Monday, February 13, 2012
Wednesday, September 17, 2008 Jody asks

Q: Can you have an enlarged prostate and prostate cancer?

The reason I'm asking is because the doctor won't place the seeds because the prostate is too large. I am now taking avodart to shrink the prostate prior to treatment. Is this common?

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Answers (4)
9/30/10 11:57pm

Patients can have both prostate cancer and an enlarged prostate. The strategy to shrink the prostate prior to the placement of the seeds is very common, however most Urologists would use an LH/RH analog instead of Avodart.  Placing seeds in a large prostate is not as effective as placing seeds in a smaller prostate. Additionally larger glands can pose a problem with regards to the accuracy of the seed placement.

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9/18/08 8:18am

Jody,

 

From what I know, it is possible to have prostate cancer if your prostate is enlarged, but just because it is enlarged doesn't mean it's a sign of cancer, and avodart is good to shrink it, but sometimes may not shrink it enough.  It would be a good idea to make sure they have checked your PSA.  Good luck!

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9/27/09 12:03pm

Yes, you can have both.  If your doctor is going to place seeds, then you obviously have cancer, which should have been confirmed by biopsy.  An enlarged prostate by itself does not mean you have cancer.

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10/23/09 6:04pm
Have you had a biosy to prove cancer exists? You may need a TURP to reduce the size of the prostate, if this is causing a urination problem. Your question is interesting because if your doctor prescribed avodart/casodex it may mean there is cancer present. Casodex/Avodart is a total androgen blockade which means the prostate cannot manufacture any tostesterone which prostate cancer feeds on. Reply
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