce the volume?
Thanks in advance
