Doctor insights on:
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
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
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
Surgery: If one develops severe urianry incontinence after radical surgery and has failed conservative management and medications, then surgery is the next option. This includes collagen injection to help close the bladder opening or placement a sling underneath the urethra. A fianl measure would be to place an artificial (plastic) sphincter to close the urethral while not urinating. ...Read moreSee 2 more doctor answers
What med besides avodart (dutasteride) shrinks the prostate without producing erectile disfunction?
Can't decide b/w holep and TURP for 51yr old very healthy male. Using tamsulosin only, want to avoid finas/dutas altogether.
Check out these: Links. As a rule, you can exhaust the efficacy of one or two meds before you resort to surgery.Holep is preferred over TURP because it's less invasive. Best wishes! http://www.mayoclinic.org/holmium-laser-prostate-surgery/ http://www.Mayoclinic.Com/health/turp/my00633.http://www.mayoclinic.com/health/prostate-gland-enlargement/ds00027/dsecti. ...Read moreSee 1 more doctor answer
Is there a risk of emptynose syndrome from radiofrequency turbinate ablation reducing first turbinate?
Possible: The empty nose syndrome is from too vigorous reduction in the turbinate . Whether you will end up with it or not depends on the vigor of the reduction. It is usually better to be a little less enthusiastic in reducing the turbinate than over vigorous. One can always get more done later. ...Read more
Little science here: It would be difficult to find a control group. As recently as the mid-20th century, 'pop' / 'cult' claims that 'solitary vice' did terrible spiritual damage resulted in men trying very hard -- usually unsuccessfully -- to avoid the practice. Anecdotally, accelerated prostate hyperplasia seemed to result. Within reasonable limits, correlation between frequency ; BPH risk seems negligible. ...Read more
Yes: Dutasteride and Finasteride both work well to shrink the prostate. Called 5 Alpha reductase inhibitors, these drugs stop the conversion of testosterone to dihydrotestosterone, which causes baldness and prostate enlargement. Not a quick fix as maximum benefit is not reached for 6-12 months. ...Read more
Flomax (tamsulosin) works perfectly to control urgency, my only BPH symptom. However, it causes retrograde ejaculation. An alternative without this side-effect?
Here are some ...: Nothing is free but always comes with a price. Likewise, using Flomax (tamsulosin) accompanies with its unique retrograde ejacualtion,which indicates its adequate ability to relax your bladder neck - a part of urinary sphincteric unit. So, if more baby making is not a concern for life now, stick to its use for LUTS. Otherwise, try one of 5-ARIs and see. More? Ask Doc timely so realign your care... ...Read more
Maybe: Prolonged abstinence from orgasm may cause some men to have some prostatic congestion and enlargement. The prostate enlarges due to the hormone testosterone. With "stasis" infection may occur. When men develop prostatitis, it is sometimes recommended an increase the number of ejaculations and even receive prostate massage. Sexual stimulation without ejaculation causes engorgement of prostate. ...Read more
4 ways: First, if you are obese, lose weight. This will help but not probably not eliminate it. Second, get a sleep study, and if already diagnosed, use a CPAP machine per your md's instructions. If that fails, third, see a dentist trained in making oral appliances for apena. Fourth, you can discuss surgical options with your md, to see if they would be appropriate for you. Good luck! ...Read moreSee 2 more doctor answers
What is the best time of day to take daily use Cialis (5mg) for treating BPH and eliminating frequent overnight urination?
Blocking DHT: Two medications (avodart (dutasteride) and proscar) block an enzyme called 5 Alpha reductase. These medications block the conversion of testosterone to dihydrotestosterone which is more potent. These medication lead to an approximate 20% reduction in prostate size as well as stop further prostate growth. You physician cna hlep determine if one of these medications is appropriate for you. ...Read moreSee 1 more doctor answer
No: None that have been scientifically proven most of the herbs are marketed with anecdotal evidence, at best even saw palmetto, which is commonly used for BPH was shown in a very large randomized, placebo-controlled study to be no better than placebo (but remember that placebo works ~30% in most studies). ...Read moreSee 2 more doctor answers
LUTS: Common symptoms of BPH or bothersome urinary symptoms caused by enlarged prostate include weak stream, difficulty starting stream, hesitency, urinary frequency/urgency, nocturia. I would see your medical doctor/urologist. He/she will likely perform an examination of your prostate and may consider starting medication to treat your bothersome urinary symptoms. ...Read moreSee 2 more doctor answers
Medications first: There are two classes of medications to use. One improves the flow of urine by relaxing the muscles of the neck of the bladder around the prostate such as folmax and others. The other class works to reduce the size of the prostate by blocking the effect of male hormones on it. Proscar (finasteride) or Finasteride is a prototype. ...Read moreSee 3 more doctor answers
Here are some ...: There has been no known ways to reduce the risk of BPH, which is speculated as the result of subtle but unclearly defined sex hormonal imbalance along the course of aging. So, just be proactive to seek pro-evaluation for taking longer time and standing closer to toilet bowl to pee timely, don't wait until the last minutes when one cannot pee at all. ...Read moreSee 1 more doctor answer
BPH at Young age: It would be very unlikely to have BPH (benign prostatic hypertrophy) at a "young" age, unless you consider 45 years old as "young". ;) most BPH does not become symptomatic until 45 or 50 years of age, typically with frequent urination and getting up at night to urinatte. If these symptoms are happening at a young age we tend to think of urethral stricture disease rather than bph.. ...Read moreSee 2 more doctor answers
SymptomaticTreatentm: With mild symptoms usually Symptomatic Treatment with alpha blockers like Flomax (tamsulosin) will be enough But if symptoms get worse than you may need other treatment like 5alpha reductase inhibiters like Finasteride or Duasteride etc or surgical tratment ...Read moreSee 3 more doctor answers
Here is...: 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? Go to http://formefirst.com/TroublingVoiding-Men.html. Best... ...Read more
Not likely: While some young men may have lower urinary tract voiding symtpoms, they are not likely due to an enlarged prostate as the prostate has not started to enlarge at such a young age. Some young men have a bladder neck problem that looks like BPH and may repsond to some of the same treatments. Your urologist would be able to to the evaluation and recommend appropriate treatment. ...Read moreSee 1 more doctor answer
Enlarged prostate: It means the gland at the bottom of the bladder is enlarged. It constricts the urethra some causing the flow of urine to be slow in may be interrupted. If it gets worse a person may not be able to urinate leading to kidney obstruction. It is treated by medicines. When severe, surgery is helpful. ...Read moreSee 2 more doctor answers
Enlarged prostate: Hi the term BPH can cover a lot of issues in regards to the prostate. At your age i would assume first that this is a prostate infection and not a permanent condition. I would ask about your recent sexual activity; about your symptoms, other medications you are taking and how your bowels are moving. But, please do not ignore this or wait for it to get better on it's own. ...Read more
Probably...: It's very rare and unlikely for a man at 32 to suffer from bph-related voiding symptoms. Instead, your first possibility would be std-related prostatitis or urethritis, and the second one is poor relaxation and opening of the immediate opening of bladder (bladder neck). So, see urologist for detail and treat your voiding sx accordingly. Of course, with no detailed hx + physicals, it's hard to... ...Read moreSee 2 more doctor answers