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Harvard experts discuss benign prostatic hyperplasia drug treatments

March 11, 2009

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Comments

M L OSWAL
July 07, 2018

I have 100 ml size of prostate with PSA 22. Urine not passing so use catheter. Advise what to do.

Peace
May 08, 2018

Hi my husband is 79 years old and struggles with frequent urination, dribbling pee, urgency, painful esp at night etc, but he hates drugs as he seems to get lots of their side effects … how effective and successful is surgery … and what are the latest or best options there. Thanks team.

Elwood
March 14, 2018

So I tried Flomax for close to a year … little did I know my ‘blurry vision’ and sneezing was caused by this, not to speak of very weak ejaculation if at all. Then tried another med, TERAZOSIN, that wasn’t any different, and actually worse as there was no Erection to be had…I’d rather wake up 6 times a night than have no Sex life.

My main reason for arriving here is I’ve just had an Epigastric hernia repair, and all the Pain Killers seem to affect the Urine flow – are there any which don’t have this effect? THX!!

Richard
March 04, 2018

Richard Gentleman
I just started with flomax but but my sinus get so irritated to the point I can’t breath through my nose and then my blood pressure goes down and up . I am not taking any other meditation but pantoprazole . Wander if am allergic to one of the ingredients of flomax ?

Charles D. Eaddy
December 31, 2017

After reading the full discourse, I am more incline to use the foregoing, for the reasons stated: The second generation, selective alpha-1 blockers — alfuzosin (Uroxatral), silodosin (Rapaflo), and tamsulosin (Flomax, generic) — mainly affect the prostate, and so have less of an impact on blood pressure, but sometimes create ejaculation difficulties.

By accident, while purchasing life insurance. I discovered a PSA of 17. On the advice of my then physician I had a biopsy, and diagnosed BPH. After the Biopsy my PSA droped to 16.3, however 3 months later the PSA increased to 19.05. I plan to be tested at a more competent lab (LabCorp) within days.Any comments are appreciated.

Dr.Lee
December 28, 2017

Chinese expert may recommend herbal medicine to treat any inflammatory condition on prostate problem, as the reason it do less harm on our health.

Just list one more choice.
thanks
Dr.Lee

JAMES
December 14, 2017

HI, I WOULD ASK FOR ADVICE AS TO WEATHER ALHHA BLOCKERS AND 5-ALPHA REDUCTASE ARE CHEAPER SUBSTITUTES EQUALLY EFFECTIVE AS DISCUSSED ABOVE ARE ALSO AVAILABLE IN THE MEDICAL FIELD AS I AM 74 YEARS OLD AND RETIRED AND FIND IT EXPENSIVE TO USE ALFUSIN D PRESCRIBED BY MY DOCTOR THAT IS BOTH ALFUZOSIN Hcl 10 MG and DUTASTERIDE 0.5 MG . THANKS
JAMES

chuck
September 20, 2017

So, what is a recommendation for a 64 year old male with BPH (>100gm), currently blocked – relieved by a catheter, and being prescribed Flomax and Finasteride for 6 months? Home administered catheter relief?

JJN
September 15, 2017

Dear Sir, Thanks for the educative prostate BPH topic. This has indeed opened my scope of understanding on the subject.

RAJ
August 24, 2017

thank you for most informative discussion.Which I had read it before consulting a urologist.Im fro South Africa.I was just feeling a strange discomfort in the rectum and my g.p.violated me ! and referred me to a urologist.I was precribed silodyx and avodart which I took for one month.Was feeling a bit dizzy at times but last week after one moths of these capsules I was at a function and just fell and blacked out.I was rushed hospital and have been there for past 5 days.The neuro scans and cardio tests and bloods were all clear so all the specialists including an independent urologist are of the opinion that the silodyx caused the problem.I was told to take it in the morning but that particular day I took them at 4pm had very light supper-corn and went out, had two drinks , for the entire evening and passed out just before I was leaving.All this happened in seconds.Ironically Ive now been referred to a gatroentrologist because the irritation in the rectum/inner side of the anus still prevails 3-4 times daily and next week Im scheduled for colonoscopy.My pint is the urologist should have told me the side effects, all he said was I may feel muzzy or strange but not to worry.Whilst I appreciate that they found by default that I had an enlarged prostrate -it was just by default- I did have problems with frequent urination but not that often and no real issues with erection etc. The second urologist did his own examination of mu urine flow etc. and advised me to stop the silodyx and perhaps continue with the avodart.Personally and to me it is patently clear that there is no actual cure for bph and the side effects of these drugs are more serious that what is expressed.I have had the most disastrous bizarre embarassing experience.

JACK
April 07, 2017

My Specialist Urologist put me on Duodart 4 month ago for an extremely enlarged prostat.. 250 cc as measured by ultra sound in mid December 2016.

My urine stream has relatively strengthened but since taking this medication I get a very dry mouth at night.

It is wothwhile mentioning that my prostat examination by ultabsound mimcked a bladder cancer which proved to be non existant by a systoscopoic examination in late December 2016.

I have recently ,April 2017 taken another ultra sound . My treating G.P. is still to advise results…. so I will wait and see if Duoart had a positive effect in reducing the size` of the prostat.

Elliot
January 15, 2017

I began my Flowmax regimen at bedtime, and by early morning, I was gasping for air due to sinus congestion, and within a day rhinitis set in. After three days I discontinued the Flowmax and both symptoms subsided within a week.

To rule out a coincidental occurrence of these symptoms, I took an additional dose a week later and again became congested with rhinitis. One does was all it took.

One dose, within 24 hours, showed relief from BPH symptoms, flow improved, frequency diminished, but came with sinus congestion and nasal rhinitis that I am not willing to deal with.

Gary
July 29, 2016

Hi, I am a 69 year old who suffered with an enlarged prostate for several years. My main complaint was having to urinate 4 or 5 times a nite. I would wake up 2 hours after going to sleep and try to urinate. Half the time very little would come out but if I stayed up for 30 minutes I would be able to relieve myself. Also for the first time in my life, after not being able to urinate all nite I went to the emergency room and had a catheter for 2 days. I decided enough was enough and went for Green Light Laser Surgery 7 months ago. It was an outpatient procedure and I had to wear a catheter for 48 hours. After a few days I was urinating like a racehorse and sleeping 5 or 6 hours before getting up. What a wonderful experience. Now, 7 months later I sleep 4 or 5 hours and really have no complaints. I was advised that I might not be able to ejaculate,but, I am able to but instead of ejaculating to the ceiling, it now dribbles out. It still feels great either way. If ur willing to give up a little to live a better life, Green Light is great!!!

Patience
January 12, 2015

Many many qutilay points there.

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