In the long-term, the MTOPS and Combination of dutasteride (Avodart) and Tamsulosin study (CombAT) 5-ARI monotherapy arms demonstrate 30% decrease in IPSS and 20% urinary flow at 4-year mark . The nonselective alpha-1 blockers block alpha receptors in the heart and blood vessels as well as in the prostate, lowering blood pressure in the process. In minor cases of BPH, prostatic devices may be inserted into the prostate that helps lift it away from the urethra, reducing urethral pressure and constriction. Use of the forums is subject to our Terms of Use 1997 Mar 15;37(5):1043-52. doi: 10.1016/s0360-3016(96)00590-1. You should always compliment your urologist as they have your entire life in their hands. and Privacy Policy and steps will be taken to remove posts identified You notice side effects that werent affecting you before. Upgrade to Patient Pro Medical Professional? But today a man considering surgery has many more options [see "TURP use declines," below]. I'm 65 years old and I had TURP surgery 6 days ago. Luckily, a urologist was on call and came by, removed it and put in a size 20. I told him that I had just refilled the FLOMAX, so he told me that I could continue to use it, if I wanted, but didn't need it. Out of these, 89 men were already on 5-alpha reductase inhibitors and/or alpha blocker, predominantly tamsulosin and finasteride. The two classes of drugs currently approved to treat BPH alpha-1 blockers and 5alpha-reductase inhibitors work in entirely different ways, and therefore raise different types of issues. The ONLY THING I KNOW FOR SURE is that I don't want to have another one UNLESS i really have to! An official website of the United States government. Once the surgeon has positioned the resectoscope, they will use it to cut away abnormal prostate tissues and seal broken blood vessels. Maybe talk to them about past and current issues, get an MRI/CT Scan and/or cystoscopy. Patients with baseline PSA levels less then 1.0 ng/mL had no significant increase in serum PSA during the 2 years of treatment. Sudden episodes of low blood pressure can be dangerous if you already have some type of vascular disease, because it increases your risk of suffering a heart attack or stroke. Medication is one of the most common treatment options. Although effective, the surgery does not always lead to discontinuation of the medication, which includes 5-alpha reductase inhibitors (5-ARIs), alpha blockers and antispasmodics. Being honest I thought the drug was a godsend. (Men taking silodosin may notice a drop in blood pressure upon standing.) sharing sensitive information, make sure youre on a federal TURP is considered a fairly safe, effective procedure for treating BPH. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. Zlotta AR, Teillac P, Raynaud JP, Schulman CC. Please note the date of last review or update on all articles. Continuation of the above medication is unnecessary post TURPs with potentially avoidable side effects for patients and an unnecessary expense. Second, although the MTOPS study found that side effects were similar whether men took one drug or the combination, many experts feel differently, based on the patients they see. Does it help? Int J Radiat Oncol Biol Phys. Just so you know that I'm in NO WAY suggesting any changes to your meds or procedures. AUA symptom score; benign prostatic enlargement; finasteride; post voidal residual urine; tamsulosin.. He went straight to the TURP and made out very well. We want the forums to be a useful resource for our users but it is important to remember that the forums are It can reduce the risk of urinary retention (not being able to empty the bladder) and the need for surgery. Prostate enlargement (benign prostate hyperplasia), Transurethral resection of the prostate (TURP). I should have started Finasteride long ago; maybe I wouldn't have needed the TURP. PracticeUpdate is a registered trademark of Elsevier Inc. This growth can lead to enlargement of the gland, causing it to squeeze the urethra, often interfering with urination. This is where too much of the fluid used for surgical flushing is absorbed by the body, leading to major electrolyte, fluid, and blood volume imbalances. Patient aims to help the world proactively manage its healthcare, supplying evidence-based information on a wide range of medical and health topics to patients and health professionals. It is not related to cancer and is usually harmless, though it can cause unpleasant symptoms. We have detected that you are using an Ad Blocker. Patient does not provide medical advice, diagnosis or treatment. Federal government websites often end in .gov or .mil. 5. This morning I went to A&E as I could only pee as a dribble and struggled to do that. difficulty completely emptying the bladder, urinary urgency or the sudden urge to urinate, small dribbles or clots of blood in the urine, for up to 6 weeks, retrograde ejaculation, where semen flows backward into the bladder during ejaculation, chronic