Introduction
Many men visit urologists with anxiety after an ultrasound report and say, “Doctor, I have prostate!”
This statement reflects one of the most common misunderstandings about male health.
Dr. Rahul Jena, Uro-Oncology Consultant in Bhubaneswar, explains that having a prostate is completely normal for every man. The real concern is not the presence of the prostate, but whether it is enlarged, causing symptoms, or associated with cancer.
This blog clarifies common myths around prostate enlargement, symptoms, diagnosis, and treatment—helping men make informed health decisions.
Watch: Dr. Rahul Jena Explains the Most Common Prostate Misunderstanding
Below is the official video where Dr. Rahul Jena explains what people really mean when they say “I have prostate,” and when you should actually be concerned:
What Is the Prostate?
The prostate is a small gland found only in men and is part of the reproductive system. It secretes fluids that help nourish and transport sperm during ejaculation. It is entirely normal for all adult men to have a prostate.
Prostate Enlargement (BPH): A Common Condition
With advancing age, many men experience prostate enlargement, medically known as Benign Prostatic Hyperplasia (BPH). This condition is non-cancerous and very common among older men.
70–80% of men develop prostate enlargement as they age
About 50% of those may develop urinary symptoms
However, not all enlarged prostates cause symptoms
Symptoms to Watch For
Prostate enlargement can lead to urinary symptoms such as:
Frequent urination
Slow or weak urine stream
Difficulty starting urination
Feeling of incomplete bladder emptying
Night-time urination (nocturia)
It’s important to note that symptoms — not size alone — determine whether treatment is needed.
How Is Diagnosis Done?
Prostate size is usually checked with ultrasound, but doctors often need additional tests to decide if symptoms are caused by prostate issues.
Common diagnostic tools include:
Uroflowmetry — measures urine flow rate
Residual urine test — evaluates how well the bladder empties
PSA blood test — screens for prostate cancer and helps detect early changes
Why PSA Testing Matters
The PSA (Prostate-Specific Antigen) test is recommended especially for men over 50 years old or earlier if risk factors exist. PSA helps detect prostate cancer early — even before symptoms appear. Early detection often leads to better outcomes.
Treatment: When Is It Needed?
No symptoms → No treatment required, even if the prostate is enlarged
Symptomatic cases may be treated with medication or surgery depending on severity
Ignoring symptoms or delaying evaluation can lead to complications. Early diagnosis and treatment improve quality of life.
Conclusion
The phrase “I have prostate” should not cause panic. As explained by Dr. Rahul Jena, prostate health should be assessed based on symptoms, urinary flow studies, and PSA levels, not fear or ultrasound reports alone.
Men are encouraged to seek early evaluation, follow medical advice, and avoid ignoring symptoms. Proper understanding and timely care can prevent complications and ensure long-term urinary and reproductive health.