Doctor insights on:
Bph With Luts
BPH is abbrev of benign prostate hyperplasia, which is a general, confusing, clinical term for men's trouble to void although it is a pathological term to describe microscopic increase in number & size of glandular cells in the prostate, starting as early as age 30. For better use, LUTS is proposed to replace BPH. More? ...Read more
Coud there be another treatment for benign prostatic hyperplasia (bph) besides doxazosin and flomax (tamsulosin)?
BPH: Treatments for BPH fall into two categories; medical and surgical. Medical therapy includes Alpha blocker medications to improve urine flow and 5-alpha reductase inhibitors to shrink the gland. The surgical options include thermal or laser destruction of prostatic tissue or transurthral resection of prostaic tissue (turp). The "best" treatment is a very individual thing. ...Read more
Unfortunately no.: Flomax or tamsulosin relaxes the smooth muscle of the prostate to improve urine flow in men with enlarged prostates. There is likely some small effect on the ureters and urethra as well. However, a stricture is usually a fixed obstruction with elements of scar tissue that would not respond to a medication like flomax. ...Read more
Yes.: Flomax (tamsulosin) is part of a family of drugs called alpha-blockers that relax the smooth muscle of the prostate and bladder neck, improving urine flow & symptoms. Other drugs in this group are terazosin, doxazosin, alfuzosin, & silodosin. Another family of drugs for BPH are 5-alpha-reductase inhibitors, such as Finasteride and dutasteride. These shrink the prostate and reduce episodes of urine retention. ...Read moreSee 2 more doctor answers
Sporadic frequent/urgent urine, prostate pushing into bladder (per mri), left hn, 73 yo w/m. Would flomax (tamsulosin) relieve hydronephrosis by easing BPH backup?
Orgasm&ejaculation fails with tamsulosin followed by scrotal pain,any explanation/help plz? N.b: diagnosed with chronic prostatitis& on cyprofloxacin.
Here are some...: Diminishing and stopping ejaculation is one of known side effects from alpha-blockers like tamsulosin, which may happen few of its users but can improve urine flow. But scrotal pain may not be related with tamsulosin use, instead from others. More? Due to 400-letter limit, ask your doc or contact www.HealthTap.com/dr-Lin with keycode of RQPWJC to reach me as needed. ...Read more
Bph and ED: This are separate issues.Get a more detailed answer ›
Not, but ...: Clinically, Flomax (tamsulosin) has not caused ED, but some ejaculatory dysfunctions such as low ejaculate & retrograde ejaculation in 8-18 % of patients, which is dose related, due to its effective relaxation of bladder neck, which yet helps men improve urine flow. Fortunately, most of men using it don't need to make more baby so they can accept and cope with this side effect to trade with better urine flow. ...Read moreSee 1 more doctor answer
Not actually cause: But these 2 keep company. Big prostates casuse bladder outlet symptoms (frequency, urgency, sleep interrupting need to pee), and this brings men in for checks, include psa. Depending on psa level and rate of change, biopsies are done. Perhaps many can be watched, but obstructive symptms need treatment. Finasteride can be used as a prosca preventitive and shrink prostate over time. ...Read moreSee 2 more doctor answers
Both: Alpha blockers relax the smooth muscle component of the prostate (as opposed to the glandular part). They also relax the INTERNAL urinary sphincter at the neck of the bladder.This is why retrograde ejaculation(the ejaculate goes into the bladder instead of coming out) can occur. They do not relax the EXTERNAL sphincter(below the prostate) which controls urine voluntarily. ...Read more
Wear Foley 2 months. taking flomax (tamsulosin) & proscar. Urologist tried flooding bladder with 250cc's.Couldn't urinate enough. penis is eroding.How to retrain?
Need more info: Your age? Is prostate enlarged and obstrutcing? High chance of infection with Foley for 2 mos.How much flomax:You can take it 0.4mg twice daily. Proscar (finasteride) does not work until you have been on it for about 4 months. Have you had cystometrogram?Are you diabetic?How much residual urine by ultrasound?Difficult to give you helpful answer without more information.Sorry I could not give better answer. ...Read more
TURP: Surgery by way of turp, photo vaporization of the prostate or plasma vaporization of the prostate, is the most effective way to improve BPH related luts(lower urinary tract symptoms). It results in outcomes far superior to, and more durable than minimally invasive options or medical therapy. ...Read more
Using flomax (tamsulosin) for enlarged prostate. Do super beta and saw palmetto both shrink the prostate? Please be specific about benefits of each.
No: BPH is benign swelling of the prostate gland as a man ages. It is under hormonal control and will continue to enlarge over time. If urinary symptoms arise, then treatment options inlcude observtaion, medical therapy, or surgery. There are no home remedies once can take to stop or prevent the enlargement. See your urologist if symptoms persist or bothersome. ...Read more
Is risky: Sudafed has the exact opposite action of Alpha blockers which are effective in men with BPH and lower urinary symptoms. Sudafed use can increase the resting tone of the bladder neck and increase risk of urinary retention in men who may already be at some risk due to prostate enlargement. This scenario is not uncommon in the clinic. ...Read more