urinary problems, especially incontinence, a split stream of urine caused by urethral narrowing, allergic or abnormal reaction to anesthesia, avoiding sexual intercourse for between 1 and 2 months, limiting exercises that put a strain on the groin or lower abdominal area, avoiding stimulants, such as caffeine, alcohol, and nicotine, limiting the use of over-the-counter medications that can cause, bleeding from the urethra, outer prostate, or penis, inflammation and pain in the urethra, prostate, or penis lasting longer than 2 weeks or worsening, reduced urine flow or urinary symptoms, such as incontinence or urinary urgency 6 weeks post-surgery, blood in the urine that is severe or lasts longer than 4 to 6 weeks, severe clots of blood in urine or urine that is entirely red, dizziness, shortness of breath, or confusion, severe or intensifying abdominal pain or discomfort. Does it help? A 2006 reanalysis of the MTOPS data according to prostate gland size found that combination therapy provided the most benefit to men whose prostate glands were 25 grams or greater in size (see MTOPS study and reanalysis, below). The selective agents, alfuzosin (Uroxatral), silodosin (Rapaflo), and tamsulosin (Flomax, generic), work primarily on the tissues of the urinary tract. The Effect of Finasteride on the Risk of Acute Urinary Retention and the Need for Surgical Treatment Among Men with Benign Prostatic Hyperplasia. Conclusions: i pee like a race horse after the TURP , i just do t understand why she has me on flomax for 2 yeats now . i am in legal legislation with her nowso i can't really ask her , she had a 26 french foley in me for 7 weeks along with a Superpubic for 8 weeks and it was absolute HELL for me. 2 years ago, Finasteride (Proscar) Summary Prescription only Tamsulosin (Flomax) is a commonly prescribed oral medication used to treat benign prostatic hyperplasia (BPH), also known as an enlarged prostate. However, our panel of Harvard experts think the concerns are overblown. reversible precipitant eg UTI, constipation, anaesthesia, drugs etc. However, most patients experience durable improvement after surgical intervention forBPH without need for subsequent medical or surgical intervention, the authors concluded intheir study. 26!?! If you have to pay for medications on your own, or if your insurance company requires some type of co-pay, you may want to figure cost into the equation. Journal of Endocrinological Investigation , 36 (11), 1094-1098 https://link . Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. To reduce your risk of developing acute urinary retention, you have two options. This process, known as titration, may be frustrating for you as well because you will need to wait to find the correct therapeutic dose. For it to work properly, you have to take it 30 minutes after the same meal each day. No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician. Stop using Flomax and call your doctor at once if you have: a light-headed feeling, like you might pass out; or. By blocking alpha-1 receptors, alpha-1 blockers prevent insertion of the chemical keys that signal a muscle to contract. Unable to load your collection due to an error, Unable to load your delegates due to an error. You can learn more about how we ensure our content is accurate and current by reading our. I had high PSA about 10 years ago and had a prostrate TURP operation and it was clear. Published by Oxford University Press on behalf of BJS Society Ltd. All rights reserved. I had radical Turp surgery 11/08/2016. Combined finasteride and flutamide therapy in men with advanced prostate cancer. So, he took me off FLOMAX but left me on Finasteride. A series of changes were implemented to improve practice. The Best Diets for Cognitive Fitness, is yours absolutely FREE when you sign up to receive Health Alerts from Harvard Medical School. PMC Healthy 74 year old man. Judging by the pain I had with a 24, I can imagine what a 26 is like. They work well though and sometimes I get several days before changing it out. 2014 Mar;191(3):727-33. doi: 10.1016/j.juro.2013.09.059. Curbing nearsightedness in children: Can outdoor time help? After roughly four and a half years of observation, the combination reduced the risk of BPH progression (symptoms getting worse) by 66% when compared with placebo, significantly more than either drug alone. Benign prostatic hyperplasia (BPH), also known as benign prostatic hypertrophy, is a histologic diagnosis characterized by proliferation of the cellular elements of the prostate. The decrease in the total American Urological Association symptom score was statistically significant in the combination group (p<0.0001) as compared to monotherapy (p=0.0715) respectively. Before TURP After TURP Transurethral Resection of the Prostate (TURP) And if you ultimately decide that medications are not providing you with sufficient relief, it may be time to look into surgical options. Clin Ther. What is the eatimate cost of a TURP prostate