Enlarged Prostate Explained: What’s Normal, What’s Not, and When to Worry

madman · 2025-11-09T14:11:47-0600

Is an enlarged prostate really dangerous? Does it automatically mean prostate cancer or explain your weak stream and nighttime trips to the bathroom? Dr. Geo Espinosa breaks down the real story behind prostate size, bladder health, and nerve control.

You’ll Learn

* Why prostate size isn’t always the cause of urinary problems

* How the bladder and nerves affect flow and frequency

* When drugs like Finasteride and Dutasteride are unnecessary

* Why an enlarged prostate ≠ prostate cancer

* Smart testing options to avoid unnecessary biopsies

CHAPTERS

00:00 Introduction — How dangerous is an enlarged prostate?
00:45 Normal vs Enlarged Prostate — Walnut vs Orange size explained
01:20 When Size Doesn’t Matter — Obstruction without enlargement
02:00 The Morning Stream Myth — Why slow flow at dawn isn’t always serious
03:00 Bladder-Prostate Synergy — The teamwork behind healthy urination
04:15 Medication Pitfalls — Finasteride & Dutasteride explained
05:30 Hair Loss & Hormones — Side effects of prostate drugs
06:00 Enlarged Prostate ≠ Cancer — Clearing up the myth
07:00 When It Can Be a Problem — Nerve compression & PAE treatment
08:00 Smarter Testing — ExoDx urine test vs PSA
08:45 Questions to Ask Your Urologist
09:30 Closing Thoughts — Live stronger, longer, and better

madman · 2025-11-09T14:16:52-0600

Thread 'A cutting-edge urine test that may outperform PSA and even MRI in identifying clinically significant prostate cancer'

Jun 8, 2025

Are we entering a new era of prostate cancer testing? In this episode, Dr. Geo speaks with Dr. Jeffrey Tosoian—urologist, researcher, and lead author behind MyProstateScore 2.0 (MPS 2.0)—a cutting-edge urine test that may outperform PSA and even MRI in identifying clinically significant prostate cancer.

Learn:

* How MPS 2.0 works and what makes it different from PSA, 4Kscore, and ExoDx

* Why MPS 2.0 offers a 95%+ negative predictive value (NPV)—helping men avoid unnecessary prostate biopsies

* When to use MRI vs. biomarker testing

*...