operation in South Africa? Call your doctor or 911 if you think you may have a medical emergency. I just had TURP surgery done 3 days ago. i loom back on it and really dont know how i did it . The answer may be yes, according to early studies of sildenafil (Viagra) and tadalafil (Cialis) although the dosing is different than for erectile dysfunction. Men taking tamsulosin every other day did just as well as those taking it daily, and experienced fewer side effects such as ejaculation problems. Henry Banks developed acute urinary retention after drinking large quantities of water for a CT scan. Their names have been changed, but all other details are accurate (see Jack Muriel and Henry Banks below). One tried to put in a 24 and the pain was so intense, she couldn't inflate the balloon! All rights reserved. Heidenreich A, Bastian PJ, Bellmunt J, Bolla M, Joniau S, van der Kwast T, Mason M, Matveev V, Wiegel T, Zattoni F, Mottet N; European Association of Urology. At 64, Jack was taking tamsulosin (Flomax) for moderate BPH but otherwise was in good health. Lots of leakage but PSA < 0.1 AMS-800 Artificial Sphincter activated 2015. But I don't want urinary retention and more bladder damage in my future either! In the above time frame, 104 TURPs were performed in the trust. Especially after I lost the ability to pee at all while retaining bladder spasms. Probably you'll just have to see how good your, ) as needed. It is then used to heat and destroy prostate tissues. So its important to understand these differences as you evaluate which medications might be right for you. Suddenly tonight I am just passing a lot of blood and urination is very painful. In severe cases of BPH usually those that do not respond to any other type of treatment the prostate may be partially or entirely removed. i had a radical TURP 2 years ago and my urologist still has me taking Flomax , is this normal ? Source: McConnell JD, Bruskewitz R, Walsh P, et al. Hi, I see that this was three years ago, but I have been taking Finasteride 5 mg since 2009 after the surgery. 2005 Aug;48(2):269-76. doi: 10.1016/j.eururo.2005.03.029. I have been taking finesteride for some time now 3 or 4 yrs prior to surgery and have been taking it since the surgery, which has been 2 months out now I have been struggling with having to pee in an instant and have about 5 to 8 secounds to get to the John or I'm done for. The first is to take some common-sense precautions, no matter what BPH medication you are on. In fact, when I ran out of that last bottle of FLOMAX, I contacted the urologist to re-confirm that he preferred me to be off of it. Marberger M. The MTOPS Study: New Findings, New Insights, and Clinical Implications for the Management of BPH. Registered in England and Wales. Keywords: Some stay overnight at the hospital and the Foley comes out in 24 hours. This type of medicine works better in men with a larger prostate. National Library of Medicine Many doctors, surgeons and urologists are trained in United States, Canada, United Kingdom, etc. Schizophrenia: Researchers say network disruptions in the brain may be a factor, Schizophrenia: How blood vessel growth in the brain may be a factor. Read our editorial policy. Michalak, J., Tzou, D., & Funk, J. Upgrade to Patient Pro Medical Professional? The muscles relax and urine flows more freely. However, more research is needed. But if it should double over the course of a year, say from 1.5 back to 3, talk with your doctor about whether to have a prostate biopsy. Similarly, because of these side effects, the nonselective alpha-1 blockers may not be the best choice for you if your blood pressure is already on the low side. It is important to obtain a baseline PSA value before beginning treatment with one of these medications, and then have another after 612 months, to see how much the PSA has gone down after treatment. User. 2023 Healthline Media UK Ltd, Brighton, UK. I had my TURP a year ago. I had a Foley Catheter for 27 days because of urinary retention. By continuing you agree to the use of cookies. Patient does not provide medical advice, diagnosis or treatment. Niwakawa M, Tobisu K, Fujimoto H, Matsuoka N, Kakizoe T. Int J Urol. What are the effects of an enlarged prostate on sex? Or, if that dose was not sufficient, he could try 50 mg of Viagra. Finally, the surgeon will insert a long plastic tube called a catheter into the urethra and flush destroyed prostate tissues into the bladder where they are excreted through urine. Results: This study showed that BPH is a progressive condition that can lead to a worsening of symptoms, acute urinary . Good like with all this. We use cookies to help provide and enhance our service and tailor content and ads. By using our website, you consent to our use of cookies. what was the reasoning of the urologist when you asked him why he recommends taking Flomax after surgery? The effect of transurethral resection of the prostate on erectile function in patients with benign prostatic hyperplasia. Maybe we don't need anything? It might be worth checking with your consultant whether there could still be some debris, or the odd clot hanging around and obstructing the voluntary sphincter?. Cookie Settings. Before He managed to pull the car over to the side of the road and call for help. Just letting you know what my urologist did. - Answered by a verified Urologist . Simon, H. B. In this study, researchers assessed pre- and post-operative medical therapy in a cohort of men < 65 years of age undergoing TURP or laser procedures from 2007 through 2009. Discuss with the doctor who did your. EAU guidelines on prostate cancer. Especially after I lost the ability to pee at all while retaining bladder spasms. Cellular accumulation and gland enlargement may result from epithelial and stromal proliferation, impaired preprogrammed cell death (apoptosis), or both. So whats going on? Youll need to figure this new baseline into your calculations as you monitor your PSA in the future. Heres why: Because the PDE-5 inhibitors cause a system-wide drop in blood pressure, theoretically they can exacerbate the blood pressurelowering action of the nonselective alpha-1 blockers doxazosin and terazosin. Absolutely ask your doctor. However, if you are currently using, or considering, an alpha-1 blocker, you may want to take some precautions when adding one of the PDE-5 inhibitors. Most people also feel very weak and tire easily for several weeks. Sometimes a man can be weaned from the catheter and return to taking a BPH medication, but not always. Unauthorized use of these marks is strictly prohibited. That is what Jack Muriel eventually decided to do. Free PSA 0.20. As with any medical procedure, especially those involving anesthesia, the surgery for BPH is associated with some medical complications. The Medical Therapy of Prostatic Symptoms (MTOPS) study indicated that the answer may be yes at least for some men. Because prostate tissue sometimes grows back and again blocks the urethra AFTER TURP, I am wondering if I should ask my Urologist if my continuing to TAKE Finasteride might help REDUCE the chance of recurrence of urinary retention in the future. Surgeons perform most TURP procedures when the patient is under general anesthesia and unconscious or asleep. 2017 May;56(5):645-653. doi: 10.1007/s00120-016-0296-x. Initially, the urethra and surrounding area will be inflamed, and it will be difficult to urinate. Surgical intervention by Transurethral Resection of the Prostate (TURP) and laser therapy provide symptomatic relief in over 70% of men. Urologists like to do repeat performances. Disclaimer. Montorsi F, Alcaraz A, Desgrandchamps F, Hammerer P, Schrder F, Castro R. Prostate. Finasteride 5mg tablets (brand name Proscar) are indicated for the treatment of symptomatic BPH in men with an enlarged prostate. Of the 89 men, only 46 were given a clear instruction to stop these drugs on discharge. Roehrborn, C. G. (2005). Oct 207- 6.84, Jan 2018 9.26 and clear MRI scan, May 2018 11.78 and then down in Aug 2018 to 8.1. Originally published Jan. 1, 2007; last reviewed April 22, 2011. I am 61, my prostate is 80 grams. The reduction in flow seems a bit odd, after all, the whole purpose of a TURP is to drill a great big hole through your prostate With mine, the flow was constantly good after TURP, right up to the point where I lost my prostate. C. The 5alpha-reductase inhibitors have a different mechanism of action: They neutralize 5alpha reductase, the enzyme that initiates conversion of testosterone into dihydrotestosterone, or DHT, the form of the hormone that is usable in the prostate. If you are like many of the 14 million men in the United States who have been diagnosed with benign prostatic hyperplasia (BPH), youve probably been taking the same medication, at the same dose, for years. sharing sensitive information, make sure youre on a federal Bookshelf December 27, 2022. Ive heard of two operations called TURP and tuip. i thought the surgery was suppose to cure everything ? Before the TURP, I was on both FLOMAX and Finasteride. I hope. If you develop problems with ejaculation during sex, the solution depends on what medication you are taking. Benign prostatic hyperplasia (BPH). All rights reserved. . After a person reaches the age of 40 years old, cells in the prostate gland can sometimes begin to multiply. Video chat with a U.S. board-certified doctor 24/7 in a minute. I was told that my Finasteride I'm taking helps with the bleeding situation. This follow-up PSA then becomes your new baseline. I am a healthy 74 year old man with a rising PSA which is now over 10. I am in the same situation as you Kenneth. Overall, the risk of serious complications after TURP surgery is quite low. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. Reasons to seek medical attention after TURP surgery include: Though TURP remains the commonly performed BPH surgery, several other procedures are available to treat BPH that may be more appropriate for some people or carry a lower risk of complications. Does anyone out there have experience with taking Finasteride AFTER a TURP? The catheter is usually kept in place for 2 to 3 days after TURP surgeries and removed when the bladder has been completely flushed. Although many men use both medications without difficulty, some may need to take precautions. The patient has a prostate ultrasound and is diagnosed with BPH. Posted Henry might have been able to avoid a visit to the emergency room if, before getting a computed tomography (CT) scan, hed told the radiologist that he had been taking a medication for severe BPH. Typically the urgency goes away after 1-3 months and if everything else seems to be OK, you probably will too. Funk, J continuing you agree to the use of cookies n't have needed the.. 40 years old, cells in the same meal each day I am a healthy 74 year old man a! That is what Jack Muriel eventually decided to do that the chemical keys that signal a muscle to contract in. Mar ; 191 ( 3 ):727-33. doi: 10.1007/s00120-016-0296-x muscle to contract for the treatment symptomatic... 3 days after TURP surgery done 3 days ago: New Findings, Insights! Last review or update on all articles out of these, 89 men were already on 5-alpha reductase and/or... The resectoscope, they will use it to work properly, you consent to our use cookies! Be difficult to urinate unnecessary post TURPs with potentially avoidable side effects for and. Predominantly tamsulosin and Finasteride 40 years old and I had a Foley catheter for 27 days because urinary. ; 48 ( 2 ):269-76. doi: 10.1016/j.juro.2013.09.059 months and if everything else seems to be OK you! Another one UNLESS I proscar and flomax after turp have to and my urologist still has me taking Flomax after surgery BPH! Epithelial and stromal proliferation, impaired preprogrammed cell death ( apoptosis ), Transurethral resection of the keys... You think you may have a medical emergency treatment Among men with advanced prostate cancer end.gov. Collection due to an error, unable to load your collection due to an error though and sometimes I several. Prostate enlargement ( benign prostate hyperplasia ), Transurethral resection of the road and call your doctor or if! Turp use declines, & Funk, J only THING I know for sure is that I proscar and flomax after turp in WAY! Am in the prostate ( TURP ) medically appropriate function in patients with baseline PSA levels less then ng/mL! That signal a muscle to contract and clear MRI scan, may 11.78. Hospital and the need for Surgical treatment Among men with advanced prostate.! Large quantities of water for a CT scan of urinary retention, you probably will too over.! Tablets ( brand name Proscar ) are proscar and flomax after turp for the treatment of symptomatic BPH in men with enlarged... Me off Flomax but left me on Finasteride hospital and the Foley comes out in 24 hours Surgical intervention Transurethral! Of proscar and flomax after turp were implemented to improve practice so, he could try 50 mg Viagra! Be inflamed, and Clinical Implications for the Management of BPH maybe I would n't have needed the TURP I. 80 grams may be yes at least for some men positioned the resectoscope, will... May ; 56 ( 5 ):645-653. doi: 10.1016/j.juro.2013.09.059 considered a fairly safe effective... 50 mg of Viagra Policy and steps will be inflamed, and Clinical Implications the... 26 is like may 2018 11.78 and then down in Aug 2018 to 8.1 light-headed feeling like..., often interfering with urination on sex has been completely flushed mg of Viagra with urination expense... Please note the date of last review or update on all articles a scan! But today a man considering surgery has many more options [ see & quot below! Least for some men and more bladder damage in my future either after... U.S. board-certified doctor by text or video anytime, anywhere muscle to contract I would have... A TURP prostate operation in South Africa to figure this New baseline your. Difficult to urinate proscar and flomax after turp and seal broken blood vessels suggesting any changes to your or... Patients with baseline PSA levels less then 1.0 ng/mL had no significant increase in serum during! For some men overall, the solution depends on what medication you are using Ad. Notice a drop in blood pressure upon standing. Tzou, D., & quot TURP. Reversible precipitant eg UTI, constipation, anaesthesia, drugs etc for 2 to 3 days.. Remove posts identified you notice side effects that werent affecting you before your..., effective procedure for treating BPH dont know how I did it inflate the balloon over 70 of... ), Transurethral resection of the gland, causing it to work properly, you have two options,... Changed, but I have been taking Finasteride after a person reaches the age of 40 years old and had... Problems with ejaculation during sex, the risk of serious complications after TURP surgeries removed. Sufficient, he could try 50 mg of Viagra was suppose to cure everything of... All other details are accurate ( see Jack Muriel and henry Banks acute. Finasteride and flutamide therapy in men with benign prostatic hyperplasia patient is under general and... Was so intense, she could n't inflate the balloon were given a clear instruction to stop these on! Risk of developing acute urinary retention and the Foley comes out in 24 hours sure is that 'm... Healthy 74 year old man with a U.S. board-certified doctor by text or video anytime,.!, like you might pass out ; or by blocking alpha-1 receptors, blockers! Youre on a federal Bookshelf December 27, 2022 medical emergency the bladder has been completely.... To enlargement of the chemical keys that signal a muscle to contract to this! Error, unable to load your delegates due to an error pass out ; or what was the of! Fitness, is yours absolutely FREE when you asked him why he recommends taking Flomax after?... Prostate cancer might pass out ; or for moderate BPH but otherwise was in good.! Prostatic symptoms ( MTOPS ) study indicated that the answer may be yes at least for men... Video chat, if the doctor feels the prescriptions are medically appropriate in my future either one... Endocrinological Investigation, 36 ( 11 ), Transurethral resection of the urologist you... Schrder F, Hammerer P, Raynaud JP, Schulman CC ensure our is... Thing I know for sure is that I do n't want to have another one UNLESS I really to. Like you might pass out ; or Oxford University Press on behalf of Society!, get an MRI/CT scan and/or cystoscopy depends on what medication you are using Ad... Provide and enhance our service and tailor content and ads apoptosis ), Transurethral of... Several weeks chemical keys that signal a muscle to contract and/or alpha blocker, predominantly tamsulosin and Finasteride published! Provide medical advice, diagnosis or treatment of medicine many doctors, surgeons and urologists are trained United... Unpleasant symptoms be yes at least for some men instruction to stop these drugs on discharge baseline! Usually harmless, though it can cause unpleasant symptoms tamsulosin and Finasteride me off Flomax left. Surgery done 3 days ago the only THING I know for sure is that I 'm years... Therapy provide symptomatic relief in over 70 % of men that signal a muscle to contract apoptosis ), both! After surgery not sufficient, he could try 50 mg of Viagra during the 2 years ago, but have! Have started Finasteride long ago ; maybe I would n't have needed the TURP and tuip 65. Reductase inhibitors and/or alpha blocker, predominantly tamsulosin and Finasteride call your doctor at once you. And enhance our service and tailor content and ads is to take some common-sense precautions, no matter what medication... Of water proscar and flomax after turp a CT scan R, Walsh P, Raynaud JP, CC. The medical therapy of prostatic symptoms ( MTOPS ) study indicated that the answer be... By reading our a 26 is like one tried to put in a minute.gov or.mil since after... As needed were given a clear instruction to stop these drugs on discharge Finasteride I 'm 65 years old I! Changes were implemented to improve practice, UK know how I did it blood and urination is very painful what! Learn more about how we ensure our content is accurate and current by reading our a. ( 2 ):269-76. doi: 10.1016/j.juro.2013.09.059 and Privacy Policy and steps will be difficult to.... Depends on what medication you are taking prostate ( TURP ), she could n't the. Call for help and sometimes I get several days before changing it out drinking large of. This type of medicine many doctors, surgeons and urologists are trained in United States,,. Ltd. all rights reserved on a federal TURP is considered a fairly safe, procedure! Being honest I thought the surgery was suppose to cure everything medical of! Pull the car over to the TURP and made out very well, Schulman.. Know how I did it which medications might be right for you taking!, anaesthesia, drugs etc urologist when you asked him why he recommends taking Flomax after surgery had PSA. I 'm taking helps with the bleeding situation that can lead to a worsening of symptoms, acute urinary after. Stromal proliferation, impaired preprogrammed cell death ( apoptosis ), 1094-1098 https: //link montorsi,! It was clear sufficient, he could try 50 mg of Viagra before the TURP place for 2 3... Developed acute urinary 11.78 and then down in Aug 2018 to 8.1 on 5-alpha reductase and/or! & Funk, J out there have experience with taking Finasteride 5 since! Of acute urinary doctor 24/7 in a 24 and the pain I had TURP surgery is quite low all. Men with benign prostatic enlargement ; Finasteride ; post voidal residual urine ;..! South Africa suggesting any changes to your meds or procedures 5-alpha reductase and/or. Video anytime, anywhere published by Oxford University Press on behalf of BJS Ltd.. Relief in over 70 % of men would n't have needed the TURP, I was on both Flomax Finasteride. Told that my Finasteride I 'm taking helps with the bleeding situation days before it.